Ch. 4 Urinary and reproductive Flashcards
Signs and symptoms of painful menstruation (dysmenorrhea)
- cramping pain in the lower abdomen and lower back
- nausea and vomiting
treatment principles for painful menstruation
- Ben and Jerrys
- administer analgesics (NSAIDS are often recommended)
- Mild exercise
- Rest and heat packs
sign and symptoms of Pain on Ovulation
- one-sided pain the lower abdomen
- occurs midway through menstrual cycle
- may be accompanied by nausea
- possible vaginal spotting
treatment principles for painful ovulation
- administer analgesics (NSAIDS are often recommended)
what is ectopic pregnancy
- a pregnancy that develops outside of the uterus, commonly in the uterine tube.
signs and symptoms of Ectopic pregnancy
- signs and symptoms of pregnancy
- abdominal pain
- vaginal spotting or bleeding
- fainting
- signs and symptoms of shock
Signs and symptoms of pregnancy
- history of heterosexual intercourse
- absence of period
- fatigue
- breast tenderness
- polyuria
- nausea and vomiting
treatment principles of ectopic pregnancy
- monitor and treat for shock
- immediate evac
what is vaginitis?
an inflammation of the vagina, commonly caused by fungus or bacteria.
sign and symptoms vaginitis
- vaginal itching
- redness of the vaginal area
- increase in vaginal discharge
treatment principles for vaginitis
- wash area thoroughly
- air dry
- consider antifungals (monostat or diflucan)
- evacuate if the patient does not respond to treatment
what is a urinary tract infection (UTI)?
a bacterial infection in the urinary tract
signs and symptoms of a UTI
- increased frequency of urination
- burning and pain during urination
- fatigue
- blood in urine
- fever
treatment principles for UTI
- hydration
- consider urinary tract analgesics
- consider antibiotics
- rest
- evaluate if the patient does not respond to treatment or develops tenderness over the kidney region
How to prevent vaginitis and UTI
- maintain adequate hydration
- wash the vaginal and perianal daily
- air dry the vaginal area regularly
- avoid wiping fecal matter towards the vaginal opening
what is testicular torsion
a twisting of the spermatic cord causing an interruption of blood supply to the testicle
signs and symptoms of testicular torsion
- pain and sudden onset
- redness and swelling of the testicles and scrotum
What is epididymitis ?
an inflammation of the epididymus (sperm tube on back of testicle), typically caused by an STD or bacteria
signs and symptoms of epididymitis
- pain, typically gradual onset
- redness and swelling of the testicles and scrotum
- fatigue
- fever
treatment principles for epididymitus and testicular torsion
- consider pain medication as needed. NSAIDS are often recommended
- apply cool compress
- elevate/support testicles
- consider antibiotics
- consider self-rotation of suspected testicular torsion. Rotate Laterally
evacuation guidelines
Evacuate:
- any signs of pain and pregnancy
- a person in a wilderness setting suspecting pregnancy should consider evacuating
- any patient with a UTI or vaginitis that does not respond to treatment
- evacuate any patient with persistent testicular pain
- rapidly evac any patient with suspected testicular torsion
What is an inguinal (In-gwin-al) hernia
a protrusion of a portion of the intestine into the groin or scrotum
signs and symptoms of an inguinal hernia (in-gwin-al)
- lump or swelling in the groin or scrotum
- sharp, steady pain
treatment principles for an inguinal hernia (In-gwin-al)
- attempt reduction of hernia
- evacuate if unable to reduce or if hernia reappears after reduction
