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PathoPharm 2 > ch 53 female repro disorders > Flashcards

ch 53 female repro disorders Flashcards

1
Q

vaginal inflammatory condition associated with watery discharge, “fishy” smell, itching and redness
-common cause: e coli from stool

A

bacterial vaginosis

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2
Q

Tx bacterial vaginosis

A

metronidazole

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3
Q

vaginal inflammatory condition characterized by white, cheesy-like vaginal discharge

A

candidiasis

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4
Q

admin considerations for metronidazole

A

do NOT take with alcohol

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5
Q

Tx candidiasis

A

fluconazole

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6
Q

vaginal inflammatory conditions characterized by frothy green yellow malodorous discharge

A

trichomoniasis

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7
Q

Tx trichomoniasis

A

metronidazole

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8
Q

admin considerations for fluconazole

A

take every other day (3x)

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9
Q

what can frequent candidiasis infections indicate

A

may have diabetes mellitus

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10
Q

puberty that begins before 8 yo

A

precocious puberty

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11
Q

PMS S+S (6)

A
  • headache
  • swollen breasts
  • increased acne
  • abdominal pain
  • moody
  • increased stress
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12
Q

drug therapy for PMS (4)

A
  • diuretics (bloating)
  • NSAIDs (pain)
  • SSRIs (mood)
  • oral contraceptives (for severe symptoms)
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13
Q

pain during menstruation

A

dysmenorrhea

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14
Q

long intervals between menses >35 days

A

oligomenorrhea

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15
Q

absence of menses

A

amenorrhea

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16
Q

irregular bleeding/spotting between menses

A

metrorrhagia

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17
Q

excessive or prolonged menses

A

menorrhagia

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18
Q

dysruption in menstrual cycle such as absence of ovulation

A

dysfunctional uterine bleeding

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19
Q

common causes PID (2)

A
  • chlamydia

- gonorrhea

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20
Q

infectious condition of pelvic cavity that can extend to fallopian tubes and cause infertility

A

PID

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21
Q

high risk pts for PID

A

-women >24 yo with multiple/new sex partners

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22
Q

S+S PID (4)

A
  • severe pelvic pain
  • spotting after intercourse
  • purulent vaginal discharge
  • fever and chills (severe)
23
Q

Tx PID (6)

A
  • antibiotic therapy (cefoxitin, doxycycline)
  • corticosteroids
  • no intercourse for 3 weeks
  • physical rest and PO fluids
  • heat, sitz baths
  • surgery options (laparoscopy/hysterectomy)
24
Q

what complications can PID lead to (2)

A
  • abscesses

- septicemia

25
Q

presence of normal endometrial tissue outside of endometrial cavity

A

endometriosis

26
Q

only definitive diagnosis endometriosis

A

-laparoscopic surgery

27
Q

S+S endometriosis (6)

A
  • painful period
  • infertility
  • pelvic pain
  • pain with intercourse
  • irregular bleeding
  • chronic low back pain
28
Q

Tx endometriosis (4)

A
  • NSAIDs
  • oral contraceptives
  • danazol or leurolide (antigonaditropin)
  • surgery options: laparotomy, total hysterectomy
29
Q

benign fibrous tumors of uterus

A

leiomyoma

30
Q

complication leiomyoma

A

infertility

31
Q

chronic disorder with numerous benign cysts on ovaries

A

polycystic ovarian syndrome (PCOS)

32
Q

S+S PCOS (6)

A
  • irregular menses
  • infertility
  • obesity
  • hirsutism
  • abnormal insulin resistance (leads to T2 DM)
  • can cause cardiovascular disease
33
Q

Tx PCOS (7)

A
  • weight loss
  • oral contraceptives
  • spironolactone (for hirsutism)
  • flutamide and leuprolide (for hyperandrogenism)
  • metformin
  • clomiphene (fertility drug)
  • surgery option: hysterectomy
34
Q

primary risk factor cervical cancer

A

HPV

35
Q

when should women be screened for cervical cancer

A
  • start at 21 yo (regardless of sexual activity)

- ages 21-65 screened q3years

36
Q

Dx cervical cancer

A

pap smear

37
Q

Tx early cervical cancer (2)

A
  • colposcopy (w/ punch biopsy)

- cryotherapy with LEEP

38
Q

Tx metastasized cervical cancer (3)

A
  • chemo/radiation
  • hysterectomy
  • total exenteration of pelvic organs
39
Q

primary prevention cervical cancer

A

HPV vaccine

40
Q

secondary prevention cervical cancer

A

screening with pap smear

41
Q

risk factors ovarian cancer

A

BRCA gene

family h/o

42
Q

S+S later stages ovarian cancer (4)

A
  • pelvic pain
  • abdominal bloating
  • urinary urgency/frequency
  • feeling full quickly when eating
43
Q

Tx ovarian cancer (3)

A
  • chemo
  • radiation
  • surgery
44
Q

major risk factor endometrial cancer

A 
unopposed estrogen
(most common after menopause, or women who don't have regular cycles)
45
Q

S+S endometrial cancer

A

post-menopausal bleeding

46
Q

Tx endometrial cancer (3)

A
  • total hysterectomy
  • radiation/chemo if metastasized
  • hormone therapy: megestrol, tamoxifen
47
Q

downward displacement of uterus into vaginal cavity

A

uterine prolapse

48
Q

S+S uterine prolapse (3)

A
  • dragging/heavy pelvic feeling
  • backache
  • bowel/bladder problems
49
Q

Tx mild uterine prolapse

A

kegel/PT

50
Q

Tx severe uterine prolapse

A

surgery with mesh (bladder suspension surgery)

51
Q

prolapse of urinary bladder into vaginal canal

A

cystocele

52
Q

prolapse of rectum into vaginal canal

A

rectocele

53
Q

Tx cystsocele/rectocele (3)

A
  • kegel/PT
  • mild: pessary insertion to provide support
  • severe: surgery

PathoPharm 2 (33 decks)

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