CH. 6 and 7 : notes Flashcards
Clinical symptom for variety of disorders
Can be result of ant-pituitary disorder, endocrine disorders diabetes), drug use, anatomic abnormalities, Hysterectomy
Amenorrhea
Increasing nutritional intake and decreasing intensity of exercise may increase nutritional balance and help with
amenorrhea management
NSAIDS’s start 2-3 days before menses begins for
primary dysmenorrhea
OCP’s which decrease menstrual flow thus decrease amount of prostaglandin release can be used to rx
dysmenorrhea
Women often have other symptoms that may suggest an underlying cause.
Pelvic pathology may include PID, polyps and endometriosis
Pain often characterized by low dull abdominal aches that radiate to back and or thighs
secondary dysmenorrhea
Endometrial tissue responds to cyclic hormonal stimulation both in and outside of the uterus causing what
endometriosis
During the proliferation and secretory phases the tissues grows, then bleeds, then has as inflammatory response and adhesions form on various areas. Infertility may be an issues resulting from adhesions.
endometriosis
Drug therapy : includes NSAID’s for pain. OCP’s may be used to treat in order to shrink tissue-however when woman goes off the pill pain returns
endometriosis
GNRH agonist therapy(Leuprolide and Naferelin (Synarel) may be used this decreases FSH and LH stimulation to the ovary and woman has less pain -women often experience menopause symptoms that take these medications for what
endometriosis
Common sites for endometriosis to develop
ovaries, uterine ligaments colon, pelvic peritoneum
Oligomenorrhea (infrequent menstrual periods) may be caused by a hypothalamic pituitary or ovarian problem, can also be a normal part of early menstruation and a sign of menopause may be treated with
hormones
Metrorrhagia (abnormal bleeding) may be caused by
OCP’s, foreign body, trauma, IUD, Polyps, tumor, STI or other infection
Menorrhagia excessive bleeding may be caused by fibroids or myomas (leiomyomata). Cauese may be
hormones, pregnancy loss, misscarriage, tumors, fibroids, infections,
Untreated infections lead to PID or acute salpingitis, increased risk of ectopic pregnancies and infertitlity, PID most serious complication of
Chlamydia
Drug therapy is usually doxycycline or azithromycin single dose used with issues with compliance or Treatment is antibiotics –ceftriaxone over time for what
chlamydia
occurs 6 weeks to 6 months , rash develops on palms and soles ,condyloma (genital warts) on vulva, perineum and anus. Person develops fever, headache and general malaise. If left untreated neurological problems can develop
Secondary syphilis
Tests are VDRL and RPR
Venereal disease research laboratories
Rapid Plasma reagin
Penicillin dose depends upon stage of disease
PARTNER MUST BE TREATED
Long term follow up to ensure absence of all symptoms
syphilis
Sub acute may be cramping, intermittent abdominal pain
Acute may be persistent pain, vaginal discharge, n/v
Chronic may be constant and worsening pain, chills, fever, n/v, discharge, UTI s and s, and bleeding
PID
Daily use of valtrex has been shown to decrease sexual transmission
HSV
For example, when the normal, protective bacteria are eradicated by antibiotics (taken to treat a urinary tract, respiratory, or other types of infection) or by immunosuppressive drugs, the yeast can multiply, invade tissues, and cause irritation of the lining of the vagina (vaginitis).
VVC
PCN drug of choice
Group B streptococci
Prevention of mother-to-newborn HIV transmission is most effective when the woman receives antiretroviral drugs when
during pregnancy and labor and birth, and the infant receives the drugs after birth.
HPV is the most common viral
STI
Chlamydia is the most common STI in women in the United States and the most common cause of
PID
