Chapter 23 Flashcards
external female genitalia:
…
… and ..
..
vaginal opening
labia majora; labia minora
clitoris
ovaries lie on each side of … and produce … (egg)
… connect each ovary with the uterus, a muscular organ where … grows
lower abdomen; ovum; fallopian tubes; fetus
each month one ovum is relaased into the fallopian tube–> process is called …
narrowest part of uterus is the .., which opens into the vagina, which is the outermost cavity of a woman’s repro system
ovulation; cervix
ovulation and menstruation begin in puberty
onset of menstruation is … and occurs between 11-16
ovulation and menstruation continue until … which occurs around age 50
menarche; menopause
sperm are deposited form penis, pass through .. to … and end up in the … where the ovum is fertilized
the embryo travels into the uterus, attaches to the … and continues to grow
cervix; uterus; fallopian tubes; uterine wall
if fertilization doesn’t occur within about 14 days of ovulation the lining of the uterus begins to … and … occurs for about a week
separate; menstruation
pelvic inflammatory disease: infection of upper organs of repro: …, …, … occurs almost exclusively in … women can result in increased risk of .. pregnancy or … most common sign is generalized …
uterus; ovaries; fallopian tubes; sexually active; ectopic; sterility; lower abdominal pain
other signs of PID: abnormal/foul-smelling .., increased … with intercourse, …, general … and … and …
vaginal discharge; pain; fever; malaise; nausea; vomiting
STDs can lead to more serious conditions, such as PID
…: most common STD, usually mild/absent symtpoms, can spread to rectum and progress to PID
chlamydia
…: most common vaginal infection to afflict women
untreated it can progress to premature birth or low birth weight in pregnancy and PID
bacterial vaginosis
…: grows and multiplies rapidly in warm, moist areas of reproductive tract; urethra in men and women
severe infections present with cramping and abdominal pain, nausea, vomiting, and bleeding between periods
gonorrhea
vaginal bleeding--possible causes: abnormal … vaginal … … pregnancy … … ..
menstruation trauma ectopic spontaneous abortion cervical polyps cancer
scene safety: gynecologic emergencies can involve large amounts of … and body fluids potentially contaminated
note .. patient is found and … of residence
blood; position; condition
for abdominal pain ask about:
…, .., .., and …
… or … factors
and associated symptoms like syncope, light-headedness, nausea, vomiting, fever
onset; duration; quality; radiation
provoking; relieving
for vaginal bleeding, ask about: .. .. … (number of sanitary pads soaked) associated symptoms such as syncope and light-headedness
onset;
duration
quantity
SAMPLE: ask about … or …
ask about last … and …
birth control pills; devices
menstrual period; STDs
secondary assess findings should include vitals abdomen: … and … genitourinary: visible .. neurologic: mental status
distension; tenderness; bleeding
vaginal bleeding: visualize the bleeding and ask about … and …–> use .. to control bleeding
quality; quantity; external pads
secondary assess:
observe for vaginal …
.., .., …, and … are significant in gynecologic emergencies
discharge
syncope; fever; nausea; vomiting
there are very few … with a gynecologic emergency
have a .. emt participate in patient’s care if possible
excessive internal vaginal bleeding–> use … on external genitalia to absorb blood and document .. of them that were saturated
interventions; female; sanitary pads; number
external genitals have a rich .. supply which makes injuries very painful
treat external lacerations with .., … compresses–> do not pack/place dressings in vagina
rich nerve; moist; sterile
a patient with PID will complain of .. which usually starts during/after normal menstruation
pain may be made worse by walking. patients often present with a distinctive gait that appears as a ..
prehospital treatment is limited
.. transport usually recommended
abdominal pain; shuffle; nonemergency
for sexual assault patients, your focus should be: .. of patient … care of patient … …
medical treatment
psychological
preserve evidence
take history
for sex assault patients, may be necessary to persuade patient not to … herself, as doing so can destroy evidence; patient should also be discouraged from …, …, moving her … or … her mouth
offer to call local rape crisis center
take patient’s history and limit physical exam to brief survey for life threatening injuries
clean; urinating; changing clothes; bowels; rinsing
