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Reproductive Part I > Chapter 53 Disorders of the FRS > Flashcards

Chapter 53 Disorders of the FRS Flashcards

1
Q

What is elevated and low during PMS?

A

estrogen, low progesterone, hypothalamic-pituitary disorders

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2
Q

PMS signs/symptoms

A

weight gain, bloating, irritability, edema, headache, mood swings, inability to concentrate, food craving, acne

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3
Q

What is dysmenorrhea?

A

Painful menstruation-lower abdpain, cramping

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4
Q

Dysmenorrhea Tx

A

Tylenol, motrin, anaprox, knee-chest position, HEAT

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5
Q

What is amenorrhea?

A

absence of menstratuion

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6
Q

Medications that can cause amenorrhea?

A

Brimocriptine

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7
Q

Progesterone challenge

A

medroxyprogesterone acetate

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8
Q

Premature ovaria failure

A

Ovaries cease to function in women under 40 years old

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9
Q

Polycystic ovarian syndrome

A

ovaries have many fluid-filled cysts. not secreting progesterone and menses/ovulation affected

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10
Q

MENOrrhagia

A

Excessive bleeding at the time of normal menstruation

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11
Q

MENOrrhagia length

A

> 7 days, extends three days longer than normal

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12
Q

MENOrrhagia Tx

A

NSAIDs, Progestins’ or OCPS

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13
Q

Novasure-NovaSure

A

endometrial ablation is one-time, five min procedure to remove lining

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14
Q

METROrrhagia

A

vaginal bleeding at time other than menstruation

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15
Q

METROrrhagia Etiology

A

response to pituitary and ovarian hormones, or HRT

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16
Q

Menopause

A

cessation of normal menstruation(total of one year)

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17
Q

Onset of menopause

A

45 to 55 years of age

18
Q

Menopause s/s

A

loss of skin turgor, thinning of hair, vaginal dryness, thinning of vaginal mucosa, weight gain, dry skin, stress incontinence, depression, hot flashes

19
Q

Bisphosphonates-alendronate

A

take first in the morning with a glass of water

and sit up for at least 30 min.

20
Q

Vaginal mucosa has a pH less than

A

5.0

21
Q

What can change the pH of vaginal mucosa?

A

sex partner, menopause, tampons, allerigc reactions

22
Q

Candida albicans s/s

A

patches of white discharge on the vaginal mucosa, vulva may be reddened and edematous
Chessy curdlike discharge
Severe itching, burning with urination

23
Q

Candida albicans tx

A

antifungal creams

clotirmazole, miconzole, terconazole, fuconazole

24
Q

Trichomoniasis Vaginalis s/s

A

copious greenish yellow/white, foamy, fouls smelling dischage
severe itching
external burning

25
Q

Trichomoniasis tx

A

metronidazole po by BOTH partners

26
Q

Gardnerella Vaginalis s/s

A

Produces a graywish white water dischage with strong fish odor

27
Q

Metronidazole

A

Not to be given during the 1st trimester of pregnancy

28
Q

Conization post

A

Slough is normal

wear a liner

29
Q

Pelvic Inflammatory Disease

A

Infection of the pelvic organs other than the uterus

30
Q

PID s/s

A 
low grade fever
pelvic pain on pelvic exam
abdominal pain
"bearing down" backache
foul smelling vaginal dischage
n/v
dysmenorrhea
Dyspareunia
31
Q

Endometriosis

A

a condition resulting from the appearance of endometrial tissue outside the uterus and causing pelvic pain

32
Q

what is Toxic Shock Syndrome?

A

Type of septic shock, caused by staphylococcus aureus, streptococcus, clostridium

33
Q

Most common organism for TSS?

A

staph aureus

34
Q

Vaginal fistulas

A

Unnatural opening b/w ureter and vagina, bladder and vagina, rectum and vagina+ continuous drainage of urine or feces from the vagina

35
Q

IVP (intravenous pyelogram)

A

dye and pictures of the flow

36
Q

Key indicator with endometrial cancer

A

METROorrhage

37
Q

what are ovarian cysts?

A

benign, fluid filled cysts on the ovaries

38
Q

ovaria cysts s/s

A

lower abd, pressure, backache

39
Q

“The silent killer”

A

Ovarian cancer

40
Q

Mastitis

A

inflammation of breast tissue, usually with breast feeding moms

41
Q

Mastitis

A

fever/malaise, breast pain, redness,

later: swollen, firm hard, crack in nipple, breast abscess

Reproductive Part I (3 decks)

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