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female disorders Flashcards

0
Q

bartholin gland cyst symptoms

A

produces pain, local discomfort infection can cause inflammation of the glad and may result in abscess

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1
Q

bartholin gland cyst and abscess

A

fluid filled sac located near the vaginal introitus that results from obstruction of the main duct of the gland

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2
Q

bartholin gland cyst

treatment

A

antibiotics applying moist heat, incision and drainage, may require surgical intervention

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3
Q

bratholin gland cyst

marsupialization

A

a procedure that involves removal of a wedge of vulvar skin and the cyst wall

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4
Q

vulvodynia

A

unexplained vulvar pain

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5
Q

vulvodynia

A

burning, stinging irritation, soreness or rawness in the absence of visible findings or a specific clinically identifable neurological disorder

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6
Q

cervicitis

A

acute of chronic inflammation of the cervix

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7
Q

endometriosis

A

functional endometrial tissue is found in ectopic sites outside the uterus

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8
Q

endometriosis becomes apparent in the

A

reproductive years

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9
Q

endometriosis lesions are stimulated by

A

ovarian hormones associated with infertility

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10
Q

endometriosis symptoms

A

pelvic pain back pain

dyspareunia, pain on defecation and micturition

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11
Q

endometriosis definitive diagnosis can only be accomplished through

A

laparoscopy

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12
Q

endomitriosis treatment

A

simple observation and nasids ( young women) oral contraceptives, continuous progesterone therapy, androgenic agents, long acting Gn-Rh analogs that suppress ovulation may require surgery

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13
Q

endometriosis definitive treatment requires total

A

hysterectomy and bilateral salpingoophorectomy

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14
Q

adenomyosis

A

endometrial glands are found within the myometrium interspersed between smooth muscle fiber

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15
Q

adenomyosis is typically found in

A

multiparous women in there fourth or fith decade

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16
Q

adenomyosis symptoms

A

heavy, painful periods with clots and dyspareunia

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17
Q

adenmoyosis resolves with

A

menopause

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18
Q

adenomyosis treatment

A

oral contraceptives or Gn-Rh agonist, hysterectomy if this approach doesn’t work

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19
Q

endometrial cancer

A

most frequent invasive cancer of the female reproductive tract

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20
Q

endometrial cancer is typically a disease in ______ women

A

postmenopausal

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21
Q

endometrial cancer arises in _____ women with _____ excess or older women with endometrial atrophy

A

perimenopausal

estrogen

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22
Q

endometrial cancer risk factors

A

obesity, diabetes, nulliparity, early menarche and late menopause

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23
Q

endometrial cancer symptoms

A

abdominal painless bleeding later signs are cramping, pelvic discomfort, postcoital bleeding lower abdominal discomfort and enlarged lymph nodes

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24
Q

endometrial cancer diagnosis

A

dilatation and curettage

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25
Q

endometrial cancer treatment

A

surgery and radiation are most successful

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26
Q

cystocele

A

herniation of the bladder into vagina

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27
Q

cystocele symptoms

A

annoying bearing down sensation, difficulty emptying bladder, frequency and urgency and cystitis

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28
Q

rectocele

A

herniation of the rectum into the vagina

29
Q

rectocele symptoms

A

discomfort of the protrusion of the rectum an difficulty in defecation

30
Q

enterocele

A

bowel protrudes when woman is standing

31
Q

uterine prolapse

A

bulging of the uterus into the vagina when the primary supportive ligaments are stretched

32
Q

uterine prolapse

first degree

A

shows some descent but cervix has not reached introitus

33
Q

uterine prolapse

second degree

A

cervix or part of the uterus has passed through the introitus

34
Q

uterine prolapse

third degree

A

entire uterus protrudes through the vaginal opening

35
Q

what could you teach a pt with uterine prolapse that could fix these problems

A

kegel exercises

36
Q

most uterine prolapse require

A

surgery

37
Q

bartholin cyst produces acute inflammation within the gland and may result in

A

abscess

38
Q

vulvodynia treatment

A 
avoid harsh soaps & perfume
sitz baths 
antihistamines 
anti-fungal  
application of topical ointments (lidocaine ointment)
39
Q

with vulvodynia physical therapy may be use to

A

reverse the changes in the pelvic floor muscles ( help woman control muscles regain strength and improve relaxation

40
Q

oral medications including tricyclic antidepressants and are ur to treat pt with vulvodynia for

A

neuropathic pain

41
Q

acute cervicitis

A

may result from direct infection of the cervix or may be secondary to vaginal or uterine infection

42
Q

acute cervicitis

symptoms

A

cervix become reddened and edematous and there may be mucopurulent drainage

43
Q

chronic cervicitis seen mostly in ________ women

A

parous

44
Q

chronic cervicitis symptoms

A

cervix may be ulcerated or normal in appearance cervical os may be distorted

45
Q

untreated chronic cervicitis may extend to include the development of

A

pelvic cellulitis low back pain, dyspareunia cervical syenosis dysmenhorrhea and ascending infection of the uterus or fallopian tubes

46
Q

chronic cervicitis is diagnosed by

A

vaginal exams coloscopy pap smears and sometimes biopsy

47
Q

treatments for chronic cervicitis

A

cryosurgery and cauterization

48
Q

premenstrual syndrome disorders physical symptoms include

A

painful and swollen breast bloating, abdominal pain headache and beack ache

49
Q

premenstrual syndrome disorders psychological symptoms

A

depression ,anxiety, irritability, and behavioral changes

50
Q

premenstrual syndrome disorders diagnosis

A

focus on documentation of the relationshipof woman symptoms to the lutal phase of the menstrual cycle

51
Q

premenstrual syndrome disorders treatment

A

lifestyle changes
pharmacological treatment
( diuretics nasids anxiolytics)

52
Q

menopause

A

cessation of menstrual cycle (usually 48-55yrs old)

woman who has not menstruated for a full year or has an fSH level greater than 30 miu/ml is considered menopausal

53
Q

perimenopause

A

yrs surrounding menopause (approx 4yrs and is characterized by menstrual irregularity and other menopausal symptoms

54
Q

in _________ breast tissue body hair, skin elasticity and subcut fat decreases the ovaries and uterus diminish in size and the cervix and vagina become pale and friable

A

perimenopause

55
Q

can cause vaginal dryness, urinary stress incontinence, urgency, nocturoa, vaginitis, UTI

A

perimenopause

56
Q

consequences of long-term estrogen deprivation include osteoporosis due to an imbalance in bone remodeling and an increase risk for cardiovascular disease

A

perimenopause

57
Q

masitis

A

inflammation of the breast

58
Q

treatment for mastitis

A

heat or cold excision, aspiration, mild analgesics antibiotics and a supportive brassiere or breast binder

59
Q

mammary duct ectasia

A

presence of dilated breast ducts containing a think pasty material with accompany periductal inflammation and fibrosis

60
Q

with mammary duct ectasia pain and erytherma are

A

uncommon

61
Q

ducta ectasia may be difficult to distinguish clinically from carcinoma and my require

A

biopsy

62
Q

risk factors for breast cancer include

A

increasing age
personal or family history
hormonal influences that promote breast maturation
late menopause
no term pregnancy or first child after thirty years

63
Q

modifiable risk factors for breast cancer

A

obesity physical inactivity
long term use of alcohol
postmenopausal hormone therapy long term

64
Q

polycystic ovary syndrome

A

characterized by varying degree of menstrual irregularity signs of hyperandrogenism, and infertility and is most often associated with hyperinsulinrmis or insulin resistance

65
Q

cause of polycystic ovary syndrome

A

chronic ovulation causing amenorrhea or irregular menses

66
Q

polycyystic ovary risk factors

A

cardiovascular disease and type 2 diabetes

67
Q

polycystic ovary syndrome diagnose

A

ultrasonography

laparoscopic visualization of the ovaries

68
Q

polycystic ovary syndrome treatment

A

lifestyle modification, contraceptive agents

69
Q

benign ovarian tumors occur mainly in women between

A

20-45 yrs old

70
Q

malignant tumors are more common in women

A

45-65

old Sophomore cards (28 decks)

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