Female exam Flashcards
risk factors for endometriosis
asian caucasian yonger nuliparous family hx
risk factors for hemorrhoids
low fiber diet
low water intake
sedentary
preggo
risk factor for uterine fibroids
AA
older
nuliparous
risk factors for cervical CA
multiple sex partners
HPV
oral birth control
smoking
risk factors for uterine CA
overweight
older
nuliparous
diabetes
risk factors for ovarian CA
older
nuliparous
hx of fertility drugs
risk factors for breast CA
older nuliparous hx of oral birth control overweight alcohol sedentary family hx
which STD has painful itchy vesicles that come and go
herpes
what are the potential complications of a chlamydia infection later in life
PID
infertility
complications of pregnancy
greater susceptibility of STDs
a patient discovers a lump in her breast, are most lumps CA
no
how often should a patient get the female pelvic exam done
2-3 years
how often should a women have a breast exam done
50 years old- yearly
25 years old-every 3 years
3 parts to female exam
speculum
bimanual
recto-vaginal
how do you assess for urinary incontinence
look at the urethra while the patient bears down
note leakage
which should you palpate first skene or bartholin glands and why
skenes, so you dont induce a perianal bacteria into the vagina or urethra
if the bartholin glands have purulent foul yellowish discharge what would you suspect
staph infection or STD like gonorrhea
if the cervical os is a horizontal slit what does it mean
woman has delivered a baby
in which part of the exam might we visualize endometrial lesions
speculum exam
in which part of the exam might we visualize nabothian cyst
speculum exam
what are we screening for when we take a sample from the cervix with a brush
abnormal cells
early detection of cervical cancer
If you move the cervix during the bimanual part of the exam and it hurts the patients or the cervix is fixed and won’t move, you suspect what?
PID
endometriosis
4 required steps of rectal-vaginal exam
- Assess muscle tone (patient squeezes around your finger)
- Palpate rectovaginal septum
- Palpate the posterior aspect of the cervix and uterus
- Palpate the rectal walls (done LAST to avoid contamination)
When is the best time to discuss any findings or concerns you have about this exam?
after patient is dressed
