Female Genitalia Lecture Flashcards
postmenopausal bleeding
bleeding occurring 6 months or more after cessation of menses
PMS
cluster of emotional, behavioral, and physical symptoms occurring 5 days before menses for 3 consecutive cycles
abnoraml uterine bleeding
bleeding between menses. includes infrequent, excessibe, prolonged, or postmenopausal bleeding
When do you begin HPV screen
21, regardless of behavior, risk factors, and age of first sex
how do you screen 21-29 yos
cytology only every 3 years, no HPV testing
how do you screen 30-65 year olds
co testing - cystology and HPV testing
cystology and HPV every 5 years
what type of screening is NOT recommended for 30-65 year olds
HPV alone
when do you not require any more screening
after 65 yo
previous 5 years neg
when do you continue screening after 65
CIn1, CIN3, or adenocarcinoma
How do you screen a woman over 65 with hysterectomy
no furting testing if cervix is removed and no hisoty of cancer.
screening continues every 3 eyars for next 20 years
who do you screen for chlamydia
all sexually active women younger than 25
nabothian cysts
small whtie or yellow raised round. normal
where should the cervix be normally
midline
how far does the crevix protrude into the vagina
1-3cm
when the cervix points posteriorly that means the uterus is
anteverted
when teh cervix posts anteriorly that means th eh uterus is
retroverted
when the cervix is in horizontal postiion that means the uterus is
midposition
what does gardasil target
16 and 18
what percent of cervical cancers do gardasil not protect agaisnt
30%
first degree prolapse
cervix in vagina
second degree prolapse
cervix at introitus
third degree prolapse
cervix and vagina drop outsit of introitus
What causes molluscum contagisum
poxvirus
molluscum contagiosum
painless lesions that are white or flesh colored/ can last several months to several years
how do you treat PID
oral or IV abx
PID physical
tender bilateral adnexal areas
guarding, can’t tolerate bimanual exam
what is salpingitis assocaited with
PID
2 stages of salpingitis
vaginal or cervical infection
ascends to upper genital tract
salpingitis physical exam
cervial motion tenderness and/Or adnexal tenderness
mucopurulent cervical discharge
how do you treat salpingitis
abx
What is inflammation of bartholin gland often called by
neisseria gonorrhea
