Female Genitourinary Flashcards
- subcutaneous pad over symphysis pubis for protection
Mons pubis
- folds of adipose & connective tissue that protect and lubricate external genitalia
Labia majora/minora
- Space between fourchette & anus
Perineum
- opening of the vagina
Vaginal introitus
- opening to urethra
Urinary meatus
- erectile tissue for sexual stimulation
Clitoris
- lubricate and protect
Skene’s glands
- muscular tube for copulation, birth canal, and menses
Vagina
- secretes alkaline mucus - improves viability & motility of sperm
- exocrine gland
- decrease acidity of vaginal canal
Bartholin’s glands
- hollow, muscular organ; site for fertilized egg implantation; protects fetus
Uterus
- passage for ovum to uterus, site of fertilization
Tubes (Fallopian Tubes)
- produce ova, estrogen, and progesterone
- _______ capture egg cell to fallopian tubes
Ovaries
fimbriae
- end of the uterus into vagina
- ______ - opening that opens during delivery
Cervix
cervical oss
- filter and excrete wastes
Kidneys
- connects kidneys to bladder
Ureter
- hollow muscular structure; holds urine
Bladder
- connects bladder to urinary meatus opening
Urethra
- triangular shaped region at the base of the bladder defined by the two ureteral orifices and the internal urethral meatus.
Trigone
A system that is responsible in transporting nutrients & sex hormones
● Sexual excitement causes________ of the arterioles in the clitoris
● estrogen effect on _______ levels - lowers blood cholesterol levels & has positive cardiovascular effects until menopause
Cardiovascular
vasodilation
cholesterol
● proximity of vaginal opening & urinary meatus -UTI after vigorous sex
● Bladder continence
● (detrusor muscle relaxation, internal sphincter muscle tone & internal
sphincter contraction)
URINARY SYSTEM
● Pelvic bones & muscles - protection & support
● _______ –bone mass
MUSCULOSKELETAL
Estrogen
● Regulates female sexual response
● Ovarian cycle triggered by Hormones release in the _______ of
diancephalon
●_________ - reflex of parasympathetic control that stimulates detrusor
muscle contraction with simultaneous relaxation of the external
sphincter & muscles of the pelvic floor
● Urinary continence depends on the interaction of nerves that control
muscles for bladder, bladder neck, urethra, & pelvic floor
NEUROLOGIC
hypothalamus
Micturition
Female genitals is usually ________ at birth due to maternal estrogen
enlarged
__________ Blood-tinged vaginal secretion in a neonate that results from the residual influence of maternal estrogen
pseudomenstruation
_________ – maternal history (use of sex hormones or family history of adrenogenital syndrome)
ambiguous genitalia
Children & Adolescent
● Girls begin puberty changes at _______
● ________ - menstrual bleeding
● Assess for sexual molestation - ______, _______, _______
(8-13 years old)
Anemia
genital trauma, depression eating disorders, bruising
Older adult’s
● age ______ – estrogen levels begin to decline
● __________ - shorter, less frequent, stop entirely
46-55
Menstruation
What are the normal genital condition in older adults
● Menopause
● Sexual organs atrophy
● Decrease vaginal secretions
● Increase risk for vaginal infection
● Status & power increase with pregnancy & birthing (son)
● Childbirth expected within a year of marriage
EGYPTIAN AMERICAN
● Women stay at home & take care of children
CUBAN AMERICAN
What are the symptoms for female genitalia
Vaginal discharge
Lesions
Vaginal bleeding
Pain
VAGINAL DISCHARGES
● _________ - mucus & menstrual blood
●________ –most common symptom
● ________ – white, curdlike discharge
● ________ – gray/white, thin, malodorous
● _________ – yellow or green
Normal
STD
Candidiasis
Bacterial vaginosis
Gonorrhea
LESIONS
● ______
●________ or systemic problem
● ulcers, warts, vessicles, rashes; morphology & pain
STD
Carcinoma
VAGINAL BLEEDING
● Determine normal menstrual flow
● ________ – excessive menstrual flow
● _________ – between periods
● _________ - decreased or absent menstrual bleeding
Menorrhagia
Breakthrough bleeding
Amenorrhea
PAIN
● Dysmenorrhea – related to menstrual flow
● PID - Pelvic Inflammatory Disease & renal & GI problem
Who mostly complains about dysmenorrhea pain
Young women
it is a type of female genital abnormalities that causes red,PAINLESS, ERODING LESION with a raised , indurated border and lesions usually appears in the vagina
syphilitic chancre
There are 2 types of dysmenorrhea
● _________ dysmenorrhea (with physical abnormality or pathology) - menstrual pain & discomfort not usually associated with a physical abnormality or pathology & can be diagnosed with a normal physical examination
● ________ dysmenorrhea - (endometriosis, infection, IUD placement, pelvic mass, adhesions, cervical obstructions)
Primary
Secondary
What are the different urinary symptoms
● Proximity - reproductive system
● Discomfort – seek treatment
● Dysuria
● Burning
● Frequency
● Nocturia
● Hematuria
type of vagina abnormality that usually results from overgrowth of infectious organisms
Causes REDNESS, ITCHING, dyspareunia, dysuria & MALODOROUS discharge
vaginitis
type of vaginal abnormality that produces thin,GREYISH WHITE discharge withF FISHY odor
bacterial vaginosis
female genital abnormality that produces PURULENT YELLOW discharge from the CERVICAL OSS and Occurs with chlamydia & gonorrhea
Mucopurulent cervicitis
a female genital infection that produces thick, white, CURDLIKE discharge with a YEASTLIKE odor
Appears in patches on the cervix & vaginal wall
Candida albicans infection
a female genital abnormality that produces MALODOROUS , YELLOW or GREEN, frothy or watery, FOUL smelling discharge
May include RED PAPULES on the cervix & vaginal walls, giving the tissue a “strawberry” appearance
Trichomoniasis
Painless warts on the vulva, vagina, cervix, anus
genital warts
Start as tiny pink or red swellings that grow & develop stemlike structures and is CAULIFLOWER like type of female genital abnormality
genital warts
type of female genital abnormality caused by STD by HPV (Human papillomavirus)
genital warts
casues Multiple, shallow vesicles, lesions, or crusts inside vagina, on the external genitalia, on the buttocks & sometimes on the thighs
Dysuria, regional lymph node inflammation , pain, edema, & fever
Genital herpes
type of female genitalia abnormality that causes Bright red, soft & fragile, is Benign but may bleed, and Usually arise from the endocervical
Cervical polyps
Herniation of rectum thru posterior vaginal wall (Herniation is between vagina and rectum)
Rectocele
this condition is triggered by lifting something heavy
rectocele
type of female genitalia abnormality where in that vaginal wall & bladder prolapse into vagina, shows pouch or bulging upon bearing down, and the uterus may prolapse into the vagina & even be visible outside the body
Vaginal & uterine prolapse
Hard, granular, friable lesion (late stage)
cervical cancer
