Female GU Flashcards
labia majora
check for rashed, excoriation, ulcers, trauma
lambia minora
check for ulcerations, inflammation
clitoris size
<2cm
bartholin glands abscesses
commonly caused by gonococcus and chlamydia
abscess preceded by a cyst
first degree uterine prolapse
cervix into vagina
second degree uterine prolapse
cervix at vaginal opening
third degree uterine prolapse
cervix is outside the vagina
fourth degree uterine prolapse
entire uterus is outside vagina
aka procidentia
which wall of the vagina should pressure be placed on during insertion of speculum
posterior
what are the cysts on the cervix caused
nabothian
inclusion cysts of endocervical canal
normal variant
transformation zone
under influence of E columnar epi convert to squamous epi
causes of cervicitis
chlamydia trachomatis neisseria gonorrhoeae trichomonas vaginalis herpes HPV
lesions of the vagina
epidermal cysts veneral warts genital herpes chancre (syphilis) CA
version
relationship btwn fundus of uterus and vagina
flexion
relationship btwn fundus of uterus and cervix
what is the most common hernia in women
indirect ingunial
which hernia is more common in females then males
femoral hernia
S/I borders of breast
2nd-3rd rib to the inframammary fold at 6th-7th rib
M/L border of breast
lateral border of sternum to ant axillary line
what is the post border of the breast
fascias of pec major, serratus ant, external oblique and upper rectus sheath
axially tail of spence
extends lat across the ant axillary fold
blood supply to the breast
perforating brr of internal mammary a
lat brr of post intercostal aa
brr from axillary a (highest thoracic, pectoral brr)
erythema of breast Ddx
mastitis
inflammatory carcinoma
masses of breast Ddx
cysts
fibroadenoma
carcinoma
nipple discharge Ddx
bloody-papilloma, CA
non-bloody- endocrine disorder
nipple ulceration Ddx
pagets disease
mechanial causes
firboradenoma
15-20, but up to 55 usually single, but may be multiple round, disclike or lobular usually firm, well deliniated very mobile, usually non-tender
cysts
30-50, regress postmenopause single or multople round, soft-firm, elastic well deliniated, mobile often tender,
CA
30-90 usually single or nodulated irregular or stellate shaped firm/hard, not clearly demarcated fixed, nontender may show signs of retraction
stage I
tumor < 2cm
CA not in lymph nodes
no mets
5yr survival 98%
stage II
2-5cm may/may not have spread to nodes >5cm not spread to nodes tumro <4nodes no mets 5yr survival 76%-88%
stage III
locally advanced CA
spread to nodes near breast
tumor >5cm in axillary nodes
tumor <5cm but spread to supraclavicular nodes
stage III inflammatory breast CA
CA has spread to skin automatically stage III
5yr survival 49-56%
stage IV
mets
not curable
