Gyn Emergencies Flashcards

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1
Q

Function of ovaries

A

Produce ova

Hormones estrogen and progesterone

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2
Q

Menopause

A

Cessation of mensuration and ovarian function.

Occurs b/n 45-55 years

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3
Q

Amenorrhea

A

Absence or cessation of menses

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4
Q

Causes other than pregnancy that cause amenorrhea

A

Women’s body fat drops below certain percentage

Emotional problems or extreme stress

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5
Q

PID

A

Acute or chronic infection of the upper reproductive orgnas

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6
Q

Chief s/s of PID

A

pelvic pain and fever

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7
Q

s/s of BV

A

Itching, burning, pain, foul-smelling discharge

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8
Q

s/s chlamydia

A

Lower abd pain, low back pain, nausea, fever, pain w/ sex, bleeding b/n menstrual periods.

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9
Q

s/s genital herpes

A

blisters or painful sores, fever, muscle aches, headache, dysuria, vaginal discharge, swollen glands in groin area

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10
Q

s/s gonorrhea

A

dysuria, yellow or blood foul odor discharge, and occult blood with intercourse.

Cramping, abd pain, n/v, bleeding b/n menstrual cycle

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11
Q

STDs that can progress to PID if not treated.

A

BV, chlamydia, gonorrhea

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12
Q

How is syphilis trasnmitted?

A

Direct contact with open sores

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13
Q

s/s trichomoniasis

A

Frothy, yellow-green vaginal discharge with strong odor

Irritation or itching, discomfort during intercourse, dysuria, and lower abdominal pain

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14
Q

Conditions that can cause vaginal yeast infections

A

Oral contraceptives, menstruation, pregnancy, DM, and abx

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15
Q

s/s of vaginal yeast infection

A
itching, burning, soreness of vagina and vulva
vulvar swelling
thick, white discharge
pain w/ intercourse 
dysuria
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16
Q

What is the leading cause of maternal death during the first trimester?

A

Internal hemorrhage in abdomen following rupture of ectopic pregnancy

17
Q

When should you consider an ectopic pregnancy?

A

Amenorrhea

Sudden onset of stabbing and unilateral pain in lower abd

18
Q

A history of ___, ___, ____ should heighten your suspicion for possible ectopic pregnancy.

A

PID, tubal ligation, ectopic pregnancy

19
Q

s/s endometritis

A

malaise, fever, constipation or uncomfortable bowel movements, vaginal bleeding and/or discharge, abd distention, and lower abd or pelvic pain.

Bowel sound may be decreased and pain may be elicited w/ palpation

20
Q

placenta previa

A

placenta develops over or partially or completely covers the cervix

21
Q

abruptio placenta

A

premature separation of the placenta from the wall of the uterus

22
Q

s/s placenta previa

A

significant vaginal bleeding and mild pain

23
Q

s/s abruptio placenta

A

little vaginal bleeding and moderate to severe pain

24
Q

Ectopic pregnancies are usually recognized during the first ____ weeks of pregnancy

A

6 to 8

25
Q

G/P/A

A

G : # of pregnancies
P : # of pregnancies carried to term
A : # of miscarriages, stillbirths, or abortions

26
Q

Management of vaginal bleeding

A

Treat for shock
Keep warm
Place in supine
Oxygen even if not experiencing SOB
IV access
Administer 20-mL/kg bolus of isotonic crystalloid solution - nl saline or lactated ringer
Treat external lacs, abrasions, and tears w/ compresses