Gynecologic Emergencies Flashcards
How long is the average cycle?
28 days
Menarche
First menstruation
Menopause
Lack of estrogen production increases risk of heart disease
Marks the end of menstruation
What is premenstrual syndrome
Occurs 7-14 before menstruation
Weight gain, muscle sensitivity, vascular alterations, breast pain, headache, cramping, emotional changes, and edema may occur
Primary dysmenorrhea
-occurs with the advent of mental flow
-mild cramping in normal, but it may be severe
-nausea vomiting diarreha
Secondary dysmenorrhea
Pain before, during and after the menorah flow
Amenorrhea
Absence of menstral period
Endometritis
Inflammation of the endometrium or uterine lining
May be caused by STI or surgery
Symptoms of endometritis
Malaise, fever, constipations, vaginal bleeding and pelvic pain
Endometriosis
Occurs when the endometrial tissue grows outside the uterus
May have no symptoms or cause severe pain
Causes painful sex, menstruation and heavy periods
Pelvic inflammatory disease
Infection of the female upper organs or reproduction
Chief complaint is abdominal pain
Risk factors of PID
IUD, frequent sexual activity with multiple partners, history of PID
20-24 years
Interstitial Cystitis
Chronic bladder condition that results in an inflamed or irritated bladder. Symptoms mimic that of a UTI or STI, no cure
Ectopic pregnancy
Fertilized egg is implanted elsewhere
Chancroid
Caused by infection, produces painful ulcers of genitals, helps spread HIV
Chlamydia
Common STI caused by bacterium that can lead to scarring or blockage of the Fallopian tubes
Signs and symptoms of chlamydia
-lower abdomen pain
-Low back pain
-nausea
-fever
-pain during intercourse
-spotting between periods
-can be asymptomatic
Gentian herpes
1/4 women affected
Causes small bumps that progress to painful sores
No cure
GONORRHEA
Bacterial infection that multiplies rapidly in warm moist areas
Women are often asymptomatic
Can lead to scarring of the Fallopian tubes
Signs and symptoms of gonorrhea
Dysuria, yellow discharge with foul odour, abdominal pain
Genital warts
Caused by HPV
Most common STI
What are the three stages of syphilis
Primary stage: chancre that disappears in 3-6 weeks
Secondary stage: bilateral palm rash
Tertiary stage: attacks the brain and is fatal
Trichomoniasis
Caused by protozoan
Common symptom is yellow-green frothy discharge
LORDS TRACHEA
Location
onset
Radiation
Duration
Severity
Timing
Relief
Aggravates
Character
History
Eaten
Associated symptoms
GHB
Colourless liquid that produces amnesia
Ketamine
Veterinary anesthetic
-blocks pain without resp or circulatory compromise
-creates out of body experience
-causes loss of coordination, muscle rigidity and slurred speech
Ecstasy
Methaminphetamine with hallucinogenic properties
Rohypnol
Benzodiazepine with amnestied and anesthetic properties
