Gynocologic Emergencies (chapter 22)

Question 1

Vulva

Answer 1

general term for the parts of the female genetalia which are visible externally.

Monds Pubis
Labia majoria and minor
Clitoris
and vaginal opening

Question 2

mons pubis

Answer 2

pad of fatty tissue over the pubic bone

think dry humping spot or first place pubic hair grows

Question 3

Labia major and minor PID

Answer 3

Major: outer lip-like structure arounf vaginal opening
(Pretty much an extension of the mons pubis down around the left and right of vaginal opening. protective.)
Minor: thinner, lip like structure which goes directly around the vaginal opening and clit
(To use vulgar slang term, the “meat curtain”)

Question 4

Perineum

Answer 4

bridge of skin between the vagina and the anus

Vulgar slang, “the taint”

Question 5

Menstruation

Answer 5

Normal period cycle. Usually 28 days apart. No egg has been fertilized so the uterine lining which has built up, sloughs off and is discharged.

over and over for the majority of your painful, annoying. bloody adult life. lovely…

Question 6

Menarche

Answer 6

First period. Yay puberty.

Question 7

Menopause

Answer 7

Usual onset between 45-55 years old. Body ceases to have periods. Average age is 51

Question 8

PID: Pelvic Inflammatory Disease

Answer 8

Acute or chronic infection of the female pelvic organs. Initial infection comes in through the vagina and can spread to other organs quickly, as far as supporting ligaments or even the liver.

S/S: pelvic pain and fever. Can progress to sepsis, abscesses, peritonitis or even infertility.

Question 9

Bacterial vaginosis

Answer 9

Most common condition/STD in women.
Normal bacteria is overtaken by other (invasive) strains.
S/S: burning, itchy, pain, fishy or foul smelling discharge
Tx: includes metronidazole (antibiotic)

Question 10

Chancroid

Answer 10

Haemophilus ducreyi (bacteria)
Highly contagious but curable sores/ulcers of the genitals
May cause lymph nodes to swell as well
Women can be asymptomatic

Question 11

Chlamydia

Answer 11

Chlamydia trachomatis (bacteria) 
Symptoms usually mild
Low abdomen/back pain, nausea, fever, pain during sex, spotting between periods. CAN spread to rectum and cause discharge or bleeding there too. Without treatment can lead to PID or even arthritis.

Question 12

CMV: Cytomegaloviris

Answer 12

Member of the herpes family.
Common viral infection
No cure
Can make you susceptible to other infections.
S/S: high fever, chills, headache, malaise, fatigue, enlarged spleen.

Question 13

Genial herepes

Answer 13

Infection of the genitals, butt, or anal area which has been caused by herpes simplex virus, type 1 or type 2.

Type 1: Most common, “mouth sores” like cold sores or fever blisters. Can also cause sores on genitals.

Type 2: More serious. Could infect mouth but mostly genital herpes. More prevalent in women than in men

s/s within two weeks of primary infection, can last for weeks. Tingling, or sores (internal or external). Initial outbreak can include fever and chill, muscle aches, headaches, discharge, etc

Question 14

Gonorrhea

Answer 14

Neisseria gonorrhoeae
grows and multiplies rapidly in warm, moist areas.
can spread to the urethra of both men and women (as well as eyes, mouth, throat, and anus)
May very well be asymptomatic until infection has spread to other structures.
S/S: itching, burning, foul odor, bloody vaginal discharge.

Question 15

HPV: Human Papiloma Virus

Answer 15

Most common STD
6 million new cases every year
no S/S
identified as cancer causing agent

Question 16

Syphilis

Answer 16

"the great imitator"
Treponema pallidum bacteria
Infected by direct contact with open sores 
primary stage: 
Single sore (chancre) small, firm, round, 3-6wks
secondary stage: 
mucous membrane lesions and a rash 
(also has fever, swollen lymph nodes,