Kidney/Pudena - Unit 4 - PUDENDA LECTURE Flashcards

1
Q

What diagnostic tests are done for Ovarian Cancer?

A

Chest X-Ray, CT scan, transvaginal ultrasound (only if not pregnant), CA-124, liver enzymes, CMB, etc.

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2
Q

What are some risk factors for ovarian cancer?

A

Older than 40, nulliparity (meaning you never had children), family history of breast cancer, DM, older than 30 w/first pregnancy, breat or colorectal cancer, BRCA 1 or 2, early menarche/late menopause, endometriosis, etc.

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3
Q

What are some symptoms for ovarian cancer?

A

Abdominal pain & tenderness, gas and bloating increasing over several months, abdominal distention, fatigue

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4
Q

After surgery for ovarian cancer, can the patient stick anything in her vajayjay right after?

A

NO, nothing in there for 6 weeks !

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5
Q

Breastfeeding - decreases the risk for ovarian cancer. T/F?

A

True

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6
Q

What is primary dysmenorrhea?

A

Painful periods

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7
Q

What is PMS?

A

Premenstrual syndrome

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8
Q

Painful flow - what are some of the bodily symptoms associated?

A

N/V, diarrhea, abdominal bloating, etc.

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9
Q

What is secondary dysmenorrhea?

A

Secondary to another cause, like endo, adhesion, PID, ovarian cysts, etc.

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10
Q

How do we treat dysmenorrhea?

A

NSAIDS, tylenol, birth control, alternative therapies

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11
Q

When does PMS occur? Treatment?

A

During the luteal phase. Symptoms vary and involve multiple systems. BC, nutrition, supplements, etc

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12
Q

What is endometriosis?

A

Uterine lining occurring outside the uterus! Bleeding then occurs, causing scar tissue. Pain is the most common symptom

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13
Q

What are some symptoms of endometriosis?

A

Dyspareunia (painful sex), painful shitting, back ache, infertility

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14
Q

How do we treat endometriosis?

A

Pregnancy stops it, or you can be put in a medically induced menopause state for 6 months then start again!

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15
Q

What is dysfunctional uterine bleeding?

A

Excessive amount of bleeding or frequency (could be ever 14 days instead of a period every 28 days)

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16
Q

What are some associated conditions with uterine bleeding?

A

Endocrine problems, polycystic ovarian disease, stress, obesity or being underweight, long-term drug use, etc.

17
Q

How do we manage dysfunctional uterine bleeding?

A

Hormone manipulation, D&C (dilation and cretage — dilate the cerviz and then crape out the uterus), ablation (basically a chemical burn, you can’t have kids after), hysterectomy

18
Q

Menopause - ___ months of amenorrhea.

A

12 months.

19
Q

Perimenopause - the __ of life.

A

The change.

20
Q

Smoker, DVT, etc - what should you avoid?

A

Estrogen therapy.

21
Q

What is vulvovaginitis?

A

Inflammation of lower genital tract.

22
Q

What causes vulvovaginitis?

A

Hormonal/some type of infection

23
Q

What are the symptoms of vulvovaginitis?

A

Discharge, itching, odor, lesions

24
Q

With vulvovaginitis, should women use crazy heavy soaps?

A

NO

25
Q

What is toxic shock syndrome? Wash hands before ___

A

A form of shock caused by tampons. Wash hands before inserting your tampon!

26
Q

What is uterine prolapse?

A

When the lady business falls out because it’s not supported anymore.

27
Q

What are benign neoplasms?

A

Ovarian cysts, uterine leiomyoma’s, bartholin cysts, cervical polyps, etc.

28
Q

Fibroids (uterine leiomyoma) - most common reason for a ___.

A

Hysterectomy

29
Q

What is some patient care for a lady who just had a hysterectomy?

A

Similar to other abdominal surgeries, vaginal bleeding, abd bleeding, watch for output, pain, incision, etc.

30
Q

Endometrial cancer - most common. T/F?

A

True

31
Q

Breast cancer - should every lump be checked out?

A

YES YES YES.

32
Q

What additional history might we want to know with someone who presents with possible breast cancer?

A

BRCA gene testing, reproductive history, history of breast cancer, HRT, obesity, diet, breast density, contraceptives?, menstrual history, etc.

33
Q

Lumpectomy - def
Unilateral mastectomy - def
Bilateral mastectomy - def

A

Lump - takes away a portion

Uni = one sided.

Bi = both sided.

34
Q

What are some chemo meds given for breast cancer?

A

Adriamycin and Cytoxin (in conjunction with Neupogen, which increases WBC count)

35
Q

What is herceptin used for?

A

Immuneotherapy in Breast Cancer