Kidney/Pudena - Unit 4 - PUDENDA LECTURE Flashcards
What diagnostic tests are done for Ovarian Cancer?
Chest X-Ray, CT scan, transvaginal ultrasound (only if not pregnant), CA-124, liver enzymes, CMB, etc.
What are some risk factors for ovarian cancer?
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.
What are some symptoms for ovarian cancer?
Abdominal pain & tenderness, gas and bloating increasing over several months, abdominal distention, fatigue
After surgery for ovarian cancer, can the patient stick anything in her vajayjay right after?
NO, nothing in there for 6 weeks !
Breastfeeding - decreases the risk for ovarian cancer. T/F?
True
What is primary dysmenorrhea?
Painful periods
What is PMS?
Premenstrual syndrome
Painful flow - what are some of the bodily symptoms associated?
N/V, diarrhea, abdominal bloating, etc.
What is secondary dysmenorrhea?
Secondary to another cause, like endo, adhesion, PID, ovarian cysts, etc.
How do we treat dysmenorrhea?
NSAIDS, tylenol, birth control, alternative therapies
When does PMS occur? Treatment?
During the luteal phase. Symptoms vary and involve multiple systems. BC, nutrition, supplements, etc
What is endometriosis?
Uterine lining occurring outside the uterus! Bleeding then occurs, causing scar tissue. Pain is the most common symptom
What are some symptoms of endometriosis?
Dyspareunia (painful sex), painful shitting, back ache, infertility
How do we treat endometriosis?
Pregnancy stops it, or you can be put in a medically induced menopause state for 6 months then start again!
What is dysfunctional uterine bleeding?
Excessive amount of bleeding or frequency (could be ever 14 days instead of a period every 28 days)
What are some associated conditions with uterine bleeding?
Endocrine problems, polycystic ovarian disease, stress, obesity or being underweight, long-term drug use, etc.
How do we manage dysfunctional uterine bleeding?
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
Menopause - ___ months of amenorrhea.
12 months.
Perimenopause - the __ of life.
The change.
Smoker, DVT, etc - what should you avoid?
Estrogen therapy.
What is vulvovaginitis?
Inflammation of lower genital tract.
What causes vulvovaginitis?
Hormonal/some type of infection
What are the symptoms of vulvovaginitis?
Discharge, itching, odor, lesions
With vulvovaginitis, should women use crazy heavy soaps?
NO
What is toxic shock syndrome? Wash hands before ___
A form of shock caused by tampons. Wash hands before inserting your tampon!
What is uterine prolapse?
When the lady business falls out because it’s not supported anymore.
What are benign neoplasms?
Ovarian cysts, uterine leiomyoma’s, bartholin cysts, cervical polyps, etc.
Fibroids (uterine leiomyoma) - most common reason for a ___.
Hysterectomy
What is some patient care for a lady who just had a hysterectomy?
Similar to other abdominal surgeries, vaginal bleeding, abd bleeding, watch for output, pain, incision, etc.
Endometrial cancer - most common. T/F?
True
Breast cancer - should every lump be checked out?
YES YES YES.
What additional history might we want to know with someone who presents with possible breast cancer?
BRCA gene testing, reproductive history, history of breast cancer, HRT, obesity, diet, breast density, contraceptives?, menstrual history, etc.
Lumpectomy - def
Unilateral mastectomy - def
Bilateral mastectomy - def
Lump - takes away a portion
Uni = one sided.
Bi = both sided.
What are some chemo meds given for breast cancer?
Adriamycin and Cytoxin (in conjunction with Neupogen, which increases WBC count)
What is herceptin used for?
Immuneotherapy in Breast Cancer
