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Developmental Concepts > Lecture 6 > Flashcards

Lecture 6 Flashcards

1
Q

What is endometriosis

A

Occurs when endometrial tissue (lining of the uterus)
grows outside of the uterus,

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2
Q

Endometriosis commonly occurs where?

A

Ovaries
Fallopian tubes
Connective Tissues
Vagina
Cervix
Bowel & Rectum
Bladder

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3
Q

Endometriosis is most common between what ages?

A

30-40

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4
Q

What percent of women between 15-44 does endometriosis effect?

A

11%

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5
Q

What are risk factors for endometriosis?

A

Nulliparous

Menstrual Periods over 7 days

Menstrual cycles under 27 days

Family History

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6
Q

What are common symptoms of endometriosis

A

Pain
Bleeding & spotting
Infertility
Digestive disturbances

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7
Q

Interstitial Cystitis/Painful Bladder Syndrome
is what

A

Chronic (long-term) pain condition that affects the bladder, and sometimes the pelvis/genitals

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8
Q

Interstitial Cystitis effects who more?

A

More women than men

primarily white women

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9
Q

How many american women are effected by interstitial cystitis

A

3-8 million

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10
Q

What is a common differential diagnosis with interstitial cystitis

A

Chronic urinary tract infection

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11
Q

What is the most common kind of dysmenorrhea

A

Primary dysmenorrhea

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12
Q

What is primary dysmenorrhea

A

Pain caused by contractions of uterus. Teens may get it during their first period. For most women it gets less painful as they get older.

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13
Q

What are the risk factors of primary dysmenorrhhea

A

Menarche began before age 11
Long or heavy periods
Smoking
Stress

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14
Q

What is secondary dysmenorrhea

A

Causes by other conditions such as
Endometriosis
Uterine Fibroids- Noncancerous tumors on wall of uterus
Ovarian Cysts - Fluid filled sacs on ovary

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15
Q

What is the female athlete triad

AKA Relative Energy Deficiency Syndrome

A

syndrome of poor health and
declining athletic performance that
happens when athletes do not get
enough fuel through food

Can effect any gender and age

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16
Q

What is anorexia

A

A mental health disorder in which a person severely limits the amount of food they eat to prevent weight gain.

Characterized by intense fear of weight gain

Effects more women than men

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17
Q

What is bulimia

A

Mental health disorder characterized by binging and purging (vomiting, laxatives, or over-exercising).

Signs & Symptoms include
* Swollen cheeks or jaw area
* Calluses or scrapes on the knuckles (if using fingers to induce vomiting)
* Tooth decay
* Broken blood vessels in the eyes
* Acid reflux, constipation, and other gastrointestinal problems
* Severe dehydration

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18
Q

Who does buliemia primarly effect?

A

Younger Women age 15-29

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19
Q

Bulemia effects _% of women

A

2%

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20
Q

What is Binge Eating Disorder

A

Binge eating at least once a week for 3 months or more

Eating to the point of discomfort/ faster than normal

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21
Q

What % of women have binge eating disorder?

A

3%

Typically begins in early 20s

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22
Q

What can increase the risk of binge eating disorder by a factor of 12

A

Dieting

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23
Q

What races are primarily effected by binge eating disorder

A

Black
Hispanic
Asian

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24
Q

What mental health conditions effect women more than men

A

Anxiety, Depression, PTSD by x2

BPD
Body Dysmorphia

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25
Q

Daistasis Rectus
Abdominus

A

separation and thinning of the rectus abdominus
muscles and stretching of the
linea alba by > 2 inches

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26
Q

Prevelance of Daistasis Rectus
Abdominus

A

Week 21 of Gestation: 33%
Week 6 Post Partum: 60%
6 Months post Partum: 45.4%
1 Year post partum: 32.6%

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27
Q

What is pregnancy related pelvic girdle pain?

A

LBP at Lumbo-Sacral, SIJ, and Pubic Symphysis

Effects 20% of women

28
Q

Signs and Symptoms of Pregnancy Pelvic Girdle Pain

A
29
Q

Autoimmune conditions primary effect _____ about __% of the time

A

Women

75% of the time

30
Q

Why are women more effected by autoimmune disease?

A

Advanced immune system compared to men

31
Q

What auto immune diseases effect women disproportionately?

A

Hashimoto’s Thyroiditis 10:1 ratio

Systemic Lupus 9:1

Graves disease 7:1

Rheumatoid Arthritis 2.5:1

32
Q

What are the most common causes of death in women?

A

Heart disease 21.8%

Cancer 20.7%

Chronic Lower Respiratory Disease 6.2%

Stroke 6.2%

Alzheimers 6.1%

33
Q

After the age of 85, Women have more _____ than men

A

Stroke

34
Q

It is ________ for a woman aged 20-39 to have a stroke compared to men

A

x2

Note: More women than men will have a repeat stroke after 5 years as well

35
Q

What are the unique riskfactors for stroke in women?

A

Preeclampsia or gestational diabetes

Hormonal birth control while smoking

Hormone replacement therapy

Menopause

36
Q

Most breast cancer begins in the ______ or _____

A

Ducts or Lobules

37
Q

There are ___ new cases of breast cancer every year for every 100,000 women

A

100

38
Q

Breast cancer makes up about ______ of cancer diagnosed in women

A

One third

39
Q

The median age of breast cancer diagnosis is

A

62

Very few are diagnosed before 45

40
Q

Breast cancer prevelance increases with __ peaking around ______

A

Age

Peaking around 75-80

41
Q

Breast cancer risk factors

A
42
Q

What is the most common cancer of the female reproductive system?

A

Ovarian cancer

43
Q

What is the chance of developing ovarian cancer in a lifetime?

A

1 in 78

44
Q

More than half of women diagnosed with ovarian cancer are over what age?

A

63

45
Q

Who does ovarian cancer primarily effect?

A

White women

46
Q

Ovarian Cancer risk factors

A

Age

Family History

Genetic Mutation: BRCA1 BRCA2 Lynch Syndrome

Breast/Uterine/Colon cancer

Eastern European or jewish

Endometriosis

Never given birth/ trouble getting pregnant

47
Q

Where does cervical cancer come from in most cases?

A

HPV virus

48
Q

Cervical cancer is frequently diagnosed between what ages?

A

35-44

Note: still primarily effects older women, 20% of cases in over 65

49
Q

Hispanic women have the highest risk of ____ cervical cancer

Black women have the highest risk of _____ cervical cancer

A

Hispanic: Being diagnosed with

Black: Mortality from cervical cancer

50
Q

What are the risk factors for cervical cancer

A

HIV, smoking,

increased parity (over 3 births)

Over 5 years on oral contraceptive

higher number of sexual partners

51
Q

How many women over 65 have osteoporosis?

A

1 in 4

52
Q

Higher _____ levels before menopause help prevent osteoporosis

A

Estrogen

53
Q

Why do women have osteoporosis more than men?

A

Live Longer

Menopause

Smaller bones

54
Q

What are the risk factors of osteoporosis

A

Small thin frame

Menopause

White/Hispanic/Asian

Insufficient Vit D, Calcium

Low physical activity

Amenorrhea

Eating Disorder

Smoking/Alcohol

55
Q

Why does pelvic floor dysfunction develop?

A

Due to weakening of the structures that support the pelvic floor

56
Q

What are examples of pelvic floor dysfunction

A

Pelvic organ prolapse

Stress incontinence

Urge incontinence/overactive bladder

Fecal incontinence

57
Q

What causes pelvic floor dysfunction

A

Pregnancy

Aging(menopause)

Genetics

Obesity

Smoking

Chronic Constipation

58
Q

Pelvic organ prolapse effects what % of women?

A

About 30% or 1 in 3

59
Q

Pelvic organ prolapse happens ____

A

Gradually

60
Q

Stress urinary incontinence effects what percent of women

A

30% or 1 in 3

61
Q

Overactive bladder effects what percent of women?

A

15% of women of all ages

62
Q

What causes overactive bladder?

A

Destrussor muscle contraction

63
Q

Accidental bowel leakage effects what % of women

A

6% of younger women and 15% of older women

64
Q

What are the risk factors of Accidental Bowel Leakage?

A

Vaginal delivery with Grade IV perineal tear

Use of Forceps or vacuum in vaginal delivery

Diabetes

Radiation therapy

CNS disorders

Severe Constipation

65
Q

What gender suffers more from constipation?

A

Women more than men

19.7% vs 10.6%

Chronic constipation effects 1-8% of americans

Developmental Concepts (7 decks)

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