Male and Female reproductive function Flashcards

1
Q

congenital disorders

A

hypospadias, epispadias

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2
Q

hypospadias

A

urethra meatus on ventral surface of penis (bottom); more common than epispadias; unknown cause

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3
Q

increased risk factor for hypospadias

A

women > 35Y, obesity, fertility treatment, hormone treatment

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4
Q

epispadias

A

urethral meatus on dorsal surface of penis (top); develops in first 4 weeks gestation; unknown cause; can span entire length of penis; found in clitoris of females

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5
Q

risk factors for development of epispadias

A

parent with epispadias/exstrophy, maternal age, smoking status, high parity

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6
Q

Exstrophy-epispadias complex (EEC)

A

bladder exstrophy, cloacal exstrophy

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7
Q

cryptorchidism

A

one or both testes dont descend from abdomen into scrotum

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8
Q

risk factors for developing cryptorchidism

A

prematurity/LBW/SGA; fam history of genital development disorder; mult. fetus; maternal estrogen exposure in 1st trimester; EtOH; tobacco; DM; pesticide exposure; retractile testicle; ascending testicle

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9
Q

retractile testicle

A

back and forth movement of testicle between scrotum and abdomen

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10
Q

ascending testicle

A

testicle to lower abdomen and cant easily be returned to scrotum

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11
Q

diagnosis of cryptorchidism

A

History, PE, ABD US, hormone levels, genetic studies

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12
Q

treatment of cryptorchidism

A

manual manipulation, hormone treatment, surgical repair (orchiopexy between 6-18 months), orchiectomy, testicle implants

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13
Q

fertility issues

A

erectile dysfunction, priapism

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14
Q

erectile dysfunction

A

inability to attain/maintain erection enough for sexual intercourse

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15
Q

priapism

A

prolonged painful erection (urologic emergency) due to shunting or trapping of blood; not caused by sexual stimulation

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16
Q

Causes of priapism

A

sickle cell anemia, leukemia, trauma, DM, neurological disorder, medication, spinal cord injury (SCI), EtOH/drugs, poisonous venom

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17
Q

male fertility issues

A

decreased sperm count, sperm abnormalities, hormone deviations, physical impediments

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18
Q

female infertility

A

ovulation dysfunction, hormone deviations, obstructions, severe infections

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19
Q

infertility

A

inability to reproduce after 1 year

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20
Q

disorders of penis, scrotum, testes

A

hydrocele, spermatocele, varicocele, testicular torsion

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21
Q

testicular torsion

A

abnormal rotation of testes on the spermatic cord

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22
Q

testicular torsion manifestations

A

sudden scrotal edema and pain

23
Q

causes of testicular torsion

A

trauma, spontaneous

24
Q

testicular torsion diagnosis

A

history, PE, scrotal US

25
Q

testicular torsion treatment

A

manual manipulation and surgery

26
Q

types of pelvic organ prolapse

A

normal, cystocele, uterine prolapse, rectocele

27
Q

cystocele

A

bladder protrudes into anterior wall of vagina

28
Q

cystocele manifestations

A

can be asymptomatic, visualization of bladder from vaginal opening, fullness in vagina/vagina, stress incontinence, retention, frequent urination, pain/urine leakage during sex

29
Q

rectocele

A

rectum protrudes through posterior wall of vagina

30
Q

rectocele manifestations

A

asymptomatic, painless, visualization of rectum from vaginal opening, fullness in pelvis/vagina, difficulty defecating, rectal pressure, bowel incontinence

31
Q

uterine prolapse

A

descent of uterus/cervix into vagina

32
Q

uterine prolapse manifestations

A

asymptomatic, visualization of cervix/uterus from vaginal opening, fullness of pelvis/vagina, difficult or painful sex, vag. bleeding, difficulty urinating/defecating

33
Q
A
34
Q

abnormal uterine bleeding

A

acute or chronic; abnormal frequency, regularity, duration, and/or volume of uterine bleeding for most of past 6 months

35
Q

abnormal uterine bleeding manifestations

A

asymptomatic menorrhagia, pelvic/back/leg pain, urinary frequency/retention, UTI, constipation, ABD distention, pain during sex, anemia

36
Q

menstrual disorders

A

abnormal uterine bleeding, amenorrhea, dysmenorrhea, pms, menopause

37
Q

male reproductive tract disorders

A

prostatitis, epididmitis

38
Q

prostatitis

A

inflammation of prostate; can be acute or chronic

39
Q

prostatitis manifestations

A

dysuria, nocturia, abdominal pain, pain in groin, pain in lower back, painful ejaculation, signs of infection, recurrent UTI

40
Q

causes of prostatitis

A

inflammatory conditions, middle age, immunocompromised, UTI history

41
Q

epididimitis

A

inflammation of epididymis

42
Q

epididimitis manifestations

A

indicators of infection, scrotal tenderness, erythema, edema, penile discharge, bloody semen, painful ejaculation, groin pain

43
Q

epididimitis causes

A

ascending bacterial infection, STIs, TB, cordarone (antidysrhythmic med)

44
Q

female reproductive tract disorders

A

candidiasis, ectopic pregnancy, endometriosis

45
Q

endometriosis

A

endometrial tissue grows outside of the uterus (most commonly in fallopian tubes, ovaries, and peritoneum)

46
Q

endometriosis manifestations

A

dysmenorrhea, menorrhagia, pelvic pain, infertility, pain during/after sex

47
Q

endometriosis causes

A

theoretical

48
Q

bacterial STIs

A

chlamydia, gonorrhea, BV, PID, syphilis

49
Q

chlamydia manifestations

A

dysuria, penile/vaginal/rectal discharge, testicular tenderness/pain, rectal pain, painful sex

50
Q

gonorrhea manifestations

A

dysuria, urinary frequency/urgency, penile/vaginal/rectal discharge, redness/edema at urinary meatus, testicular tenderness/pain, painful sex, sore throat, white blisters that darken and disappear

51
Q

viral STIs

A

genital herpes, condoylomata accuminata (cannot get rid of but can suppress)

52
Q

Protozoan STI

A

trichomoniasis

53
Q

cancers

A

penile cancer, Prostate cancer (check PSA), testicular cancer (self exams), breast cancer (self exams, mammogram, genetic testing and MR), cervical (annual pap smear), endometrial, ovarian