OBSTETRIC AND GYNECOLOGICAL CONDITIONS Flashcards

1
Q

Breast PAIN or tenderness

Pain often worsens during premenstrual phase

Often multiple and bilateral _Rapid fluctuation in mass size

Absence of enlarged or tender lymphadenopathy

A

Fibrocystic Changes

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2
Q

NON tender mass 1-5cm

rubbery

mobile

unilateral

defined borders

A

Fibroadenoma

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3
Q

A firm, irregular mass, often appearing as an area of discoloration

Often accompanied by skin or nipple retraction

Ecchymosis

Most commonly caused by trauma (MVA or assualt)

Common seen after fat injections toaugment breast size, segmental resection, radiation therapy, or flap reconstruction

A

Fat Necrosis

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4
Q

Single, NON tender, firm to hard mass with ill defined margins

Fixation of mass to skin or chest wall

Skin or nipple retraction

Axillary lymphadenopathy

Breast enlargement, erythema, edema, pain

A

Feamale Breast Carcinoma

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5
Q

Hard mass with ill defined margins beneath the nipple or areolar

Fixation of mass to skin or chest wall

Gynecomastia

A

male Breast Carcinoma

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6
Q

Serous (most likely due to benign fibrocystic changes)

Bloody (more likely neoplastic papilloma or cacinoma)

Unilateral (neoplastic or non-neoplastic)

Bilateral (most likely endocrine etiology)

A

Nipple Discharge

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7
Q

May have painful menstrual cramping

May be asymptomatic or spotting Signs of:
-anemia
-Fatigue
-Pallor
-Light headedness
-Dizziness with exertion
-Pica (craving or chewing ice)
-Weakness
-HA

A

Abnormal Uterine Bleeding
(ABU)

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8
Q

-Bloating
-Breast pain
-Ankle swelling
-An sense of increased weight -Skin disorders
-Irritability
-Aggressiveness
-Depression
-Inability to concentrate
-Libido change
-Lethargy
-Food cravings

Recurrent variable cluster of troublesome physical and emotional symptoms that develop during the 5 days before the onset of menses and subsides within 4 days after menstruation occurs

A

Premenstrual Dysphoric Disorder (PMDD)

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9
Q

Inflammation and infection of the vagina

A

Vaginitis

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10
Q

Vulvovaginal Candidiasis

A

_Pruitis
_Vulvovaginal erythema
_White curd like discharge that is NOT malodorous
_Itching

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11
Q

Pruritus and a malodorous frothy, yellow-green discharge

Diffuse vaginal erythema

Strawberry cervix (red macular lesions on the cervix)

A

Trichomonas Vaginalis Vaginitis

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12
Q

Malodorous discharge without obvious vulvitis or vaginitis

Vagina DOES NOT look angry

NOT sexually transmitted

A

Bacterial Vaginosis

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13
Q

Periodic painful swelling on either side of the vaginal opening

Dyspareunia (pain during sex)

Fluctuant swelling to the labia

Tenderness

A

Bartholin’s Gland Abscess

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14
Q

Discrete, round, firm, often multiple uterine tumor

Frequently asymptomatic

Pelvic pressure

Abnormal uterine bleeding

Abnormal uterine bleeding

A

Fibroid Tumor

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15
Q

-Chronic pelvic pain
-Infertility
-Dysmenorrhea
-Dyspareunia
-Abnormal uterine bleeding _May be asymptomatic

Physical exam findings:
-Tender nodules in the cul-de-sac or rectovaginal septum
-Cervical motion tenderness
-Adnexal mass or tenderness

A

Endometriosis

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16
Q

Endometriosis

-Chills and fever

-Menstrual disturbances

-Vaginal discharge

-Cervical motion tenderness

-Uterine tenderness

-Adnexal tenderness

Most common in young, nulliparous, sexually active women with multiple sexual partners

A

Pelvic Inflammatory Disease (PID)

17
Q

-Mild nonspecific gastrointestinal symptoms
-Pelvic pressure
-Abdominal pain
-Bloating
-Palpable abdominal mass with ascites

A

Ovarian Mass

18
Q

Characterized by: chronic anovulation with abnormal menses, polycystic ovaries, hyperandrogenism

ASSOCIATED WITH:
-Hirsutism
-Obesity
-Increased risk for diabetes and cardiovascular disease

-Menstrual disorders
(amenorrhea to menorrhagia)
-Infertility
-Skin disorders
-Insulin resistance

A

Polycystic Ovarian Syndrome (PCOS)

19
Q

A sexual pain disorder with recurrent or persistent genital pain associated with sexual intercourse that is not associated with lack of lubrication or vaginismus

A

Dyspareunia

20
Q

Sensation of burning

Pain

Itching

Stinging

Irritaion

Rawness

Generally no physical exam findings

A

Vulvodynia

21
Q

Results from fear, pain, sexual trauma, or negative attitude towards sex

A sexual pain disorder with recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina

A

Vaginismus

22
Q

-Amenorrhea
-Nausea and vomiting
-Breast tenderness / tingling
-Urinary frequency / urgency
-Weight gain
-“Quickening” (perception of first movement noted at about the 18th week)
-Softening of the cervix occurs around 7 weeks
-Chadwick sign (bluish to purple color cervix)

A

Intrauterine Pregnancy

23
Q

-Bleeding or cramping occurs, but the pregnancy continues
-The cervix is not dilated

A

Threatened Abortion

24
Q

-Products of conception are completely expelled
-Pain STOPS, but spotting may continues
-Cervical os is closed, some blood in the vaginal vault

A

Complete Abortion

25
Q

-The cervix is dilated
-Mild cramps
Bleeding is persistent and often excessive

-Some of the products of conception remains in the uterus

A

Incomplete Abortion

26
Q

-No symptoms of pregnancy
-Brownish vaginal discharge but no active bleeding
-No pain
-Cervix is semi firm and slightly patulous
-Uterus becomes smaller and irregularly softened
-Adnexa are normal
-Women may be indicated for abortifacient and curettage.

-The pregnancy has stopped developing, but the conceptus has not been expelled

A

Missed Abortion

27
Q

-Severe lower quadrant pain -Sudden in onset
-Unilateral pelvic pain
-Stabbing
-Intermittent
-Does not radiate
-Backache
-Adnexal tenderness
-Vaginal bleeding
-Many have been infertile

A

Ectopic Pregnancy

28
Q

Unilateral cellulitis of breast of lactating women

Sudden onset of swelling, tenderness, erythema, heat of affected area of breast

Frequently begins 3 months after delivery

A

Mastitis

29
Q

Absence of menses for 3 consecutive months in women who have passed menarche

A

Secondary Amenorrhea

30
Q

_Sudden unilateral adnexal tenderness and constant pain with NO bleeding

_May develop after episodes of exertion or athletics

_Possible palpable adnexal mass

A

Ovarian Torsion