OBSTETRIC AND GYNECOLOGICAL CONDITIONS Flashcards
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
Fibrocystic Changes
NON tender mass 1-5cm
rubbery
mobile
unilateral
defined borders
Fibroadenoma
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
Fat Necrosis
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
Feamale Breast Carcinoma
Hard mass with ill defined margins beneath the nipple or areolar
Fixation of mass to skin or chest wall
Gynecomastia
male Breast Carcinoma
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)
Nipple Discharge
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
Abnormal Uterine Bleeding
(ABU)
-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
Premenstrual Dysphoric Disorder (PMDD)
Inflammation and infection of the vagina
Vaginitis
Vulvovaginal Candidiasis
_Pruitis
_Vulvovaginal erythema
_White curd like discharge that is NOT malodorous
_Itching
Pruritus and a malodorous frothy, yellow-green discharge
Diffuse vaginal erythema
Strawberry cervix (red macular lesions on the cervix)
Trichomonas Vaginalis Vaginitis
Malodorous discharge without obvious vulvitis or vaginitis
Vagina DOES NOT look angry
NOT sexually transmitted
Bacterial Vaginosis
Periodic painful swelling on either side of the vaginal opening
Dyspareunia (pain during sex)
Fluctuant swelling to the labia
Tenderness
Bartholin’s Gland Abscess
Discrete, round, firm, often multiple uterine tumor
Frequently asymptomatic
Pelvic pressure
Abnormal uterine bleeding
Abnormal uterine bleeding
Fibroid Tumor
-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
Endometriosis