OTH: Genital/Reprod System (Female) Flashcards
Female Reprod: Ovaries store ova and produce female sex hormones. What are the two?
Estrogen and progesterone
Female Reprod: The ovaries are under the control of the _____ and _____ _____ ____
Hypothalamus and ANT pituitary gland
Female Reprod: the hypothalamus releases what?
Gonadotropin releasing hormone
Female Reprod: the ant pit gland secretes what?
Gonadotropic FSH and leutinzing hormone
Female Reprod: Estrogens _____ rate of bone resorption
Decreased
Female Reprod: Estrogens ______ production of thyroid and increase HDL
Increase
Female Reprod: After menopause, at risk for _______ and ____ ____
Osteoporosis
Bone fracture
Female Reprod: When do heart disease and stroke risk increase?
After menopause
Female Reprod: The breasts are located where?
Btw ribs 3-7
Female Reprod: Pregnancy:
How much weight will one gain?
20-30 #
Female Reprod: Pregnancy: Relaxation training includes: \_\_\_\_\_\_ progressive relaxation, Relaxation response Mental imagery Yoga
Jacobsen’s
Female Reprod: Pregnancy:
What kind of breathing should you teach?
DB
Lamaze techniques
NO VALSALVA
Female Reprod: Pregnancy: Common changes: Postural: Kyphosis with scapular \_\_\_\_\_\_\_\_ C/S \_\_\_\_\_\_\_ FHP L/S \_\_\_\_\_\_\_
Protraction
Lordosis
Lordosis
Female Reprod: Pregnancy:
Common changes: Postural:
What pelvic stabilization exercise should you teach?
Posterior pelvic tilt
Female Reprod: Pregnancy:
Common changes: Postural:
What activities should you limit in the 3rd trimester?
Supine and bridging
Female Reprod: Pregnancy:
Common changes: Balance:
COG shifts in what direction?
UP and FORWARD
Female Reprod: Pregnancy:
Common changes: Balance:
What happens with advanced pregnancy?
Wide BOS
Difficulty with ambulation and stairs
Female Reprod: Pregnancy:
Common changes: Lig Laxity:
Secondary to what hormone?
Joint hypermobility, especially at _____
Relaxin
SIJ
Female Reprod: Pregnancy:
Common changes: Muscle Weakness:
The abdominal muscles are ______ and _______
_____ _____ is weak
Stretched and weak
Pelvic floor
Female Reprod: Pregnancy:
Common changes: Muscle Weakness:
What kind of incontinence do they have?
STRESS, due to pelvic floor dysfunction
Female Reprod: Pregnancy:
Common changes: Urinary Changes:
Increased indicidence of _____ and _____
Reflux and UTI
Female Reprod: Pregnancy:
Common changes: Resp changes:
______ of diaphragm, widening of thoracic cage
Hyperventilation, dyspnea with MILD exericse
Elevation
Female Reprod: Pregnancy: Common changes: CV Changes: Blood volume \_\_\_\_ Venous pressure in LE \_\_\_\_ HR \_\_\_ CO \_\_\_ BP \_\_\_
Inc Inc Inc Inc DEC BP due to venous distensibility
EVERYTHING INC EXCEPT FOR BP
Female Reprod: Pregnancy: Common changes: CV Changes: Exercise in moderation, frequent \_\_\_\_\_\_ Use of FAMILIAR activities Ankle pumps and elevation for LE edema
REST
Female Reprod: Pregnancy:
Common changes: Thermoregulation:
____ Basal Metabolic Rate
____ Heat production
Inc
Inc
Pregnancy Related and Pelvic Floor Patho:
Diastasis Recti:
Split of rec abdominals from linea alba greater than ___ cm
2
Pregnancy Related and Pelvic Floor Patho:
Diastasis Recti: associated with loss of ______ wall support and ____ ____ pain
Abd
Low back
Pregnancy Related and Pelvic Floor Patho:
Diastasis Recti: what exercises should be avoided?
Sit ups and B/L SLR
Pregnancy Related and Pelvic Floor Patho:
Diastasis Recti: When can one resume exercise?
When separation is less than 2 cm
Start with partial sit ups, pelvic tilts
Pregnancy Related and Pelvic Floor Patho:
Pelvic floor disorders:
What muscle is weak?
Pubococcygeal muscle (PC)
Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Cystocele is herniation of ____ into _____
Bladder into vagina
Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Rectocele is herniation of _____ into _____
Rectum into vagina
Pregnancy Related and Pelvic Floor Patho:
PF Disorders:
Uterine prolapse is bulging of ____ into ______
How do you fix this?
Uterus into vagina
Needs surgical correction most likely
Pregnancy Related and Pelvic Floor Patho: PF Disorders: Symptoms: Where does pt feel pain? Urinary sxs? Pain with what activities/position?
(RED FLAG) Where can pain radiate?
PELVIC pain (perivaginal, perirectal, LOW abd quadrant) Urinary incontinence
Pain during sex
Pain during prolonged standing
Can radiate down posterior thigh
Pain is usually decreased in supine
Pregnancy Related and Pelvic Floor Patho:
PF Exercises:
Indicated for what population?
F/M with B/B incontinence F who have started menopause CA Tx causing early menopause F who are pregnant Middle/old age F
Pregnancy Related and Pelvic Floor Patho:
PF Exercises: What are contraindications? (3)
Recent surgery
Urinary cath in place
Excess pelvic pain
Pregnancy Related and Pelvic Floor Patho: PF Exercises: Kegel’s What position to start? Bladder should be (full/empty?) Technique? Duration of hold and relax? How many times per day? Progression?
Position: supine with bent knees Bladder should be empty Tighten PF muscles (imagine sitting on toilet to pee and stopping flow) Hold 5-10 seconds, relax 10 second 5x/day, progress to 10x 3 times a day
Red flag: stopping and starting urine while emptying bladder is NOT kegel. This can interfere with urinary ______ and contribute to bladder _____
Reflexes
Infection
Pregnancy Related and Pelvic Floor Patho: LBP and Pelvic Pain: \_\_\_\_ mattress Muscle re-ed Modalities, but NO \_\_\_\_\_ \_\_\_\_\_
Firm
NO DEEP HEAT
SID: secondary to postural changes and ______ laxity
Ligament
SID: where are the locations of pain?
Posterior pelvic pain
Pain in the butt
Pain may radiate into posterior thigh/knee
SID: pain with what positions?
Prolonged sitting/standing/ambulation
SID: PT can include giving external stabilization such as an SIJ ____
Avoid _____ ____ weight bearing - may aggravate pain
Belt
Single leg
Varicose veins:
What position should you put LE?
What position should you avoid?
What equipment can you use?
Elevated
Avoid crossing legs
Can use elastic support stockings
Pre-eclampsia:
Pregnancy induced acute htn after ___ weeks gestation
24
Pre-eclampsia: Symptoms include: \_\_\_\_tension Edema Sudden excess weight \_\_\_\_ HA Visual disturbance \_\_\_\_\_reflexia
HYPERtension
Weight gain
HYPERreflexia**
Post C-Section Complications:
PT Interventions:
Post-op TENS for incision pain. How are electrodes placed?
Parallel to incision
Post C-Section Complications: PT Interventions: Assist in coughing/breathing and Gentle abd exercises, support with \_\_\_\_\_\_ Pelvic floor exercises
Pillow
Post C-Section Complications:
PT Interventions:
Precautions about heavy lifting for ____ weeks
4-6
Post C-Section Complications:
PT Interventions:
_____ massage
Friction
Disorders of reprod system: Endrometriosis:
Ectopic growth and function of endometrial tissue _____ uterus
OUTSIDE
Disorders of reprod system: Endrometriosis:
Ectopic tissue responds to hormonal influences, but is NOT ABLE TO ______
SHED
Disorders of reprod system: Endrometriosis:
Endometrial tissue can lead to ____/_____
Cysts/rupture
Disorders of reprod system: Endrometriosis: Symptoms: Pain Painful \_\_\_\_\_ Painful \_\_\_\_\_ Infertility
Period
Sex
Disorders of reprod system: Endrometriosis:
(Red Flag) _____ pain complaints. Endometrial implants on muscles (_____ _____ and ____ ____) may produce pain with palp or contraction
Back
Psoas major
Pelvic floor
Disorders of reprod system: Endrometriosis: Tx:
Meds for ______
Endometrial _____
Surgery
Pain
Suppression
Disorders of reprod system: Pelvic Inflamm Disease:
Inflammation of ____ ____ ____ involving uterus, fallop tubes or ovaries
Upper reprod tract
Disorders of reprod system: Pelvic Inflamm Disease:
Cause by ______ _____ that ascends thru endocervical canal
Polymicrobial agent
Disorders of reprod system: Pelvic Inflamm Disease: Sx: \_\_\_ \_\_\_\_ pain after period starts \_\_\_\_\_\_\_ cervical discharge pain in \_\_\_\_\_\_ Fever What lab values are increases?
Low abdominal
Purulent
Cervical
INC WBC and ESR
Disorders of reprod system: Pelvic Inflamm Disease:
Complication:
Pelvic adhesions, infertility, _______ pregnancy, chronic _____, abscess
Ectopic
Pain
Disorders of reprod system: Pelvic Inflamm Disease:
meds?
Antibiotics
Because caused by polymicrobial agent
