Pelvic Flashcards
Cervical motion tenderness
excruciating pain when cervix is manipulated during pelvic exam. Sign of Pelvic Inflammatory Disease or Ectopic pregnancy
Vaginal discharge
Determine if cervix or vaginal in origin. Normal discharge= odorless, clear or creamy. Abnormal discharge- odorous, vary in color (white, yellow, green)= Sign of bacterial or fungal infection
Abnormal vaginal bleeding
Unexpected bleeding including mid- cycle spotting, delayed or prolonged menstruation, post menstrual bleeding, profuse menstrual bleeding. Common causes: Trauma, Pelvic Inflammatory disease, polyps, oral contraceptives
Cystocele
hernial protrusion of the urinary bladder through the anterior wall of the vagina. Can be felt when pt. Bears down
Retrocele
hernial protrusion of rectum through posterior wall.
Urethrocele
A prolapse of the urethra into the vagina. Will be a descent of anterior distal wall of vagina
Uterine prolapse
Descent of uterus into the vagina due to weakening in pelvic floor
Cervical stenosis
Narrowing of cervix os to
Friable cervix
Easily irritated and inflamed cervical tissue caused from infection, carcinoma, or cervicitis. Bleeds easily
Cyanotic cervix
bluish color of the cervix→ increased vascularity, which is a sign of pregnancy
Ectropian cervix
occurs when eversion of the endocervix exposes columnar epithelium → Has a red, shiny appearance. May bleed easily.
- Common in adolescents and pregnant women
- Not an abnormality, BUT appears similar to early cervical cancer, so more tests are needed to make sure
Entropian cervix
when squamous cells of exterior cervix move inward towards endocervical canal.
Shifts vaginal transformation zone from Squamous cells → Columnar cells.
Makes it more difficult to obtain pap smear
