PHYSICAL EXAMINATION OF THE FEMALE GENITALIA Flashcards
what does amenorrhea mean?
Absent menstrual cycle
what is defined as prolonged menses
more than 7 days
History of Present Illness for Female Genitalia issues
-Abnormal bleeding.
-Pain
-Vaginal discharge
-Premenstrual symptoms complaint
-Menopausal symptoms complaint
-Infertility
-Urinary symptoms
True/False
Ask the adolescent patient the same questions you would ask an adult woman. Talk to the adolescent without parents present.
True
What are some contributing factors for infertility
Abnormalities of the vagina, cervix, uterus, fallopian tubes, an ovaries.
Stress
Nutrition
Chemical substances
Diseases
Sexual and immunological responses
Family History questions to ask
-family history of diabetes
-cancer of reproductive organs
-DES (diethylstilbestrol) ingestion by mother during pregnancy
-multiple pregnancies
-congenital anomalies
What glands secrete lubrication during sexual excitement.
Bartholin glands
What glands are for draining urethral glands
Skene glands
The anterior wall of the vagina is separated from the bladder and urethra by the ______________
The posterior wall is separated from the rectum by the
_____________.
-vesicovaginal septum
-rectovaginal septum
Pelvic organs may be palpated through pockets around the cervix called what?
Fornices
The internal genitalia are supported by what ligaments?
cardinal,
uterosacral,
round,
broad
The ______ of the uterus are composed of the fallopian tubes and ovaries
adnexa
shallow upper section of the Pelvis which consists mainly of the flared-out iliac bones is considered the _________
false pelvis
Pelvis
__________is the lower curved bony canal, including the inlet, cavity, and outlet.
true pelvis
the onset of menstruation (menarche), occurs
between the ages of_______ in the US
11 and 14 years
During pregnancy the uterus rises out of pelvis into the abdominal cavity by _____ weeks of gestation
12 weeks
Uterine weight at term, excluding the fetus and placenta, is about what?
1000g
During pregnancy the pelvic joints separate slightly, resulting in what type of gait
“waddle gait.”
During pregnancy
The papillae of the mucosa have a hobnailed appearance.
Is this Normal?
Yes
Older adults
Ovarian function diminishes around age_____, and menopause occurs between _______ years of age
40
40 and 55
Menopause is conventionally defined as what?
1 year with no menses
True/False
Most women express lack of enthusiasm in anticipation of a pelvic examination, most do not experience anxiety
True
Marked anxiety before an examination may be a sign of what?
that something is not quite right
What is the patient position for a pelvic exam?
lithotomy position
If the woman is disabled what are some alternate positions
-Diamond-shaped position
-Obstetric stirrups position
-M-Shaped position
-V-Shaped
Inspect labia majora for what?
-redness,
-tenderness,
-excoriation,
-rashes,
-lesions.
Observe for:
-discoloration,
-varicosities,
-stretching,
-signs of trauma or scarring
Inspect labia minora for:
-inflammation,
-irritation,
-excoriation,
-caking of discharge in the tissue folds,
-discoloration or tenderness,
-ulcers or vesicles
Palpate Skene and Bartholin glands. Milk the skene glands and look for discharge and note any tenderness. If discharge occurs, note what?
Does this indicate infection?
-color, consistency and odor
-yes