Reproduction Flashcards
Puberty for men and women?
females = 10 to 14, menarche 2-3 years after puberty starts
males = 11 - 16
other changes to consider for puberty other than sexual?
increase in height and weight
growth spurt and bone development.
facial hair, axillary hair, thyroid, changes in skin, voice.
Tanner stages for breast?
Stage 1 = only nipple elevation
2 = breast bud (breast and nipple as small mound)
3 = enlargement and elevation of breast and areola, no separation of contours
4 = projection of areola and nipple to form secondary mound above the level of breast
5 = mature stage
Tanner stage for pubic hair for girls or boys
1 = no hair
2 = some hair
3= coarser, curlier hair
4 = more hair
5 = mature
what tanner stage does menarche happen at? what age?
3 or 4, or 8-13 years old
what menstrual/gynecologic history is good to know?
LMP
breast history – any disease
last mammogram
last Pap smear
gravida and para?
G3P3?
what does G3P2 mean?
Gravida –> # of pregnancies
Para –> live offspring
given birth 3 times, 3 live offspring
3 pregnancies, still pregnant
TPAL?
T = term deliveries >37 weeks
P - preterm 20 to 37
A = abortion <20 weeks or less
L - live delivery regardless of gestational age
G5P3114
5 total births, 3 term deliveries, 1 live delivery at 35 weeks, 1 abortion, 4 live regardless of gestational age
Well Woman Exam?
Pap smear
Mammogram
When do you get a Pap smear?
between 21 and 65
yearly for women with abnormal pap smear
every 3 years wit normal consecutively normal pap smears
every 5 years with consecutively normal with negative HPV testing
when are mammograms done?
50 years or earlier for women at are at high risk
What is a Pap smear?
tissue from the cervix for transformation. looking for cervical cancer.
most is to HPV regions.
Where are you doing the Pap smear?
transitional zone of the cervix between endocervix and ectocervix
Pelvic exam?
you’re looking at the external and internal genitalia.
you can do a Pap smear during this.
you’re feeling for the uterus and the ovaries through a bimanual exam (inserting index and middle into vagina and lifting upward and using other hand to push downward to examine vagina, uterus, ovary
speculum exam
small amount of discharge.. positive for nausea and small amount of vomiting.
nothing aggravates it or alleviates it.. inconsistently uses condoms
pelvic pain
Ectopic Pregnancy
Abdominal pelvic pain and vaginal bleeding… what is it?
how do you know it’s what it is?
Ectopic pregnancy
pregnancy test just in case!!
3 day history of pelvic pain and foul smelling vaginal discharge
new partner for last 1 month and uses OCP but no condoms really.
LMP 2 weeks ago.
pain on palpation of left pelvic region
what is it?
what do you do?
STI
pelvic exam with bimanual exam and swabs
pelvic discomfort, burning with urination and more frequent urination.
no bleeding or vomiting, no constipation or diarrhea
what is it?
what do you do that could work for it?
most common thing that causes it?
UTI
Lloyd’s punch and abdominal exam
E. coli
Well Male Exam?
prostate specific Antigen (PSA) is not recommended routinely (prostate cancer)
prostate exam or testicular exam is not recommended routinely
Testicular cancer is common in what age?
younger males
left sided groin pain, worsens when lifting heavy or basketball
uses condoms
bulge with valsalva maneuver
inguinal hernia
inguinal hernia is associated with what? (2)
Indirect?
direct?
pain with physical exertion
bulge
goes into the inguinal ring
goes near pubic tubercles
3 day lesion on penile shaft
burning and pan before the lesion presented on his penis
does not use condoms
no discharge
STI
herpes simplex virus –> vesicles on the penis
