Reproductive Flashcards
What is stage one of fibrocystic breast condition?
Premenstrual fullness and tenderness occurring on the menstrual cycle
Physiologic modularity of the breast including lobules, ducts, and stromal tissue
Fibrocystic Breast Condition
What is the most common breast problem of women between 20-50 years of age?
Fibrocystic Breast Condition
Solid, slowly enlarging, benign mass; round, firm, easily movable, non-tender and clearly delineated from the surrounding tissue
Fibroadenoma
How can ductal ectasia be managed?
Warm complex and antibiotics
How can fibrocystic breast condition be managed?
Symptomatic management, hormonal manipulation, drug therapy, diuretics, avoiding caffeine, mild analgesics, and limiting salt
What is stage two of fibrocystic breast condition?
Multiple nodular areas in both breasts
Benign breast problem of women approaching menopause caused by dilation and thickening of the collecting ducts in the sub-areolar area
Ductal Ectasia
What are fibroadenomas made up of?
Connective tissue that is unattached to the surrounding breast tissue
Benign process in the epithelial lining of the duct, forming a pedunculated outgrowth of tissue
Intraductal Papilloma
What are the symptoms of fibrocystic breast condition?
Ropey, bumpy, lumpy breast tissue that is tender, painful, and burning characterized by fibrosis and cysts
What vitamins should be increased when a patient has fibrocystic breast condition?
Vitamins C, E, and B complex
What is the most common breast mass in women under the age of 30?
Fibroadenoma
Why do the symptoms of fibrocystic breast condition usually go away after menopause?
Because estrogen decreases
What is stage three of fibrocystic breast condition?
Microscopic cysts associated with pain, tenderness, or burning in women 35-55
What is fibrocystic breast condition caused by?
An imbalance of of estrogen to progesterone ration with more estrogen and less progesterone
What are the signs of ductal ectasia?
Hard, tender mass with irregular boarders, greenish brown nipple discharge, enlarged axillary nodes, redness and edema over the site of the mass
Where are fibroadenomas often located?
The upper outer quadrant
When do the symptoms of fibrocystic breast condition usually resolve?
After menopause
In what age range does intraducal papilloma occur in?
40-55
What types of adjunctive therapy can be used for patients with breast cancer?
Radiation therapy, chemotherapy, SERMs, hormonal therapy and targeted therapy
What should patients with premenstrual syndrome eat?
Limit sugar, red meat, alcohol, coffee, tea and chocolate
Vaginal bleeding that occurs after a 12 month cessation of menses after the onset of menopause
Postmenopausal bleeding
Vaginal mucosa is dry, thin, and traumatized easily with intercourse
Atrophic vaginitis
What are the signs of intraductal papilloma?
Bloody or serous nipple discharge
Soft, red, oval tissue masses in cervix
Cervical polyps
Tissue overgrowth in uterus that is a precursor of endometrial cancer
Endometrial hyperplasia
How long is radiation therapy used after breast cancer?
6-7 weeks
Benign condition of breast enlargement in men
Gynecomastia
What are the genes that put patients at risk for breast cancer?
BRCA1 & BRCA2
Most commonly diagnosed invasive cancer in women
Breast cancer
An early form of breast cancer that does not metastasize
Noninvasive breast cancer
How is intraductal papilloma diagnosed?
By ruling out breast cancer
Gross removal of a tumor from a breast
Lumpectomy
What are the causes of postmenopausal bleeding?
Atrophic vaginitis, cervical polyps, or endometrial hyperplasia
What is the key to survival for breast cancer patients?
Early detection
What are the causes of gynecomastia?
Primary cancer, drugs, aging, obesity, estrogen excess, liver disease, hyperthyroidism, androgen deficiency, chronic renal failure, or alcoholism
What do breast cancers in men usually present as?
Hard, non painful subareolar masses
What stages of breast cancer is chemo used for?
Stage 2 or higher
Highly aggressive form of invasive breast cancer that presents as redness, swelling and rash of the breast skin that may or may not be itching, painful, or thickened
Inflammatory breast cancer
What causes endometrial hyperplasia?
Declining ovarian stimulation, leading to prolonged estrogen stimulation
What are the types of noninvasive breast cancer?
Ductal carcinoma in situ and lobular carcinoma
What is the key to diagnosis breast cancer?
Ultrasounds
When should mammograms start?
Yearly at 40
Why does primary dysmenorrhea occur?
Increased production and release of uterine prostaglandins
Removal of the portion of a breast that contains a tumor
Partial Mastectomy
Most common type of breast cancer that spreads from mammary ducts to surrounding tissue characterized by irregular, poorly deformed masses
Invasive breast cancer
What is a SERM?
An estrogen receptor blocking agent, like tamoxifen
What is the purpose of Herceptin?
It blocks HER2/neu gene expression to slow or stop growth of cancer cells
Breast affected by cancer, along with skin and axillary nodes is completely removed
Modified Radical Mastectomy
A benign problem of endometrial tissue implantation outside the uterine cavity
Endometriosis
What is the key diagnostic procedure for endometriosis?
Laparoscopy
What are the signs and symptoms of menopause based on?
The level of hormones and estrogen swings
What is the surgical management for dysfunctional uterine bleeding?
Hormone manipulation
Inflammation of the lower genital tract
Simple vaginitis
If a patient has amenorrhea, what else should they be assessed for?
Hirsutism, galactorrhea, and nutritional status
What conditions are dysfunctional uterine bleeding associated with?
Endocrine disturbances, polycystic ovary disease, stress, extreme weight loss, long term drug use and anatomic abnormalities
What is endometriosis caused by?
Birth defects
How can simple vaginitis be managed?
Perineal cleaning after urination or defecation, wearing cotton underwear, avoiding strong douches and feminine hygiene sprays, avoiding tight fitting pants, using estrogen creams, eating yogurt with antibiotics
What are the signs of uterine prolapse?
Dyspareunia, backache, pressure in the pelvis, bowel or bladder problems
Septic shock characterized by abrupt high temperature, headache, sore throat, vomiting, diarrhea, generalized rash, and hypotension
Toxic shock syndrome
Absence of a menstrual period
Amenorrhea
Nonspecific term used to describe bleeding that is excessive or abnormal in amount or frequency without predisposing anatomic or systemic conditions
Dysfunctional Uterine Bleeding
How long does perimenopause last?
10 years
What is simple vaginitis caused by?
Menopause, STD, Trichomonas, candida, changes in normal flora, alkaline pH, tampons and condoms, douches or sprays, health problems such as diabetes
What are the causes of amenorrhea?
Abnormalities of the reproductive tract
What is the surgical manipulation for dysfunctional uterine bleeding?
DNC, endometrial ablation, and hysterectomy
What are the symptoms of endometriosis?
Pain, dyspareunia, painful defection, sacral backache, hypermenorrhea, and infertility
How is amenorrhea treated?
Hormone replacement, ovulation, stimulation, and periodic progesterone withdrawal
How is toxic shock syndrome treated?
Penicillin or vancomycin
What is the treatment for rectocele?
High-fiber diet, stool softeners, laxatives, and surgery
What is the treatment for cystocele?
Kegel exercises or surgery
What generally causes follicular cysts to rupture?
Torsion
What are theca-luatein cysts a result of?
Molar pregnancy