test 4 Flashcards
assessment for testes
- left scrotum lower than right
- lift sac to inspect the posterior surface
- lesions not present, except for sebaceous cyst. (yellowish, 1 cm nodules, firm, nontender and often multiple
- palpate each scrotal half between your thumb and first two fingers
- normally feel oval, firm and rubbery, and smooth and equal bilaterally. move freely and slightly tender to moderate presssure
- each epididymis normally feels discrete, softer than the testis, smooth and nontender
menopause
- ending of menstruation
- peri-menopause 35-50 yrs old
- SIGNS AND SYMPTOMS
- night sweats
- insomnia
- thinning of vaginal tissues
- vaginal dryness
- “hot flashes”
- mood swings
- estrogen replacement therapy (ert or hrt)
steps in a gynecological exam
- no sex for 24 hrs prior to exam
- place in lithotomy position
- vaginal speculum warmed and lubricated with warm water is used
- inspect labia majora and minor for: ,symmetry, irritation, cysts, lesions, color a dark pink, tissue moist
- perineum should be observed for episiotomy scar if pt has delivered a baby vaginally
vaginal discharge
- clear, non-irritating=normal discharge
- thick, white discharge causing pruritis (itchiness) related to yeast infections (candidas or monilia)
- thin foul smelling idscharge causing pruritis related to trichymonis infection
- STD
- self-care behaviors
- yearly papanicolaou (pap test)
- yearly gyno exam
health history and complaints of “room spinning around”
- headaches: location, duration and intensity (use pain scale); frequency, type-sharp, dull, throbbing etc.;treatment w/results(meds); accompanying symptoms such as dizziness, nausea, vomiting, eyesight disturbances; head injury; LOC
- dizziness/vertigo: feelings of lightheadedness, swimming sensation, faint feelings;
- vertigo: rotational spinning sensation
- does the room spin (subjective)
- do you feel like you are spinning (subjective vertigo)
seizures
- also known as convulsions, epilepsy
- ask about: onset, treatment, frequency; date of last seizure; any associated symptoms;
- aura: an auditory, visual or motor premonition of a seizure. cold breeze, bright light.
- medication taken for seizures
nursing care for seizure disorders
*padded bed, side rails up, put patient on side, do not hold them down
nursing for distended bladder
- PALPATE BELOW PUBIC SYMPHYSIS: BLADDER SHOULD NOT BE FELT; IF PALPABLE: DISTENTION
- PERCUSSION USED IF FULL BLADDER IS FELT
bicep reflex testing
- support patientforearm on yours
- place thumb on bicep tendon
- strike a blow on your thumb/flexion of forearm
glosgow coma scale
- objective assessment/defines LOC
- 3 areas: eye opening, motor resonse , verbal response
- rated separately/give a #/numbers are added/reflects brains functional level
- fully alert, normal person-score 15
- score of 7 or less-coma
test men over 50
*ALL MEN OVER 50 SHOULD HAVE A YEARLY RECTAL EXAM AND PSA TEST (PROSTRATE SPECIFIC ANTIGEN)
genital self examination-young male
*test every month
*shower or bath (warm hands)
cold hands stimulate a muscular (cremasteric) reflex, retracting the scrotal contents
*hold scrotum in palm of hand, gently feel two testicles using thumb and first two fingers, if hurts too much pressure
*egg shaped and movable
*if firm, painless lump, a hard area, or an overall enlarged testicles-call dr.
susceptibility to uti
*woman more susceptible-shorter urethra
deep tendon reflexes during physical
- myotatic
* patella or knee jerk
difference between rheumatoid vs osteoarthritis joint pain
- rheumatoid arthritis: chronic pain, swelling, warmth
* osteoarthritis: pain & stiffness in moving
