The Reproductive System Flashcards

1
Q

What are red flags common pathologies of the male reproductive system?

A
  • Isolated swelling, nodules or cysts
  • Painful swelling or scrotal pain (check for inflammation)
  • Sores that do not heal
  • Purulent urethral discharge or bleeding
  • Blood in the semen for more than 1 month
  • Erectile dysfunction with numbness or paraesthesia in groin or saddle area
  • Persistent abnormal erection without sexual desire (priapism) esp. if accompanied with night sweat, pain, fever or following a trauma
  • Any signs of sexual abuse (children & adults)
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2
Q

What is benign prostatic hyperplasia (BPH)?

A
  • noncancerous enlargement of prostate gland
  • causes difficulty in urination, risk of developing kidney stones and UTI
  • linked to changes in testosterone (for older men)
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3
Q

What is epididymitis?

A
  • inflammation of the epididymis caused by groin injury
  • STI or mumps
  • heavy lifting and straining can cause backflow of urine to the epididymis
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4
Q

What are signs and symptoms of epididymis?

A
  • Testicular pain
  • Swelling
  • Inflammation
  • Penile discharge
  • Bleeding
  • Lower abdominal pain
  • Pain in urination
  • Urgency or increased frequency of urination
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5
Q

What is impotence (erectile dysfunction) caused by?

A

atherosclerosis, diabetes, nerve damage, illness, stress, or fatigue

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6
Q

What are signs and symptoms of penile cancer?

A
  • Thickening of skin
  • Sore
  • Discolouration of skin
  • Lump
  • Bleeding
  • Discharge
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7
Q

What are some risk factors of penile cancer?

A
  • HPV
  • HIV infection
  • poor hygiene
  • cigarette smoking
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8
Q

What is prostate cancer?

A

a very slow growing cancer that begins with a small bump in a prostate gland, which is asymptomatic until advanced stages

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9
Q

What are signs and symptoms of prostate cancer?

A
  • difficulty urinating
  • urinary urgency and frequency
  • haematuria
  • inability to urinate in end stage
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10
Q

What is prostatitis?

A

inflammation of prostate gland usually caused by bacterial infections

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11
Q

What are the signs and symptoms of prostatitis?

A
  • muscle spasms in bladder and pelvis
  • pain in lower back, perineum and testes
  • burning and painful urination
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12
Q

What are the signs and symptoms of testicular cancer?

A
  • irregularly shaped testes with solid growing lump
  • unknown causes, but seems to be more common in men with undescended testes in early childhood
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13
Q

What are red flags common pathologies of the female reproductive system?

A
  • Vaginal discharge with change in colour, itching, pain and smell
  • Pain during sexual intercourse (dyspareunia)
  • Bleeding (not expected)
  • Absence or cessation of menstruation for no known reason
  • Pelvic pain (esp. if persistent)
  • Lymphadenopathy of inguinal nodes
  • Urinary incontinence
  • Development of male pattern hair growth and other muscular physical traits (virilisation)
  • Vaginal or pelvic pain with chills, fever, nausea, vomiting, low blood pressure, tachycardia, fainting
  • Any signs of sexual abuse
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14
Q

What is breast cancer?

A

present with a lump, bumps, soreness, dimpling and leathery appearance of skin over the lump

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15
Q

What are risks of breast cancer?

A
  • old age
  • family history
  • never having had a baby
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16
Q

What is candidiasis?

A

thrush, yeast infection

17
Q

What is cervical cancer caused by?

A

HPV through sexual intercourse

18
Q

What are the signs and symptoms of cervical cancer?

A
  • asymptomatic until later stage
  • heavy bleeding on menstruation
  • bleeding between periods or after intercourse
19
Q

What are some examples of STDs?

A
  • chlamydia
  • syphilis
  • HPV
  • HIV
  • trichomoniasis
  • vaginitis
  • toxic shock syndrome
20
Q

What is mastitis?

A

breast inflammation caused by bacterial infection

21
Q

What are fibroids?

A

benign tumours consisting of muscles and fibrous tissues, which can develop in the muscular walls of the uterus causing pain, heaviness in pelvic area and excessive bleeding

22
Q

What are the signs and symptoms of endometriosis?

A
  • pelvic pain
  • irregular menstrual cycle
  • severe bleeding and cramping
23
Q

What is ectopic pregnancy?

A

foetus develops outside the uterus

24
Q

What are risk factors for pelvic girdle dysfunction?

A
  • prostate surgery
  • age
  • pregnancy & childbirth
  • genetics
  • hysterectomy
  • pelvic floor injury
  • increased abdominal pressure
  • constipation
  • intense physical effort
  • obesity
  • history of back pain
25
Q

Gravida

A

number of pregnancies

26
Q

Parity

A

number of live births

27
Q

What is a subjective pregnancy assessment?

A
  • individual journey to pregnancy
  • comorbidities
  • prior pregnancies/complications
  • cultural considerations
28
Q

What are common pregnancy related conditions?

A
  • Low Back Pain
  • Pelvic Girdle Pain
  • Carpal Tunnel Syndrome
  • Incontinence
  • Ante/Post-natal Depression
  • Hip Pain
  • Restless Legs
  • Plantar Fasciitis
  • Diastasis Rectus Abdominis (DRA)
29
Q

What are symptoms of pelvic girdle pain?

A
  • Pain
  • Difficulty walking
  • Pain standing on one leg
  • Pain moving your legs apart
  • Clicking in pelvic area
  • Limited hip movements
  • Difficulty lying in some positions
  • Can persist after childbirth if not managed
30
Q

How do you manage pelvic girdle pain?

A
  • Activity Adjustment (i.e., get dressed sitting down)
  • Avoid aggravating activities (e.g., SLS)
  • Sleeping position
  • Limiting Hip Abduction
  • Advice on getting in/out of bed/car and lifting
  • Specific Exercises
  • General Exercise and Fitness
  • Manual therapy
  • Acupuncture/TENS
  • Provision of equipment
31
Q

What are the contradictions to pregnancy exercise?

A
  • Vaginal bleeding
  • Reduced foetal movements
  • Serious heart, lung, kidney or thyroid disease
  • Diabetes Type 1 (if poorly controlled)
  • History of miscarriage, premature labour
  • High or low blood pressure (discuss with your doctor)
  • Placenta praevia after 26 weeks (discuss with your doctor)
  • Acute infectious disease
32
Q

What are the precautions to pregnancy exercise?

A
  • From 19/52+ avoid supine lying/right side lying
  • No doming
  • Hydro/Swimming (Pool temperature)
33
Q

What are common postnatal conditions?

A
  • Collagen softening
  • Diastasis recti abdominis
  • Decreased muscle strength = Risk decreased mechanical support
  • Weaker PFM’s = Risk of incontinence
  • Perineal Trauma
34
Q

What happens with diastasis recti abdominis (DRA)?

A
  • excessive prolonged widening of the midline connective tissue (linea alba)
  • bulging/hollowing along midline with abdominal effort
  • compromised abdominal wall strength and function
  • negative body image
35
Q

What is the perineum?

A

the area between the vaginal opening and anus

36
Q

What is a 1st degree perineal tear?

A

injury to perineal skin and/or vaginal mucosa

37
Q

What is a 2nd degree perineal tear?

A

injury to perineum involving perineal muscles but not involving the anal sphincter

38
Q

What is a 3rd degree perineal tear?

A

injury to perineum involving the anal sphincter complex:
- Grade 3a: less than 50% of external anal sphincter (EAS) thickness torn
- Grade 3b: more than 50% of EAS thickness torn
- Grace 3c: both EAS and internal anal sphincter (IAS) torn

39
Q

What is a 4th degree perineal tear?

A

injury to perineum involving the anal sphincter complex (EAS and IAS) and anorectal mucosa