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WH Dx 8 Flashcards

1
Q

urinary incontinence

A

involuntary leakage of urine

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2
Q

urinary incontinence risk factors
8

A
  1. older age
  2. obesity
  3. multiple parity
  4. vaginal births
  5. family hx
  6. caffeine
  7. alcohol
  8. smoking
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3
Q

urinary incontinence types
3

A

stress
urgency
overflow

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4
Q

urinary incontinence - stress

A

involuntary leak with increased abd pressure - sneezing, coughing, laughing

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5
Q

involuntary leak with increased abd pressure - sneezing, coughing, laughing

A

urinary incontinence - stress

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6
Q

urinary incontinence - urgency

A

urge to void immediately preceding or accompanied by involuntary leakage of urine

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7
Q

urge to void immediately preceding or accompanied by involuntary leakage of urine

A

urinary incontinence - urgency

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8
Q

“over active bladder”

A

urinary incontinence - urgency

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9
Q

urinary incontinence - overflow

A

continuous urinary leakage or dribbling in the setting of incomplete bladder emptying

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10
Q

continuous urinary leakage or dribbling in the setting of incomplete bladder emptying

A

urinary incontinence - overflow

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11
Q

urinary incontinence DD
3

A

STD
neurological conditions - MS
UTI

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12
Q

urinary incontinence education
5

A
  1. work on losing weight
  2. dietary changes - normal amount of fluid intake, minimize coffee or alcohol
  3. eliminating constipation
  4. quit smoking
  5. bladder training
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13
Q

urinary incontinence tests
2

A

urinalysis with culture
Stress urinary incontinence stress test

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14
Q

urinary incontinence f/u

A

4-6 week

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15
Q

urinary incontinence AG
3

A
  1. cervical cancer screening
  2. STD screening
  3. healthy diet and physical activity counseling
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16
Q

urinary incontinence red flags
6

A
  1. worsening of s/sx
  2. dysuria
  3. hematuria
  4. flank pain
  5. abd pain
  6. fever
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17
Q

uterine fibroids

A

uterine leiomyomas are noncancerous tumors

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18
Q

uterine fibroids risk factors
6

A
  1. changes in reproductive hormones
  2. early menarche
  3. obesity
  4. beef or high fat diet
  5. alcohol
  6. smoking
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19
Q

uterine fibroids s/sx
6

A
  1. heavy or prolonged menstrual bleeding
  2. bulk-related symptoms such as pelvic pressure or pain
  3. reproductive dysfunction (infertility, miscarriage)
  4. dysmenorrhea - painful menses
  5. painful intercourse
  6. Urinary frequency or difficulty passing urine
  7. dual, crampy pain
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20
Q

uterine fibroids PE should include
2

A

abd exam
pelvic exam

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21
Q

uterine fibroids DD
4

A

pregnancy
myometrial lesions
endometriosis
PID

22
Q

uterine fibroids education
6

A
  1. these fibroids are abnormal growths that form in the muscle of the uterus
  2. treatment usually depends on if you desire fertility at this time or not - meds, surgery
  3. these are non cancerous
  4. reduce risk by maintaining a healthy weight
  5. Eat a healthy diet
  6. Don’t drink
23
Q

uterine fibroids meds

A

NSAIDS or Tylenol for pain
contraception for controlling bleeding (oral BP combo, progestin only IUD work best)

24
Q

uterine fibroids tests
3

A

pregnancy
H/H
pelvic US

25
uterine fibroids f/u
4-6 weeks
26
uterine fibroids red flags 4
1. worsening of symptoms 2. increase in bleeding 3. change in bowel or bladder patterns 4. change in vaginal discharge
27
UTI complicated s/sx 10
1. dysuria 2. urinary frequency 3. urinary urgency 4. suprapubic pain 5. hematuria 6. fever 7. chills 8. fatigue, malaise 9. flank pain 10. CVA tenderness
28
UTI uncomplicated s/sx 5
1. dysuria 2. urinary frequency 3. urinary urgency 4. suprapubic pain 5. hematuria
29
UTI DD 4
vaginitis STD urethritis PID
30
UTI education 4
1. drink plenty of water 2. urinate after sex 3. practice good hygiene such as wiping from front to back 4. avoid OTC vaginal products like vaginal soaps
31
UTI meds
empiric abx until cultures
32
UTI test
UA with culture
33
UTI f/u
48-72 hours after abx start for complicated UTI, no f/u for uncomplicated
34
UTI Red flags 3
1. worsening s/sx 2. symptoms don't improve 72 hours after abx starts 3. symptoms reoccur within a few weeks
35
vaginal foreign body s/sx 3
pelvic pain vaginal discharge vaginal bleeding
36
vaginal foreign body PE should include 2
abd exam pelvic exam
37
vaginal foreign body DD 3
STD UTI malignancy
38
vaginal foreign body education 2
1. be mindful of menstrual products as they can cause adverse effects if left in for too long 2. objects for sexual gratification are of personal choice but attention should be made aware to the type of product being used and the safety around it
39
vaginal foreign body meds
NSAIDs for pain, need to remove object
40
vaginal foreign body test
x ray may be done
41
vaginal foreign body f/u
1 weeks to assess for s/sx of infection
42
vaginal foreign body red flags 3
1. worsening of symptoms 2. signs of infection - fever, malaise, change in discharge 3. bleeding
43
PPD occurs most often when
in the first month after birth
44
PPD risk factors include 8
1. depression during pregnancy 2. hx of depression 3. stressful life events 4. poor social or financial support 5. anxiety 6. young age 7. single marital status 8. multiparity
45
PPD clinical features 8
1. depression 2. anxiety about health of infant 3. concerned about ability to care for infant 4. negative perception of infant termperament 5. lack of interest in infant's activities 6. lack of response to support 7. using drugs/alcohol/smoking 8. nonadherence to postnatal care
46
PPD education 4
1. reach out to someone right away if you have thoughts of harming yourself or your baby 2. there is a crisis hotline for this or you can call 911 3. try to maintain healthy lifestyle choices - eat healthy, get sleep, drinking water, exercise 4. try to get a support group around you
47
PPD DD 2
anxiety bipolar depression
48
PPD meds 2
psychotherapy and then an antidepressant (safe for BF)
49
PPD test
DSM 5 criteria
49
PPD f/u
48 hours
50
PPD red flags 4
1. worsening of symptoms 2. inability to manage ADLs 3. inability to care for self or infant 4. thoughts of harming yourself, others, or your baby

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