WH Dx 8 Flashcards
urinary incontinence
involuntary leakage of urine
urinary incontinence risk factors
8
- older age
- obesity
- multiple parity
- vaginal births
- family hx
- caffeine
- alcohol
- smoking
urinary incontinence types
3
stress
urgency
overflow
urinary incontinence - stress
involuntary leak with increased abd pressure - sneezing, coughing, laughing
involuntary leak with increased abd pressure - sneezing, coughing, laughing
urinary incontinence - stress
urinary incontinence - urgency
urge to void immediately preceding or accompanied by involuntary leakage of urine
urge to void immediately preceding or accompanied by involuntary leakage of urine
urinary incontinence - urgency
“over active bladder”
urinary incontinence - urgency
urinary incontinence - overflow
continuous urinary leakage or dribbling in the setting of incomplete bladder emptying
continuous urinary leakage or dribbling in the setting of incomplete bladder emptying
urinary incontinence - overflow
urinary incontinence DD
3
STD
neurological conditions - MS
UTI
urinary incontinence education
5
- work on losing weight
- dietary changes - normal amount of fluid intake, minimize coffee or alcohol
- eliminating constipation
- quit smoking
- bladder training
urinary incontinence tests
2
urinalysis with culture
Stress urinary incontinence stress test
urinary incontinence f/u
4-6 week
urinary incontinence AG
3
- cervical cancer screening
- STD screening
- healthy diet and physical activity counseling
urinary incontinence red flags
6
- worsening of s/sx
- dysuria
- hematuria
- flank pain
- abd pain
- fever
uterine fibroids
uterine leiomyomas are noncancerous tumors
uterine fibroids risk factors
6
- changes in reproductive hormones
- early menarche
- obesity
- beef or high fat diet
- alcohol
- smoking
uterine fibroids s/sx
6
- heavy or prolonged menstrual bleeding
- bulk-related symptoms such as pelvic pressure or pain
- reproductive dysfunction (infertility, miscarriage)
- dysmenorrhea - painful menses
- painful intercourse
- Urinary frequency or difficulty passing urine
- dual, crampy pain
uterine fibroids PE should include
2
abd exam
pelvic exam
uterine fibroids DD
4
pregnancy
myometrial lesions
endometriosis
PID
uterine fibroids education
6
- these fibroids are abnormal growths that form in the muscle of the uterus
- treatment usually depends on if you desire fertility at this time or not - meds, surgery
- these are non cancerous
- reduce risk by maintaining a healthy weight
- Eat a healthy diet
- Don’t drink
uterine fibroids meds
NSAIDS or Tylenol for pain
contraception for controlling bleeding (oral BP combo, progestin only IUD work best)
uterine fibroids tests
3
pregnancy
H/H
pelvic US
uterine fibroids f/u
4-6 weeks
uterine fibroids red flags
4
- worsening of symptoms
- increase in bleeding
- change in bowel or bladder patterns
- change in vaginal discharge
UTI complicated s/sx
10
- dysuria
- urinary frequency
- urinary urgency
- suprapubic pain
- hematuria
- fever
- chills
- fatigue, malaise
- flank pain
- CVA tenderness
UTI uncomplicated s/sx
5
- dysuria
- urinary frequency
- urinary urgency
- suprapubic pain
- hematuria
UTI DD
4
vaginitis
STD
urethritis
PID
UTI education
4
- drink plenty of water
- urinate after sex
- practice good hygiene such as wiping from front to back
- avoid OTC vaginal products like vaginal soaps
UTI meds
empiric abx until cultures
UTI test
UA with culture
UTI f/u
48-72 hours after abx start for complicated UTI, no f/u for uncomplicated
UTI Red flags
3
- worsening s/sx
- symptoms don’t improve 72 hours after abx starts
- symptoms reoccur within a few weeks
vaginal foreign body s/sx
3
pelvic pain
vaginal discharge
vaginal bleeding
vaginal foreign body PE should include
2
abd exam
pelvic exam
vaginal foreign body DD
3
STD
UTI
malignancy
vaginal foreign body education
2
- be mindful of menstrual products as they can cause adverse effects if left in for too long
- 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
vaginal foreign body meds
NSAIDs for pain, need to remove object
vaginal foreign body test
x ray may be done
vaginal foreign body f/u
1 weeks to assess for s/sx of infection
vaginal foreign body red flags
3
- worsening of symptoms
- signs of infection - fever, malaise, change in discharge
- bleeding
PPD occurs most often when
in the first month after birth
PPD risk factors include
8
- depression during pregnancy
- hx of depression
- stressful life events
- poor social or financial support
- anxiety
- young age
- single marital status
- multiparity
PPD clinical features
8
- depression
- anxiety about health of infant
- concerned about ability to care for infant
- negative perception of infant termperament
- lack of interest in infant’s activities
- lack of response to support
- using drugs/alcohol/smoking
- nonadherence to postnatal care
PPD education
4
- reach out to someone right away if you have thoughts of harming yourself or your baby
- there is a crisis hotline for this or you can call 911
- try to maintain healthy lifestyle choices - eat healthy, get sleep, drinking water, exercise
- try to get a support group around you
PPD DD
2
anxiety
bipolar depression
PPD meds
2
psychotherapy and then an antidepressant (safe for BF)
PPD test
DSM 5 criteria
PPD f/u
48 hours
PPD red flags
4
- worsening of symptoms
- inability to manage ADLs
- inability to care for self or infant
- thoughts of harming yourself, others, or your baby
