Shared Flashcard Set

Details

537 Exam
GU/GYN
26
Nursing
Graduate
10/13/2011

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Cards

Term
What are features of a contact dermatitis diaper rash?
Definition
-skin fold involvement
-extends to anus
Term
What are features of a candida infection diaper rash?
Definition
-beefy red
-satellite lesions beyond perimeter
-sometimes starts in skin folds
Term
How is candida infection diaper rash treated?
Definition
Nystatin cream
Term
What are features of a staph infection diaper rash?
Definition
-pustules
-open, eroded, peeling
Term
How is a staph infection diaper rash treated?
Definition
Augmentin
Term
What are features of a strep infection diaper rash?
Definition
-red, beefy
-excoriation
Term
What should also be assessed in strep infection diaper rash?
Definition
-throat
Term
How is strep infection diaper rash treated?
Definition
Amoxicillin
Term
What are features of molluscum contagiosum diaper rash?
Definition
-virus
-white core
-umbilicated/dimpled lesion
-itchy
-18mos-2yrs, even preschool and school age common
Term
What are patient positions for female genital inspection?
Definition
-frog leg
-knee-chest/lithotomy
Term
Phimosis requires a referral after ___?___ years old.
Definition
5 years
Term
What should be explained before a GYN or older male exam?
Definition
-rationale of questions
-what the exam will feel like
-expected, normal erection in response to touch
-confidentiality
Term
What is assessed in the vaginal exam?
Definition
-lesions
-discharge
-foreign body
Term
What is assessed in the cervical exam?
Definition
-lesions
-discharge
-friability
Term
What are assessed in the bimanual exam?
Definition
-uterus
---postion
---size
---masses
-adnexa
---ovaries
---masses
Term
How is PMDD treated?
Definition
-SSRIs
-OCPs
Term
What is assessed in the adolescent male GU history?
Definition
-knowledge about sexual reproduction, and source of info
-nocturnal emissions
Term
What is assessed in adolescent testicular exam?
Definition
-normalcy
-testicles
-epididymis
-spermatic cord
-inguinal ring
-TSE
Term
What are features of varicocele?
Definition
-"bag of worms"
-dilation of spermatic vein
-some pain
-common on left side
-compromise of spermatogenesis
-needs referral
Term
What are features of spermatocele?
Definition
-painless, movable cyst of the spermatic cord just above testis
-transilluminates
-contains sperm
Term
What are features of orchitis?
Definition
-inflammation of testis
-swelling & pain
-in mumps, syphilis, and TB
Term
What are features of epididmytis?
Definition
-inflammation and swelling of epididymis
-caused by trauma or infection
-unilateral pain
-(+) Prehn sign: pain relief with elevation of scrotum
Term
What are features or urethritis?
Definition
-inflammation of urethral meatus
-swelling
-tenderness
-yellow discharge
Term
What is the difference bw a direct and indirect hernia?
Definition
-direct: through external inguinal ring
-indirect: in internal inguinal ring
Term
How does female genitalia appearance differ in premature and full term newborns?
Definition
-premature: more prominent clitoris
-full term: more prominent labia majora and minora
Term
What are features of lichen sclerosus?
Definition
-thin skin d/t low estrogen
-may itch
-abrasions easily
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