Term
|
Definition
|
|
Term
| female sexual response cycle (4): |
|
Definition
Desire
Arousal
Orgasm
Resolution |
|
|
Term
| female sexual response cycle (varies,4): |
|
Definition
| Sequence, Overlap, Repeat, Absence |
|
|
Term
|
Definition
Excitement;
Plateau;
Orgasm;
Resolution |
|
|
Term
| normal sexual function (male, sexual response): |
|
Definition
Excitement - tumescence (erection);
Plateau - engorgement (cowper's/pre-c)
Orgasm - ↑rr,hr
Resolution - refractory, ↑age |
|
|
Term
| normal sexual function (female, sexual response): |
|
Definition
Excitement - vasocongestion;
Plateau - labia red, purple;
Orgasm - contractions;
Resolution - mental and physical relax |
|
|
Term
|
Definition
Primordial germ cell
Gonia
1ary cyte
2ndary cyte
Tid
Zoa |
|
|
Term
| spermatogenesis (regulation): |
|
Definition
|
|
Term
| gonadal steroids (transport): |
|
Definition
albumin - 54%
SHBG (sex horm binding globin) - 44%
free - 2% |
|
|
Term
| androgens (major function,male): |
|
Definition
testos - virilization of wolffian duct, feedback (LH secret), spermatogenesis
Dihydro - male puberty |
|
|
Term
| normal sexual development (embryogenesis,3): |
|
Definition
Chromosomal sex (fertilization)
Gonadal sex (week 8)
Sexual phenotype (week 12) |
|
|
Term
| phenotypic differentiation (female): |
|
Definition
|
|
Term
| phenotypic differentiation (male): |
|
Definition
AMH - anti-mull
Testos - wolffian duct
Dihydro - external genitalia |
|
|
Term
| testicular determination (SYR): |
|
Definition
| SYR causes teste development |
|
|
Term
| ovarian determination (SYR): |
|
Definition
| (Rspo1)/Wnt-4/β-catenin signaling (repressed by SYR) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| gay patient population (prevelance): |
|
Definition
| all clinician consider gay/MSM when seeing patients |
|
|
Term
| gay population (medical issues): |
|
Definition
Cancer
HIV/AIDS
Immunizations (STD's, infectious) Substance and tobacco abuse
Behavioral health and mental disorders, Domestic violence |
|
|
Term
| accessible medical care (gay men): |
|
Definition
open/non-judgemental approach
educational material, registration forms |
|
|
Term
|
Definition
any form of forced or inappropriate
unwanted sexual contact ranging from forced touching or kissing to verbally or physically coerced vaginal, oral, or anal penetration |
|
|
Term
|
Definition
| nonconsensual vaginal, anal, or oral penetration that involves force or threat of force (physical or psychological), lack of consent, or inability to provide consent because of age, intoxication, or mentalstatus |
|
|
Term
|
Definition
| Stranger rape, Acquaintance rape (date rape) |
|
|
Term
| promoting disclosure of rape act (methods,3): |
|
Definition
Environment conducive to disclosure
Anticipatory guidance/edu materials
General info
(sex assault, dating relationships) |
|
|
Term
|
Definition
| intentional controlling or violent behavior by a person who is or was in an intimate relationship with the victim |
|
|
Term
| domestic violence (screening): |
|
Definition
| all women patients for domestic violence |
|
|
Term
| domestic violence (epidemiology): |
|
Definition
| Mostly women, 10% over 65, relatives and pregnancy |
|
|
Term
| domestic violence victim (clinical presentation): |
|
Definition
Abusive relationship - delayed treatment
Somatic complaints
Gynecologic conditions,
STDs/chronic pelvic pain
Late prenatal care
Frequent ED visits
Missed appointments
PE, injuries (centralbody), bruises, neck bruising (strangulation injury) |
|
|
Term
| domestic violence (diagnosis): |
|
Definition
Confidentiality
Interview alone |
|
|
Term
| domestic violence victims (treatment): |
|
Definition
Team approach (institutional and community resources)
Physician's role -
Diagnosis
Counseling
Medical care
Emotional support
Educate the patient (available support services)
Documentation of injury and reports of abuse |
|
|
