Term
| In children, the Vagina is _____. |
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Definition
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Term
| In children, the _____ comprises most of uterus. |
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Definition
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Term
| In children, the Ovaries are _____. |
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Definition
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Term
| In children, the _____ is intact. |
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Definition
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Term
| _____: functional maturation of reproductive organs |
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Definition
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Term
| In adolescents, External genitalia _____ and _____ ______ develops |
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Definition
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Term
| In adolescents, Clitoris becomes _____. |
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Definition
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Term
| In adolescents, Vagina ____ and secretions become _____. |
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Definition
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Term
| in adolescents, Uterus, ovaries, and tubes _____ in size. |
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Definition
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Term
| in adolescents, Uterine ____ and ____ ____ increase. |
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Definition
musculature
vascular supply |
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Term
| in adolescents, Endometrial lining ____. |
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Definition
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Term
| older adults -> External and internal genitalia ____ in size. |
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Definition
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Term
older adults -> Tissue loses ____ & ____
so can become Can become ____ |
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Definition
elasticity and tone
incontinent |
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Term
| older adults -> Vagina ___ and loses _____ so could have pain w/ intercourse |
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Definition
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Term
| The ovaries are very small on elderly patients -> so worry about a ____ if you can feel them |
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Definition
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Term
| Patient is in _______ ______ position for a female exam |
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Definition
| dorsal lithotomy position |
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Term
| Drape in such a way that _____ exposure. |
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Definition
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Term
| Drap over her ____ & _____, depressing the drape between her knees. -> Allows you to see the woman’s face (and she, yours) = pt is more comfortable |
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Definition
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Term
| Inspect the pubic hair ____ & ____. |
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Definition
| characteristics and distribution |
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Term
Inspect and palpate the labia for the following:
Symmetry of ____
Presence of _____
Inflammation, Irritation or Excoriation
Swelling |
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Definition
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Term
| Inspect the urethral meatus and vaginal opening for the following: (3) |
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Definition
Discharge
Lesions
Inflammation |
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Term
| Inspect and palpate the the ____ glands (around the opening of the urethra) and the _____ glands (around the opening of the vagina). |
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Definition
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Term
FYI: Inspect and palpate the perineum for the following:
Smoothness
Tenderness, inflammation
Fistulas
Lesions or growths |
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Definition
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Term
| Insert the speculum along the path of ____ ______. |
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Definition
least resistance
She said in class that if you go in with speculum turned left or right, and then turn it upright when inside, it is most comfortable for the pt. |
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Term
FYI: Inspect the cervix for the following:
Color
Position
Size
Surface characteristics
Discharge
Size and shape of os |
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Definition
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Term
| shape of os should look like a _____ |
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Definition
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Term
| ________= common splace for cervical cancer |
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Definition
| squamocolumnar junction: the region in the uterine cervix in which the squamous lining of the vagina is replaced by the columnar epithelium typical of the body of the uterus |
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Term
FYI: Inspect vaginal walls for the following:
Color
Surface characteristics
Lesions
Secretions |
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Definition
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Term
| Pap smear collects: ________ ________ |
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Definition
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Term
| DNA probe tests for ___ & ____ |
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Definition
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Term
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Definition
| Trichomonas, bacterial vaginosis, or candidiasis |
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Term
Bimanual Examination:
Insert the ____ & ____ fingers of one hand into the vagina and place the other hand on the abdominal midline. |
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Definition
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Term
Palpate the cervix for the following:
Size, shape, and length
Position
Mobility |
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Definition
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Term
Palpate the vaginal walls for the following:
Smoothness
Tenderness
Lesions (cysts, nodules, or masses) |
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Definition
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Term
Palpate the uterus for the following:
Location
Position
Size, shape, and contour
Mobility
Tenderness |
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Definition
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Term
| ______ - when move the cervix, it will hurt patient if they have pelvic inflammatory disease |
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Definition
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Term
Palpate the ovaries for the following:
Size
Consistency
Tenderness |
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Definition
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Term
| Palpate ____ areas (the region that encompasses the ovaries)for masses and tenderness. |
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Definition
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Term
| _____ & _______ uterine positions are very difficult to palpate |
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Definition
retroverted & retroflexed
hardest is retroflexed |
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Term
Rectovaginal Examination
Insert the ____ finger into the vagina and the ____ finger into the anus. Assess sphincter ___.
If initially wearing two gloves, then can just take off the first one and have a clean one for the rectal exam
Note characteristics of ___ when the gloved finger is removed. |
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Definition
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Term
Examination of Infants
Inspect and palpate _____ ______ only.
Expected _____ (is normal after birth)
____ discharge
____ appearance
Adhesions between ____ _____ |
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Definition
external genitalia
swelling
Milky
Ambiguous
labia minorae |
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Term
Examination of Children
Inspect and palpate external genitalia. (3)
Internal examination only if evidence of: (3) |
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Definition
Redness or irritation
Swelling
Discharge or bleeding
Bleeding
Discharge
Trauma or abuse |
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Term
| An infant Could have bleeding from vaginal canal -> mother has high levels of _____ & that affects the baby who could have like a mini period but will stop later |
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Definition
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Term
FYI: Sexual abuse signs: medical complaints
Evidence of general physical abuse or neglect
Evidence of trauma and/or scarring in genital, anal, and perianal areas
Unusual changes in skin color or pigmentation in genital or anal area
Presence of sexually transmitted infection
Anorectal problems such as itching, bleeding, pain, fecal incontinence, poor anal sphincter tone
Genitourinary problems (e.g., rash or sores in genital area, vaginal odor, pain) |
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Definition
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Term
All adolescent females should have a pelvic examination within ___ years of initiating sexual intercourse.
Pap smear with cervical cytology evaluation and sexually transmitted infection evaluation should also be included.
Young women who are not sexually active should have their first examination by age ___ years. |
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Definition
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Term
Maturational changes of sexual development:
Just before menarche, there is a physiologic increase in ___ ____. Hymen may or may not be stretched across the ___ ___. By menarche, the vaginal opening should be at least __ cm wide. |
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Definition
vaginal secretions
vaginal opening
1 |
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Term
Additional considerations for pregnant women:
____ age estimation
____ size and contour
____ size estimates
____ dilation and length |
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Definition
Gestational
Uterine
Pelvic
Cervical |
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Term
Older Adults
Inspect and palpate for age-related changes:
Labia appear ____ & _____
Skin is ___ & ____
Clitoris is _____
Urinary meatus may appear as an ____ or _____ |
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Definition
flatter and smaller
drier and shinier
smaller
irregular opening or slit. |
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Term
Older Adults
Age Related Changes:
Vaginal introitus may be _____.
Multiparous older women, the introitus may ____
Vagina is ____ & ___
Absence of ____
____ uterus
____ ovaries
____ rectal tone |
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Definition
constricted
gape
narrower and shorter.
rugation
Smaller
Nonpalpable
Diminished |
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Term
_____ ____ (genital warts)
Warty lesions due to sexually transmitted infection with human papillomavirus (HPV) |
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Definition
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Term
| ___ ____: Viral infection of the skin and mucous membranes in the genital area. Often seen in ___. Considered an STI in ____, in contrast to the common non–sexually transmitted infection occurring in young children |
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Definition
Molluscum contagiosum
children
adults |
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Term
| ___ ____: Skin lesion associated with primary syphilis |
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Definition
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Term
| ___ ___: Lesions of secondary syphilis |
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Definition
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Term
| Genital herpes: Most commonly caused by the herpes simplex virus ___. But can also be caused by virus ___ and are indistinguishable when looking at lesions. |
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Definition
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Term
| Inflammation of Bartholin gland Commonly, but not always, caused by ______ _____ |
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Definition
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Term
Vaginal carcinoma:
Classified by the type of tissue from which the cancer arises: (4) |
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Definition
Squamous cell
Adenocarcinoma
Melanoma
Sarcoma |
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Term
Vulvar carcinoma
Classified by the type of tissue from which is arises: (4) |
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Definition
Squamous cell
Adenocarcinoma
Melanoma
Basal cell |
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Term
| When you take antibiotics, more likely to get a ___ infection b/c it kills the good bacteria |
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Definition
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Term
FYI Vaginal infections:
Bacterial vaginosis (Gardnerella vaginalis)
Candida vulvovaginitis (Candida albicans)
Trichomoniasis (Trichomonas vaginalis)
Gonorrhea (Neisseria gonorrhoeae)
Chlamydia (Chlamydia trachomatis)
Foreign body |
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Definition
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Term
| _____– can be transferred through moist environments like towels -> need to treat the sexual partner as well |
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Definition
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Term
| _____: is characterized by "strawberry spots" on cervix |
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Definition
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Term
| Candida vulvovaginitis is also know as a ____ infection |
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Definition
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Term
| dry, white plaques on the vaginal wall can indicate a _____ _____. |
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Definition
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Term
| Babies get ____ infections b/c they are in a wet diaper and is usually seen in the skin folds. If they have Redness all over and none in the folds it is usually just from irritation from sitting in urine |
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Definition
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Term
Cervical carcinoma
Two main types of cervical cancer, named for the cell type from which the cancer arises: (2) |
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Definition
Squamous cell carcinoma
Adenocarcinoma |
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Term
| _____: Common, benign, uterine tumors |
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Definition
| Myomas (leiomyomas, fibroids) |
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Term
| _____ _____: Cancers of the glandular cells found in the lining of the uterus |
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Definition
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Term
| ______ ______: Descent or herniation of the uterus into or beyond the vagina |
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Definition
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Term
| ___ ___: Fluid-filled sac in an ovary |
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Definition
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Term
Ovarian carcinoma
Classified by the cells from which the cancer arises: (3) |
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Definition
Epithelial
Stromal
Germ cell |
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Term
| ___ pregnancy: Pregnancy occurring outside the uterus |
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Definition
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Term
| ___________: Infection of the uterus, fallopian tubes, and other reproductive organs. Common and serious complication of some sexually transmitted infections (infection has ascended from vagina into the uterus). ____ motion tenderness present on exam. |
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Definition
Pelvic inflammatory disease (PID)
Cervical |
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Term
____: Inflammation or infection of the fallopian tubes
Often associated with ___ |
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Definition
Salpingitis
PID pelvic inflammatory disease |
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Term
| ___ ____:Newborns’ genitalia are not clearly either male or female. Results from increased _____ production in female infants. |
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Definition
Ambiguous genitalia
androgen |
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Term
| ____: Distention of the vagina in children due to accumulation of fluid due to congenital vaginal obstruction |
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Definition
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Term
| ____: Inflammation of the vulvar and vaginal tissues in children |
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Definition
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Term
| Labia minora adhesions: Thin skin that adheres together. Very common in kids. Treatment –> topical ____ cream -> adhesion will go away |
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Definition
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Term
| ___ ___: Inflammation of the vagina in older adults due to the ____ & ____ of the tissues, as well as decreased ____ |
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Definition
Atrophic vaginitis
thinning and shrinking
lubrication |
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