Term
| Lymphatics of female repro |
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Definition
Inguinal nodes: lymph from vulva and lower vagina
Pelvic and abdominal nodes: internal genitalia, upper vagina |
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Term
| Parts of repro health history |
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Definition
Menstrual history
Obstetric history
Sexual history |
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Term
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Definition
| The age of onset of menses |
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Term
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Definition
Absence of menstruation for 12 consecutive months
Usually happens between 48-55 |
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Term
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Definition
| Period of years in which a women transitions to menopause |
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Term
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Definition
| Bleeding that occurs 6 months or more after the cessation of menses |
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Term
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Definition
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Term
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Definition
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Term
| Menstrual history questions |
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Definition
- Age of onset and/or cessation
- LMP: day 1 most important
- Length and regularity of cycle
- Non menstrual vaginal bleeding
- Any treatment for cramps, excessive bleeding |
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Term
| Things that happen during perimenopaus |
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Definition
Irregular cycles
Vaginal dryness
Hot flashes
Mood swings |
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Term
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Definition
- Gravida: total number of pregnancies
- Para: total number of deliveries after 20 wks (viable or potentially viable)
- Abortus: # pregnancies lost (elective spontaneous, induced) |
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Term
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Definition
- Frequency, urgency, nocturia
- Pain
- Hematuria or pyuria
- Urinary incontinence
- Cystocele/rectocele/uterine prolapse can interfere with normal urinary function |
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Term
| Tips for a more pleasant pelvic exam (as if it can ever be pleasant) |
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Definition
- An emtpty bladder
- Position table so that she's not exposed to open door
- Ask if she would like someone present (at head)
- Elevate head and shoulders to semi sitting position to maintain eye contact
- Place stirrups so legs aren't too far abducted
- Offer mirror so client can see exam
- Explain each step of exam
(lithotomy position) |
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Term
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Definition
- Tanner scale (assess sexual maturity)
- Skin: color, lesions, masses, discharge
- Labia and clitoris: scarring
- Perineum
- Anus: lesions, blood, hemorrhoids |
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Term
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Definition
- Inguinal lymph glands
- Urethral opening (Skene's glands)
- Vaginal opening (Bartholin's glands)
- Perineum: muscle tone |
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Term
| Internal inspection with speculum |
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Definition
- Cervix and os: color, shape and position, surface lesions (edema/inflammation, mass or ulcers), secretions (blood or pus)
- Vaginal wall: folds or rugae, lesions, discharge |
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Term
| Topics for health promotion in women |
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Definition
- A&P of reproductive system and associated age related changes
- Cervical cancer screenings (Pap or HPV)
- Vaccine info
- Early prenatal care
- Options for family planning
- STI and HIV prevention |
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Term
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Definition
- Incomplete emptying of bladder
- Urinary frequency or urgency
- Weak or intermittent stream
- Straining to initate flow
- Nocturia
- Bony pains in pelvis |
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Term
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Definition
| A congenital displacement of the urethral to the inferior surface of the penis |
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Term
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Definition
| A congenital displacement of the urethral to the superior surface of the penis |
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Term
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Definition
| A painful deep ulcer with ragged nonindurated margins |
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Term
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Definition
| In women, a small firm round nodule in the labia that is often yellowish in color |
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Term
| Syphilitis chancre in women |
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Definition
| Most develop internally, often go unnoticed |
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Term
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Definition
| A protozoan, often, not always acquired sexually |
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Term
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Definition
| White and curdy discharge |
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Term
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Definition
| Unpleasant fishy or musty genital odor |
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Term
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Definition
| The testis is atrophied and may lie in inguinal canal or abdomen resulting in unfilled scrotum |
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Term
| Varicocele of the spermatic cord |
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Definition
| Feels like a soft bag of worms, slowly collapses when testis are elevated in supine patient |
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