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Pathology of Female Reproductive System
Pathologies of female reproductive system & PT
42
Health Care
Graduate
10/17/2011

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Cards

Term
Vaginism
Definition
painful spasm of vaginal preventing intercourse
Term
dysparunia
Definition
pain w/ intercourse
Term
vulvodyna
Definition
chronic pain characterized by sting, burning, itching, or raw feeling in vulva region
Term
endometriosis
Definition
ectopic occurrence of endometrial tissue frequently forming cysts containing altered blood
Term
Types of Pelvic Inflammatory disease (PID)
Definition
endometriosis, salpingitis, tubo-ovarian abscess, and perionitis
Term
Causes PID
Definition
N. gonnorheas, clamydia, bacteroides, E.col, & streptococci
Term
Clinical manifestations of PID
Definition
- low ab pain
- purulent d/c
- N&V
- fever & chill
- if urethra involved: dysuria, urgency, frequency
Term
Menopause
Definition
permanant cessation of menses (~40-50y/o)
Term
Acute symptoms of menopause
Definition
hot flashes, sweating, insomia, fatiuge, irritability, nervousness, intermittent dizziness, palpitations, tachycardia, paresthesia, nause, flatulence, diarrhea/constipation, ms & jt pain
Term
Long term symptoms of Menopause
Definition
urogenital atrophy (vaginal dryness, dyspareunia, urinary frequency & urgency), osteoporosis, urinary incontince, CVD, increased risk of breast & uterine cancer
Term
Clinical manifestations of endometriosis
Definition
pelvic/back pain, dysmenorrhea, dyspareunia, infertility
Term
cervical cancer
Definition
rapid, uncontrollable growth of severly abnormal cells on cervix
Term
Early detection & prevention of cervical cancer
Definition
annual pap smear, can be prevented if detected early
Term
Ectopic pregnancy
Definition
implantation of fertilized ovum outside uterine cavity
Term
Clinical manifestations of ectopic pregnancy
Definition
irregular bleeding & spotting
amenorrhea
sudden onset/ intermittent low abd pain or back pain (may refer to shoulder)
Term
Normal early signs of pregnancy
Definition
N&V
fatiuge
breast tenderness
urinary frequency
Term
Time ruptured ectopic pregnancy prevents
Definition
6-8 mo gestation (sudden sharp abd pain)
Term
Ovarian cancer prevalence
Definition
- 2nd most common femal urogenital cancer & most lethal
- middle-aged women (>40y/o, mostly 55-75 y/o)
Term
"silent killer"
Definition
ovarian cancer- asymptomatic until late in disease
Term
Prevention of ovarian cancer
Definition
annual examination for early detection, especially those with high risk (previous history)
Term
Polycystic ovarian syndrome (PCOS)
Definition
hormonal disorder affecting pre menopausal women
Term
Tx of PCOS
Definition
- medicine (clomiphene)- reduce androgen levels
- improve insuling resistance- wt reduction, oral hypoglycemic agents, exercise
Term
Pelvic floor dysfunction Clinical manifestations
Definition
LBP, pain w/ sex. intercourse, pelvic organ prolapse
Term
types of pelvic organ prolapse
Definition
cystocele, rectocele, and uterine prolapse
Term
Tx of pelvic floor dysfunction
Definition
treat cause of original disease, pelvic ms exercise, surgical for asymp. pelvic organ prolapses
Term
PT interventions for pelvic floor dysfunction
Definition
Pt educ., ther ex for pelvic floor ms, trigger point therapy, phys quieting, physical modalitis, post. educ.
Term
Urinary Incontinence (UI)
Definition
involuntary loss of urine when bladder pressure > urethral sphincter pressure
Term
Risk factors in women for UI
Definition
pelvic ms weakness or damage, aging, child birth, pelvic surgery, menopause
Term
risk factors in men for UI
Definition
BPH, prostate cancer TX (prostatectomy radiation)
Term
Clinical manifestations of UI
Definition
wet clothes, wet adult diaper, bed wetting, direct observation of urine loss
Term
types of UI
Definition
functional, stress, urge, overflow, & mixed UI
Term
functional UI
Definition
nl urine control but have mobility diffulties to reach toilet in time or impaired cognitive fx to go to toilet
Term
stress incontinence
Definition
leakage of sm amt of urine during physical activitils that increase intraabd pressure, constant dribbling
Term
urge incontinence
Definition
sudden unexpected urge to urinate & immediatley followed by uncontrollable loss of lg amts of urine (caused by involuntary bladder detrusor spasms, overactive bladder)
Term
overflow UI
Definition
constant leakage of urine from a bladder that is full but unable to empty
Term
mixed UI
Definition
more than 1 type of incont. (more often stresss & urge together)
Term
Tx of UI
Definition
depends on type of UI, behavior, pharmalogica, surgical
Term
PT intervention of UI
Definition
perform assessment, develp behavior intervention, educ on lifestyle & dietary changes, Kegel & beyond kegel ex's, pelvic floor e-stim, biofeedback therapy, supportive devices (pessaries), vaginal wt training, ECMI
Term
Breast cancer risk population
Definition
most common malignancy in women (1/3 of females), 70% of all breast cancers occur in wmen >50y/o, women>men, higher in white women
Term
early detection of breast cancer
Definition
mammograms
Term
Clinical manifestations of breast cancer
Definition
hard, painless breast lump in upper lat quadrant & behind nipple, bloody/serous nipple d/c, mestasized to axillary nodes, or distantly to lung, brain, bones, adrenal gland
Term
prevention of breast cancer
Definition
breast feeding, mod-vigorous physical activity, healthy body wt
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