Term
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Definition
| transverse fold that joins the labia minora posteriorly |
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Term
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Definition
| a "boat-shaped" space or cleft which the labial structures encircule |
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Term
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Definition
| paraurethral glands surrounding the urethral meatus in the female; open posterior to the urethra at 5 and 7 o'clock |
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Term
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Definition
| a thin, circular or crescent-shaped fold that may cover part of the vaginal orifice |
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Term
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Definition
| vestibular glands on either side and posterior to the vaginal orifice; secrete a clear lubricating mucus during intercourse |
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Term
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Definition
| thick transverse folds that enable the vagina to dilate widely during childbirth |
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Term
| squamocolumnar junction of the cervix |
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Definition
| the point where cervical epithelium meets columnar epithelium of the endocervical canal |
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Term
| Anterior and Posterior Fornices |
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Definition
| continuous recess around the cervix |
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Term
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Definition
| aka "cul-de-sac of Douglas"; recess formed by the peritoneum between the rectum and cervix |
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Term
| First signs of puberty in female |
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Definition
| between ages 8.5 and 13 years; breast and pubic hair development |
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Term
| Sexual Maturity Ratings in girls |
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Definition
Stage 1: fine vellus hair over mons and labia
Stage 2: sparse pubic hair growth
Stage 3: hair gets coarser, darker, curlier, spreads over mons pubis
Stage 4: adult type hair but over smaller area
Stage 5: adult type inverse triangle w/ hair on medial thighs |
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Term
| Which age group enters menarche sooner? |
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Definition
(1) African-american
(2) Mexican-american
(3) white |
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Term
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Definition
| cervical softening at 4-6 weeks |
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Term
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Definition
| cyanotic appearance of vaginal mucosa and cervix at 8-12 weeks |
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Term
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Definition
| softening of the uterine isthmus at 6-8 weeks |
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Term
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Definition
| cessation of menses, around 48-51 years |
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Term
| Aging changes of vagina/uterus |
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Definition
- vagina shorter, narrower, less elastic
- vagina atrophies to 1/2 former length/width w/o sexual activity
- decreased secretions
- increased risk for vaginitis due to alkaline pH
- decreased size or external structures
- pubic hair thin and sparse |
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Term
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Definition
| useful for most adult women; comes in varying lengths and widths |
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Term
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Definition
| useful for young or postmenopausal women; narrow blades |
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Term
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Definition
- nulliparous --> small and round
- parous --> horizontal, irregular slit |
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Term
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Definition
| may occur normally after vaginal delivery; endocervical canal is everted, appearing like a red, beefy halo inside the pink cervix |
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Term
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Definition
- do not obtain during menses
- use of liquid-based cytology has improved results
1) vaginal pool w/ blunt end of Ayre spatula
2) cervical scrape w/ bifid end of Ayre spatule
3) endocervical specimen w/ cytobrush |
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Term
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Definition
- gently rub the blunt end of an Ayre spatula over the vaginal wall under and lateral to the cervix
- wipe the specimen on a glass slide or dip into a liquid vial
- if the mucosa is dry, moisten a sterile swab w/ NS to collect the specimen |
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Term
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Definition
- insert bifid end of Ayre spatula into the vagina w/ more pointed bump into the cervical os
- rotate 360-720 degrees |
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Term
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Definition
- insert cytobrush into the os (safe for use during pregnancy)
- may feel pinch and scant bleeding, so collect this specimen last |
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Term
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Definition
- have toddler/preschooler sit on parents lap in frog-leg position
- school-aged child, limit to external genitalia
- no drapes
- allow privacy for adolescent |
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Term
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Definition
Begin when:
- contraception is desired
- sexual activity including intercourse
- or at 21 years of age
- start Pap smears within 3 years after intercourse begins
Women w/ intact cervix and good health may stop Pap after 70 years if:
- no abnormal cytology test in 10 years
- the three most recent Pap tests were normal |
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Term
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Definition
| Pubic lice; w/ severe perineal itching |
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Term
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Definition
S: pain, dysuria, fever
O: clustered small vesicles |
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Term
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Definition
| O: small, solitary silvery papule that erodes to red, round, superficial ulcer w/ yellowish discharge; nontender, indurated; inguinal lymphadenopathy |
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Term
| Contact dermatitis -- groin |
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Definition
S: Hx of skin contact w/ allergen; pruritis
O: primary lesion = red, swollen vesicles w/ weeping, crusts, scales, excoriations |
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Term
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Definition
S: painless warty growths, may be unnoticed
O: pink, flesh-colored papules aroundvulva, introitus, anus, vagina, or cervix |
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Term
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Definition
S: dysuria
O: anterior vaginal wall w/ erythema, tenderness, induration, purulent discharge from meatus
- caused by gonorrhea, chlamydia, or staph |
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Term
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Definition
S: severe, local pain
O: palpable fluctuant mass w/ tenderness; posterior part of labia swollen, with overlying skin red, shiny, and hot |
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Term
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Definition
S: tender, painful w/ urination, urinary frequency, hematuria, dyspareunia
O: small, deep red mass protruding from meatus; may bleed |
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Term
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Definition
S: Feeling of pressure in vagina; stress incontinence
O: widening of introitus and presence of soft, round anterior bulge with straining; bladder prolapses into the vagina |
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Term
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Definition
S: Feeling of pressure in the vagina, possibly constipation
O: widening of introitus w/ straining, presence of soft, round bulge from posterior; rectum prolapses into the vagina |
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Term
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Definition
O: w/ straining or standing, uterus protrudes into vagina; nontender, non-fluctuant, smooth; may cause broad-based gait
1st degree --> cervix at the introitus
2nd degree --> cervix outside introitus
3rd degree --> whole uterus protrudes (essentially, it is inside out >.<) |
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Term
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Definition
S: bleeding between periods or after menopause
O: chronic ulcer and induration; diagnosed by pap smear and biopsy
- risk factors --> early age at first intercourse, multiple sex partners, cigarette smoking, certain STDs |
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Term
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Definition
S: postmenopausal vag itching, dryness, burning, dyspareunia, mucoid discharge
O: pale mucosa w/ abraded areas
- an opportunistic infection related to chronic estrogen deficiency |
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Term
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Definition
S: intense pruritis; thick whitish discharge
O: vulva and vagina are erythematous and edematous; cottage cheese discharge; dx by microscopic exam on KOH wet mount |
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Term
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Definition
S: pruritis, watery malodorous vaginal discharge, urinary frequency, terminal dysuria
O: vulva may be erythematous; vagina red, granual, w/ red, raised papules and petechiae ("strawberry"); frothy, yellow-green, foul-smelling discharge; wet mount demonstrates flagellated cells |
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Term
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Definition
S: profuse discharge w/ foul, fishy, rotten odor
O: thin, creamy, gray-white, malodorous discharge; clue cells on wet mount; "whiff test" --> sniff for fishy smell after adding KOH to wet mount |
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Term
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Definition
S: minimal or no symptoms; may have dysuria, frequency, vaginal discharge, or postcoital bleeding
O: may have yellow or green mucopururlent discharge, friable cervix, cervical motion tenderness
** This is the MOST COMMON STI, with highest prevalence among sexually active adolescent girls; may cause PID |
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Term
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Definition
S: vaginal discharge, dysuria, abnormal uterine bleeding, bartholin's or skene's abscess; majority of cases asymptomatic
O: may have purulent vaginal discharge; dx by culture; may progress to PID |
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Term
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Definition
Leiomyoma or Uterine Fibroids
S: often no symptoms; may be vague discomfort, bloating, heaviness, pelvic pressure, dyspareunia, urinary frequency, backache, or hypoermeorrhea
O: irregulary enlarged, firm, mobile, nodular uterus; with hard, painless nodules; heavy bleeding w/ anemia |
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Term
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Definition
S: abnormal and intermenstrual bleeding before menopause; postemopausal bleeding;
O: enlarged uterus |
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Term
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Definition
S: cyclic or chronic pelvic pain, dysmenorrhea or dyspareunia, low backache; irregular uterine bleeding or hypermenorrhea
O: uterus fixed, tender to movement; small, firm nodular masses tender to palpation o nposterior aspect of fundus; ovaries often enlarged |
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Term
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Definition
S: sudden fever, suprapubic pain and tenderness
O: acute --> rigid boardlike lower abdominal musculature; may have purulent discharge from cervix; cervical motion tenderness; bilateral adnexal massses
chronic --> bilateral, tender, fixed adnexal masses |
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