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Gynecology
Brady Anatomy and Physiology for Emergency Care 2nd Edition Chapter 13
26
Health Care
Professional
03/25/2012

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Term
Gynecology
Definition
-branch of medicine that deals with the health maintenance and the diseases of women, primarily of the reproductive organs
Term
Endometrium
Definition
-the inner layer of the uterine wall where the fertilized egg implants
Term
Myometrium
Definition
-the thick middle layer of the uterine wall made up of smooth muscle fibers
Term
Perimetrium
Definition
-the serosal peritoneal membrane that forms the outermost layer of the uterine wall
Term
Menarche
Definition
-the onset of menses, usually occurring between ages 10 and 14.
Term
Estrogen and progesterone
Definition
-female sex hormones
-control the ovarian-menstrual cycle, pregnancy and lactation.
Term
Proliferative phase of the menstrual cycle
Definition
-first 2 weeks of the menstrual cycle
-dominated by estrogen
-endometrium thickens, becomes engorged with blood
-in a response to a surge of LH, at approximately 14 days ovulation takes place
Term
Ovulation
Definition
-the release of an egg from the ovary
Term
Secretory phase
Definition
-phase immediately surrounding ovulation
-uterine vascularity increases in anticipation of a fertilized egg
Term
Ischemic phase
Definition
-if fertilization does not occur, estrogen and progesterone levels fall
-endometrium becomes pale and small blood vessels rupture
Term
Menstrual phase
Definition
-ischemic endometrium is shed along with a discharge of blood, mucus and cellular debris
-flow lasts for 3-5 days, average blood loss of about 50 mL
Term
Premenstrual syndrome
Definition
-variety of signs and symptoms
-wight gain, irritability, food cravings all associated with the changing hormonal levels that preceded menstruation
Term
Menopause
Definition
-the cessation of menses and ovarian function due to decreased secretion of estrogen
Term
Surgical menopause
Definition
-woman's periods stopped because of surgical removal of her uterus or ovaries or both
-usually requires hormone replacement therapy
Term
Dysmenorrhea
Definition
-painful menstruation
Term
Dyspareunia
Definition
-painful sexual intercourse
Term
LMP
Definition
-Last Menstrual Period
Term
PID
Definition
-pelvic inflammatory disease
-acute infection of the reproductive organs that can be caused by a bacterium, virus or fungus
-most common cause of abdominal pain in women during child bearing years
-most common causes of PID;
*gonorrhea
*chlamydia
*rarely streptococcus or streptococcus bacteria
Predisposing factors
*multiple sexual partners
*hx of PID
*recent gyno procedure
*IUD
-could cause infertility
-could lead to sepsis if not treated
-pt could have foul-smelling vaginal discharge, yellow in color, and irregular menses / midcycle bleeding
-palpation yields moderate to severe pain, in severe cases rebound tenderness.
Term
Ruptured ovarian cyst
Definition
-when ruptured, small amount of blood is spilled into the abdomen which irritates the peritoneum causing abdominal pain and rebound tenderness
-usually complain of unilateral pain moderate to severe which may radiate to the back
Term
Cystitis
Definition
-infection of the urinary bladder
-bacteria enter urinary tract through urethra
-if untreated can progress to kidneys
-may cause pain, urinary infrequency, pain or burning with urination and low-grade fever, urine may be blood tinged
Term
Mittleschmerz
Definition
-midcycle abdominal pain
-due to follical rupture or bleeding with ovulation
-accompanied by midcycle spotting
Term
Endometritis
Definition
-infection of the endometrium
-lower abdominal pain, bloody, foul-smelling dishcarge and fever (101 to 104).
-symptoms usually appear 48-72 hrs after gynecological procedure or miscarriage
-complications can lead to sterility, spesis or death
Term
Endometriosis
Definition
-condition in which endometrial tissue grows outside the uterus
-found in the abdomen or pelvis
-tissue respond to hormonal changes associated with menstrual cycle, thus bleeds in a cyclic manner
-usually seen in women 30-40 y/o
-dull cramping pelvic pain, usually related to menstruation, dyspareunia and abdominal uterine bleeding
Term
Ectopic pregnancy
Definition
-implantation of a developing fetus outside of the uterus, often in a fallopian tube.
-tube can rupture, causing massive hemorrhage
-severe unilateral abdominal pain, may radiate to shoulder of affected side
-late or missed period and occasionally vaginal bleeding
Term
Menorrhagia
Definition
-excessive menstrual flow
Term
Nontraumatic vaginal bleeding
Definition
-most common is miscarriage
-others include cancerous lesions, PID or onset of labor
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