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What are the two medical specialties concerned with femal sexual and reproductive functions? |
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Gynecology and Obstetrics |
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Excessive bleeding during menses |
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Irregular Uterine bleeding |
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Abnormally frequent menstrual periods |
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Surgery to occlude the Vagina |
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Salpingectomy - Oophorectomy |
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Surgical excision of both the fallopian tube and the ovary |
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T/F - Can Sexually Transmitted Diseases lead to infertility? |
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True - STDs can lead to infertility |
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1st: Chancre
2nd: Rash
3rd: Dormancy for years
Last: cardiovascular damage, central nervous system disorders, death |
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Most common STD in United States; Symptoms can be nonexistent, vague or severe;Treat with antibiotic until patient tests negative |
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Genital warts on vulva, vagina, cervix, perineum; Due to HPV; Increases risk of cervical cancer; Treat with cryotherapy |
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Can be asymptomatic or have pus in Bartholin or Skene glands; Diagnose by culture; Treat with antibiotics |
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Can be transmitted to infant during delivery - 90% mortality of infected infants; Herpes genitalis is caused by the herpes simplex virus (HSV2) and is characterized by painful vesicular lesions in the vaginal, vulvar or anorectal area; No cure - periodic recurrences |
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The Gynocologic Examination |
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Establish rapport with new patients; Reassure anxious patients |
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Ensure paperwork and equipment are ready; route biopsy to laboratory along with paperwork; Colposcopy is visual examination of the vaginal and cervical surfaces usiing a steroscopic microscope called the colposcope |
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Done to determine patency of tubes in infertility; radiograph of the uterus and fallopian tubes after injection with a contrast medium |
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Curettage - scraping of a body cavity, such as the uterus |
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Presumptive signs include amenorrhea, nausea, vomiting, breast enlargement and tenderness, fatigue and urinary frequency |
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Human Chorionic Gonadotropin - hormone secreted by the placenta and found in the urine and blood of a pregnant female |
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Sign of early pregnancy in which the vaginal, cervical and vulvar tissues develop a bluish violet color |
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includes:
Pelvic Exam
Blood Tests
TB Test
Urinalysis |
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Date of last menstrual period (4/1/16)
Subtract 3 months (1/1/15)
Add 1 year and 7 days - due date or EDC is 1/18/17 |
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Pregnancy that resulted in viable birth |
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Woman who is pregnant for the first time |
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A woman who has given birth to more than one viable fetus |
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Can take 6 weeks; Schuled visit within 4-6 weeks |
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Period of time (aprox. 6 weeks) from childbirth until reproductive structures return to normal |
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Increased blood sugars induced by pregnancy; Usually ceases with pregnancy (after birth) |
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An induced abortion is intentional, whereas a spontaneous abortion (aka miscarriage) occurs because of fetal or maternal conditions without any outside interference iin the pregnancy |
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Usually preceded by preeclampsia, not always
Extreme Signs: Seziures, Hypertensive crisis, Shock, possibly deliver baby regardless of gestation |
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Labor is the physiologic process leading to expelling the fetus from the uterus |
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