Term
| teratoms or dermoid cysts |
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Definition
| cysts originate from germ cells and can contain body tissue such as fat, hair, and teeth. |
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Term
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Definition
Develop in young women
Mature grafian follicle failing to rupture or
Immature grafian follicle does not absorb fluid after ovulation
Usually asymptomatic - unless ruptured
Cyst usually shrinks p 2-3 menstrual cycles |
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Term
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Definition
Occur after ovulation
Possibly caused by increased progesterone secretion
Most common
Secretes progestrone
Can occur with or without pregnancy |
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Term
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Definition
pain/tenderness over ovary
delayed menses/irregular/prolonged
rupture can cause intraperitoneal hemorrhage
Usually disappears without treatment within 1-2 menstrual cycles |
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Term
Polycystic Ovary Syndrome
(Stein-Leventhal Syndrome) |
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Definition
Occurs most often in women under the age of 30.
Cause of infertility.
Affects 5-10% of women of reproductive age.
Many women start with a normal period and then after 1-2 years periods become irregular and then infrequent.
Obesity and hirsutism are common
If left untreated cardiovascular disease and type 2 diabetes may develop.
Insulin resistance (screen client for diabetes)
50% of women stabilize on oral contraceptive pills
Discuss weight loss ,monitor lipid profile, and regular follow-up care important |
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Term
| Clinical Manifestations of Ovarian Cysts |
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Definition
Are often asymptomatic until they are large enough to cause pressure in the pelvis.
Constipation
Menstrual irregularities
Urinary frequency
A full feeling in the abdomen/pelvis
Increased abdominal girth |
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Term
| managment of ovarian cysts |
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Definition
Pharmacological -Analgesics / Oral contraceptives
Surgical |
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Term
| Leiomyomas (Uterine Fibroids) |
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Definition
Benign tumors , increase during pregnancy – stimulated by estrogen/ progestrone
Feeling for smooth uterus not lumpy bumpy
Smooth muscle tumors occurring within the uterus.
They grow slowly during the reproductive years and then atrophy with menopause.
Most Common in women of African heritage |
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Term
| Leiomyomas (Uterine Fibroids) symptoms and tx |
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Definition
Symptoms: nodular enlarged uterus palpated on pelvic exam. Other symptoms include abdominal pain, abnormal uterine bleeding, and increased pelvic pressure.
May be a cause of infertility and spontaneous abortion (miscarriage).
Treatment depends of the age of the patient, her desire to have children, and the location and size of the tumors |
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Term
| medical managment of Leiomyomas |
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Definition
(Lupron) may be used to shrink the size of the tumor. ** in non pregnant women
Increased risk of utrine rupture = will have c sections |
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Term
| polyps in women come from and are caused by and are most common in |
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Definition
Endometrial or cervical in origin
Cause unknown, women over age 40 |
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Term
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Definition
asymptomatic or may have bleeding
Bleeding often associated with coitus |
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Term
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Definition
surgical removal /endometrial polyps
cervical polyps removed in office |
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Term
| nursing care for remoal of surgical polyps |
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Definition
Avoid intercourse/tampons/douching for 1week or until site healed
Teach s/s of infection- foul smelling , yellow
Notify HCP if heavy bleeding – 1 pad in one hr or less 100 ml |
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Term
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Definition
Usually asymptomatic until 1-2cm diameter
May complain of vulvar itching, burning, pain, bleeding or discharge. |
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Term
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Definition
| Treatment depends of the age of the patient, stage of the disease, size and location of the tumor. Vaginal cancer may also result from metastases of other reproductive cancers such as cervical or endometrial |
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Term
| risk factors for endomitrial cancer |
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Definition
| hormone imbalance most significant risk factor (Women with a uterus who takes unopposed estrogen). |
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Term
|
Definition
| both ovaries and both flopian tubes removed |
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Term
| risk factors for ovarian cancer |
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Definition
Risk Factors
Infertility
Low parity
High fat diet
Previous breast or colon cancer
Family history of ovarian cancer
Use of oral contraceptives associated with lower risk. |
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Term
Pelvic Support Issues Uterine Prolapse
symptoms |
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Definition
heaviness or fullness in pelvis
the feeling that “something is falling out”
low backache
difficulty walking |
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Term
|
Definition
| Upper anterior vaginal wall herniation |
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Term
|
Definition
urinary frequency and urgency
urinary incontinence
urinary retention |
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Term
|
Definition
| Lower posterior vaginal wall herniation |
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Term
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Definition
difficulty emptying rectum
digital splinting the posterior vaginal wall is necessary
The rectum is within the prolapse
constipation associated with it |
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Term
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Definition
are objects inserted into the vagina that keep structures in more normal placement for patients who are
medically unfit for surgery-old people
pregnant or postpartum |
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Term
| fistulas most common/signs |
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Definition
Abnormal connecetion between body parts
Most common – rectovagininal fistula
Signs- infection, stool coming from vagina |
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Term
| fibrosystic breast disease and breast cancer |
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Definition
| *** no increase risk of cancer |
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Term
| Most common malignancy in women secondary to skin cancer |
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Definition
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Term
|
Definition
| (low bone mass), which occurs when osteoclastic activity is greater than osteoblastic activity |
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Term
|
Definition
| calcium citrate (better for pts who can’t tolerate carbonate due to upset stomach |
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Term
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Definition
Most common sexually transmitted infection in the U.S
maternal effects
70% of women are asymptomatic- because our reproductive organs are internal
Can --> ectopic pregnancy, infertility, sterility |
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Term
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Definition
mucopurulent cervical discharge, friable cervix- bleeds easily
dysuria, urethritis
dysparunia
acute salpingitis- inflamation of fallopian tubes
PID |
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Term
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Definition
Mucopurulent cervical discharge, friable cervix + motion tenderness
Dysuria, Urethritis, lower abdominal pain
Skenitis/Bartholinitis- glands for lubrication- get cysts
PID |
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Term
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Definition
Incubation period 10 to 90 days
Crosses placental barrier after 23 weeks gestation
Treatment is PCN (Penicillin G) or Bicillin only. |
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Term
| primary secondary and tertiary syphillis |
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Definition
Primary – “Chancre”
Secondary – Rash on palms of hands and soles of feet.
Tertiary – multiple organ involvement |
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Term
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Definition
| thick white vaginal discharge with itching, dysuria, and dyspareunia |
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Term
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Definition
Caused by a flagellate
Symptoms include frothy green/yellow vaginal discharge with an odor and a friable cervix. |
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Term
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Definition
Alteration in normal vaginal flora. May be increased in women who douche. Common in pregnancy.
Diagnosed on wet prep-presence of clue cells.
Symptoms: thin grey vaginal discharge with fishy odor, itching and burning around vaginal introitus. |
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Term
| type one and type 2 herpes |
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Definition
Type I - above waist
Type II - below waist |
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