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Reproductive 2
Reproductive 2
58
Nursing
Undergraduate 2
03/31/2012

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Cards

Term
Inflammation of the pelvis caity?
Definition
Pelvic Inflammatory Disease (PID)
Term
Why is PID also called an ascending infection?
Definition
Organisms migrate upward from the portal of entry.
Term
What is the major cause of infertility?
Definition
PID
Term
What does PID usually cause?
Definition
Scaring and adhesions in the fallopian tubes that can cause total or partial obstruction.
Term
What does partial obstruction from PID cause?
Definition
Ovum implanting in a site that the uterus, usually the fallopian tube or the pelvic cavity.
Term
What does total obstruction form PID cause?
Definition
infertility
Term
Risk factors for PID?
Definition
- STD: gonorrhoeae, chlamydia, hominis
- staphylococcal, streptococcal
Term
S/S PID
Definition
- may have no Sx
- gradual, dull lower abdominal pain
- sudden severe abdominal pain
- fever
- chills

dysuria, irregular bleeding, a foul smelling discharge, and dyspareunia (pain during sexual intercourse)
Term
Complications of PID?
Definition
- ectopic pregnancy
- infertility
- chronic abdominal pain
- w/o treatment septic shock
Term
Treatment of PID?
Definition
- rest
- application of heat via warm compress
- sitz baths
- analgesics
- broad spectrum antibiotic
- avoid sex for at least 3 weeksn
Term
Endomentrial cells deposit in the pelvic cavity on structures within the cavity?
Definition
Endometriosis
Term
S/S of Endometriosis?
Definition
- pain
- pain with defecation
- dysmenorrhea
- abnormal bleeding
Term
Complications with endometriosis?
Definition
- constriction of bowel, ureters, or both may cause partial or complete obstruction which is a medical emergency
Term
Treatment of endometriosis?
Definition
- NSAIDS
- Hormones causing estrogen levels to decrease
- Surgical
-- laparoscopy
-- hysterectomy
Term
Weakness of supportive structures between the vagina and the bladder?
Definition
Cystocele
Term
Weakness of supportive structures between the vagina and the rectum?
Definition
Rectocele
Term
Risk factors for cystocele and rectocele?
Definition
- pregnancy
Term
S/S of cystocele and rectocele?
Definition
- painful intercourse (dyspareunia)
- lower back and pelvic discomfort
- recurrent bladder infections
- stress incontinence
- incontinence of gas or liquid feces
- difficulty with expulsion of fecal matter
Term
Treatment of cystocele and rectocele?
Definition
- kegal exercises
- Pessary: a device that is inserted into the vagina for support
- anterior colporrhaphy repair: reduces the size of the anterior vaginal wall and used to treat cyctocele.
- posterior colporrhaphy repair: reduces the size of the posterior vaginal wall and used to treat rectocele
Term
Where is breast cancer usually found?
Definition
upper outer quadrant
Term
Risk factors for breast cancer?
Definition
- non-Hispanic women
- African American women usually die
- family history
Term
S/S of breast cancer?
Definition
- Early: painless breast tissue thickening or lump palpated
- Late: dimpling of the skin, nipple discharge, nipple or skin retraction, edema, dilated blood vessels, ulceration, and hemorrrhage
Term
Diagnosis of breast cancer?
Definition
- clinical breast exam every 3 years until age 40
- clinical breast exam every year after 40
- baseline mammogram by age 40
- mammogram every 1-2 year from age 40-40
- mammogram every year after age 50
- breast ultrasound or MRI for questionable mammogram readings
- biopsy of suspicious tissue
Term
Treatment for breast cancer?
Definition
- chemo and radiation
- Lumpectomy: removal of tumor with margin of surrounding healthy tissue
- simple mastectomy: surgical remove of a breast, lymph nodes left intact
-radical mastectomy: removal of all breast tissue, overlying skin, lymph nodes, and underlying pectoral muscle
Term
Post-op for breast cancer surgery?
Definition
- exercise to affected arm
- no BP, IV sticks, or blood draws to affected arm for the rest of life
Term
Cancer in the cervix that grows slowly?
Definition
Cervical Cancer
Term
Risk factors for cervical cancer?
Definition
- women infected with HPV and HIV
- smoking
- sexual intercourse at an early age
- multiple sexual partners
Term
S/S of cervical cancer?
Definition
- early signs are often asymptomatic
- advanced: blood tinged or frank bloody vaginal discharge, menstrual irregularities, or blood after intercourse
Term
Complications of cervical cancer?
Definition
- anemia due to chronic bleeding
- cancer into adjacent structures: pain, backache, and bleeding
Term
Treatment for mild or localized cervical cancer?
Definition
- Loop Electrosurgical Excision: uses electricity to destroy abnormal tissue
- Cryosurgery: application of extreme cold to destroy abnormal tissue
- Conization: scraping the cervical tissue to get rid of abnormal tissue
Term
Treatment for moderate cervical cancer?
Definition
- Hysterectomy
- Chemo
- Radiation
Term
Thin, pendulous sac on the outside of the body that encloses each of the two testicles in separate compartments?
Definition
Scrotum
Term
The male reproductive organ. Lie within the scrotum, suspended from the spermatic cord. They produce spermatozoa and sex hormones?
Definition
Testes
Term
What sex hormone does the testes produce?
Definition
testosterone
Term
At what age is testosterone increased?
Definition
10-13 years
Term
A coiled tube almost 20 feet long that rests along the top and side of the testes, newly developed sperm move from the testicles through this?
Definition
Epididymis
Term
Tubes of secretory ducts that serve as the primary storage sites for sperm, contribute to the fluid content of semen and contract to help propel the mature sperm during ejaculation?
Definition
Vas Deferens
Term
Hollow, twisted, tubular secretory glands located at the posterior surface of the bladder. Produce fluid that contributes to the volume of semen and provides nutrients and hormones important for motility and successful fertilization?
Definition
Seminal Vesicles
Term
A walnut sized fibromuscular gland that surrounds the neck of the urinary bladder and the first inch of the internal urethra?
Definition
Prostate Gland
Term
Extends from the bladder to the urinary meatus at the end of the penis?
Definition
Urethra
Term
Soft, round cylinder of spongy tissue ending in a acorn shaped top?
Definition
Penis
Term
Examines a semen specimen to assess male fertility or to document sterilization after vasectomy?
Definition
Semen Analysis
Term
Specifically looking at luteinizing hormone, prolactin, follicle stimulating hormone, and testosterone. Assesses levels of hormones needed for sexual development and function?
Definition
Endocrinolgical Studies
Term
To detect tumor markers?
Definition
Prostate Specific Antigen (PSA)
Term
What increases with prostate cancer and bone metastasis?
Definition
Acid Phosphatase
Term
What is increased with prostate cancer?
Definition
Prostate Specific Antigen
Term
What test is done with patients with erectile disfuction?
Definition
Thyroid function and tests of diabetes mellitus
Term
Inflammation of the prostate gland?
Definition
Prostatitis
Term
S/S of prostatititis
Definition
- swelling
- warmth
- tenderness
- dysuria
- frequency
- hematuria
- foul smelling urine
Term
Complications of prostatitis?
Definition
Chronic inflammation may cause prostate size to increase possible obstructing urine flow requiring surgery.
Term
Diagnosis prostatitis
Definition
Lab Values
- urinalysis
- WBC
- PSA (prostate specific antigen) test
Term
Treatment for prostatitis?
Definition
- antibiotics
- analgesics
- stool softeners: to prevent constipation which can be painful
- sitz baths
- anti-inflammatories
- alpha adrenergic blockers (Flomax and Hytrin): helps to relax the bladder nck and prostate for easier voiding
Term
Enlargement with prostate gland?
Definition
Benign Prostatic Hypertrophy (BPH)
Term
S/S of obstructive BPH?
Definition
- decreased size and force of urinery stream
- urinary retention
- post voiding dribbling
Term
S/S of irritative BPH?
Definition
- urgency
- frequency
- dysuria
- nocturia
- hematuria
- sometimes urge incontience
Term
Complications of BPH?
Definition
- UTI
- incontinence
- hemorrhage
- urinary leakage
- inflammation of pubic bones
- erectile dysfunction
Term
Diagnosis of BPH?
Definition
- rectal exam
- cath of residual urine
- ultrasound
- urine and prostatic secretion specimens are examined for evidence of infection
Term
Treatment for BPH?
Definition
Medications
- Proscar and Acodart: decreases testosterone levels which suppress prostatic tissue growth
- Flomax and Hytrin: relaxs smooth muscle in the bladder neck and prostate, thereby reducing obstruction of urinary flow.
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