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Disorders Female Rep

MAMC exam 8 disorders of remale reproductive tract

QuestionAnswer
amenorrhea absence of menstrual flow
dysmenorrhea painful menstration
menorrhagia excessive menstrual flow
metrorrhagia excessive spotting between cycles
endometriosis endometrial tissue appears in various places in the pelvic cavity
vaginal fistula abnormal opening between 2 organs or between an internal hollow organ & the exterior of the body
uterine displacement abnormal placement of the uterus
leiomyomas benign tumor derived from smooth muscle, most often of the uterus
how endometrial tissue spreads in endometriosis lymphatic circulation, menstrual backflow, congenital displacement
clinical manifestations of endometriosis lower ABD pain pelvic pain with or without pain in the rectum unilateral or bilateral
risk factors of endometriosis caucasian women between ages 25-35 who are higher socioeconomic classes & postponed childbirth until later years never experienced childbirth or lactation family history
treatment of endometriosis high dose antiovulatory medications synthetic androgen gonadotropin-releasing hormone surgery
nursing considerations of endometriosis pain, anxiety, pre & postoperative care, discharge teaching
types of GYN fistulas urethrovaginal, vesteovaginal, rectovaginal
etiology of GYN fistulas tissue breakdown, obstetric injury, surgical injury, rectovaginal fistula may be seen as a complication of ulcerative colitis
clinical manifestations of GYN fistulas urine, feces, flatus from vagina vesicovaginal fistula may not void through the urethra excoriated, infected external genitalia, & vaginal wall
diagnosis of GYN fistulas physical exam, methylene blue test, IV pyelogram, indigo cormine test, cystoscopy
treatment of GYN fistulas surgical, nonsurgical, may heal spontaneously
nursing interventions for GYN fistulas perineal hygiene proper nutrition, fluid intake, & rest prepare client for surgery postoperative nursing care
what are kegel exercises allow contraction of the muscles used to stop the flow of urin
definition of relaxed pelvic muscles relaxation of the floor of the pelvis
types of relaxed pelvic muscles cystocele rectocele prolapse urethrocele enterocele
etiology of relaxed pelvic muscles unrepaired postpartum tears childbirth, multiple births
what is a pessary? firm rubber doughnut-shaped or ringed device that is inserted into the uppervagina to reposition & give support to the uterus when surgery is not performed
types of uterine displacement anteflexion retroversion retroflexion
etiology of uterine displacement congenital childbearing
diagnosis of uterine displacement made by pelvic exam
amenorrhea may be caused by? insufficient hormone secretion congenital abnormality stress pregnancy menopause
hysterectomy ABD vaginal slapingectomy oophorectomy
define salpingectomy removal of a fallopian tube
estrogens available from natural sources (urine of pregnant mares) & may be made synthetically
patient is being treated for primary amenorrhea. what medication may be used for this problem oxytocin (Pitocin)
Created by: ealongo