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ch 17 clinical skill

womens health

OB obstetrician; cares for the pregnant woman
GYN gynecologist; treats diseases and disorders of the female reproductive system
menstruation process where the lining of the uterus sheds and flows out of the body through the vagina
average age for menses to begin 11-15 years old
average menstrual cycle 28 days
average days that a woman bleeds during the cycle 3- 8 days
absence of menstrual flow amenorrhea
painful menstruation dysmenorrhea
excessive menstrual flow and/or days of flow;bleeding or spotting between regular cycle abnormal uterine bleeding(AUB)
cessation of menses menopause
average age of menopause 52 years old; but can occur any time after 40
average length of time a woman has her menstrual cycle until menopause occurs 35 years
this begin when estrogen production by the ovaries gradually decreases Phase 1; perimenopause
complete cessation of menstrual flow for at least 12 months Phase 2; menopause
the years after menopause when symptoms subside Phase 3; postmenopause
symptoms of menopause headaches; joint pain; vaginal dryness; bladder control problems; fatigue; mood swings; insomnia; depression; irritability; hot flashes and night sweats
most common complaint during menopause hot flashes
long term issues linked to menopause heart disease; poor bowel and bladder function; poor brain function; osteoporosis; increased wrinkling of the skin; gingivitis; loss of muscle tone; vision problems
HRT9hormone replacement therapy) may be linked to breast cancer; blood clots; dementia; cardiovascular disease
A complete GYN exam includes breast exam; pelvic and vaginal exam; PAP smear and cultures; bimanual pelvic/abdominal exam; rectal exam
term that refers to how many times a woman has been pregnant gravida
refers to how many live births, abortions, miscarriages, pre term births and full term births para
xray of breast tissue to detect breast cancer mammogram
BSE(breast self exam) should be done every month at the same time about 7-10 after the LMP
mammograms are done yearly after age 40
most common and reliable method of PAP test liquid prep method
cervix is dilated and endometrial lining is scraped out D&C (dilatation and curettage)
visualization of the vaginal and cervical tissue with a colposcope colposcopy
full term pregnancy is considered to be 37-42 weeks gestation
pregnancy is divided into three trimesters
prenatal visit will include a complete medical history;physical exam including a pelvic exam; blood work, pap smaear and vaginal cultures, patient education and blood work
EDD (estimated date of delovery) is determined by using Nageles rule
Nageles rule is first day of LMP+ 7 days - 3 months + 1 year
hypertension of pregnancy is called preeclampsia or toxemia
diabetes that occurs during pregnancy gestational diabetes
low lying placenta that may block the cervical opening placenta previa
placenta that prematurely detaches from the wall of the uterus placenta abruptio
excessive nausea and vomiting that causes dehydration hyperemsis gravidarum
pregnancy that ends prior to the fetus being viable miscarriage/abortion
lab test that is done to screen for gestational diabetes GTT(glucose tolerance test)
high frequency sound waves that produce an image of the fetus ultrasound
amniotic fluid aspirated from the amniotic sac using a needle under ultrasound guidance amniocentesis
vaginal discharge that occurs after delivery lochia
bright red discharge for the first three days postpartum lochia ruba
pink or brownish dicharge that occurs around day four postpartum lochia serosa
yellowish-white discharge that continues up to three to six weeks post partum lochia alba
postpartum visit is done 6 weeks after delivery
can cause cervical cancer `HPV human papillomavirus
transmission of HPV vaginal, anal and oral sex
vaccines available to prevent HPV Gardasil and Cervarix
Bacterial infection treated with doxycycline or azithromycin chlamydia
bacterial infection treated with ceftriaxone gonorrhea
viral infection treated with Valtrex with an outbreak genital herpes
bacterial infection treated with penicillin syphilis
visualization of the vagina and the cervix with a colposcope colposcopy
cervix is dilated and lining of uterus is scraped out D&C dilatation and curettage
removal of abnormal tissue from the cervix using a thin wire electrode LEEP
use of a doppler to hear the fetal heart beat FHT
FHT are detected at what gestational age 10-12 weeks
use of a metal coil and ultrasound heat to scar the fallopian tube as a form of birth control Essure
use of electricity to detroy the endometrial tissue endometrial ablation
anti estrogen, used to treat estrogen sensitive tumors Tamoxifen
estrogen based birth control ortho evra; ortho trycycline; nuva ring
progesterone based birth control depo provera; nexplanon; mini pill
stimulates ovulation clomid
recommended age of first PAP 21
Pap smear should be done how often with no risk factors every three years
Created by: clarevoyant1019
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