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health assessment

genitourinary (female) ch 27

QuestionAnswer
external genitalia located outside the true pelvis
external genitalia structures perineum mons pubis clitoris urethral (urinary) meatus labia majora/minora vestibule greater vestibular glands (bartholin) skene glands periurethral area
internal genitalia female reproductive system and its structures
vulva term for both externally seen urinary tract and reproductive structures
cervical cancer risk factors HPV infections (#1 cause) IUD chlamydia infection smoking immunosuppression bad diet/poverty diethylstilbestrol (DES) intake while pregnant FHx cervical CA
cervical cancer risk reduction avoid risky sex HPV vaccinations + pap smear exams routinely be aware if DES was taken for miscarriage prevention + routine screening
cervical cancer incidence highest rates in african region (poor incomes) eastern Mediterranean countries has lowest rates
history of current health issues (female GU) menstrual cycle/menopause vaginal discharge pain/itching of genitalia/groin lump/swelling/masses of genitalia or groin urinating issues sexual performance/activity pattern fertility issues
past/FHx questions previous GYN issue + treatments last pelvic exam/pap smear STD w/ fever preganancy reproductive/genital CA
how to get patient to relax vaginal muscles have patient breathe deeply
equipment for GU exam endocervical broom bifid spatula nonsterile gloves large swabs for vaginal exam
inspection of GU mons pubis labia majora + perineum labia minora + clitoris + urethral meatus + vaginal opening vaginal musculature cervix vagina
physical assessment palpation palpation of bartholin glands urethra bimanual (palpation) examination for cervix, uterus, ovaries, rectovaginal exam
adnexal masses masses in the area of ovaries/fallopian tubes
bacterial vaginosis ununpleasant/foul fishy or musty thin, milky, white or gray with usually increased volume itching + burning d/t anaerobic bacteria questionably STD
aerobic vaginosis unpleasant rotten purulent + sticky yellow/green discharge burning/stinging d/t aerobic organisms not STD
candidasis (vaginosis) no odor thick/curdy white (cottage cheese appearance) soreness + itching w/ inflammation d/t yeast not STD
trichomoniasis (vaginosis) sometimes foul/fishy yellow/green/gray + frothy and sticky itching/irritation/inflammation d/t parasite (trichomonas vaginalis) STD
older client considerations (GU) vaginal infection common d/t vaginal mucosal atrophy gray/thinning pubic hair pale cervix after menopause urinary incontinence d/t muscle weakness/loss of urethral elasticity
Created by: sleepingbear
 

 



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