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health assessment 2c
reproductive (male/female)
| Question | Answer |
|---|---|
| bacterial vaginosis | thin, creamy, gray-white, malodorous discharge |
| trichomoniasis | vulva may be erythematous -red raised papules + petechia -frothy, yellow-green, foul smelling discharge |
| candidiasis (moniliasis) | intense pruritus, thick whitish discharge -discharge thick, white, curydy, like cottage cheese |
| chylamydia | urinary frequency, dysuria, vaginal discharge, bleeding -yellow or green mucopurlent discharge, friable, cervix most common |
| gonorrhea | vaginal discharge, dysuria, abn uterine bleeding, -purulent vaginal discharge |
| poly | -mucoid discharge or bleeding -bright red, soft, pedunculated growth emerges form OS |
| urethal caruncle | tender, painful w/urinatin; small, deep red mass protuding from meatus |
| urethritis | dysuria, erythema vaginal wall, purulent discharge |
| HPV (genital warts) | painless warty growth -pink or flesh-colored, soft, pointed, moist, warty papules -single/multiple in a califlower |
| syphiitic chancre | small, solitary silvery papule that erodes to a red, round, or oral, superfical ulcer with yellowish-discharge |
| herpes simplex virus | local pain, dysuria, fever -clusters of small vessicles |
| crablice (pediculosis pubis) | sever perineal itching -little dark spots, nits, adherent to pubic hair |
| urethal stricture | pinpoint, constricted opening at meatus or inside along urethra -shaft feels indurated along ventral aspects at site of sticture |
| peyronie's disease | bending of penis during erection |
| priapism | prolonged painful erection of penis w/o sexual desire |
| genital herpes | clusters of small vesicles with surround erythema, often painful, erupt on the glans or foreskin -STD lasts 7 to 10 days |
| syphilitc chancere | 2-4 wks of infection, as a small, solitary, silvery papule that erodes to red, roud or oval, superficial ulcer with a yellowish serous discharge |
| genital warts | soft, pointed, moist, fleshy, painless papules (single/multiple), caulifolower -color: gray, pale, yellow,pink in white males, + black or translucent gray in black -shaft of penis, behind corona,or around th anus |
| Phimosis | foreskin is advanced + fixed as hard to retract glans -poor hygiene leads to retained dirt + smegma, which increase risk of inflamation or calcus formation |
| paraphimosis | foreskin is retract + fixed; cannot return to original position -constriction impeddes circulation, so glans swells |
| hypospadias | urethral meatus opesn in under side of glans, shaft, or pensocrotal junciton -groove form meatus to normality -congenital |
| epispadias | meatus opens on dorasal side of glans or shaft above broad, spadelike penis |
| mastitis | uncommon, inflammatory mass b4 abseses -single Q -ares is red, wollen, tender, hot, hard, -symptoms: headache, malaise fecer, chils + sweating, high pulse, flulike symp. |
| breast abscess | treat w/antibiotics, surgical inscision, draingage |
| fibroadenoma | solitary notender mass -solid, firm, rubbery, elastic -round, oval, or lobulated -freely movable, occur at 15-30 -grows quickly + constantly benign |
| bening breast disease (formerly fibrocystic breast) | multiple tender masses -symptoms: swelling, tenderness, mastalgia, nodularity, dominant lumps, niple discharge, infections + inflammations -nodularity occurs bilaterally, regular, firm nodules that are mobile, well demarcated + feel rubbery |
| fixation | asymmetry, distortion, or decrease mobility w/ elevated arm |
| dimpling | may b apparent at rest, with compress, or lifting arms -distortion of areola here as the fibrosis pulls the nipple toward |
| nipple retraction | flatter + broader, like an underlying crater -nipple inversion: has no broadening + is not fixed |
| cancer | solitary unilateral nontender mass -borders r irregular + poorly delianted -upper Q -signs: firm or hard irregular axillary nodules, skin dimpling, nipple retraction, elevation, discharge |
| testicular torsion | excruciatin pan in testicel sudden onset often during slleo O: red, swollen scrotum, 1 testis highwer, cord feels thick + swollen |
| epidiymitis | sever pain of sudden onset in scrotum O:enlarged scrotum, reddened; tender, pididymis enlarged, scrotal skin thick |
| spermatocele | painless O: transilluminate higher in scrotum; roudn, freely movable mass lying above + behind testis |
| early testicular tumor | painless O: firm nodule or harder than normal section of testicle |
| diffuse tumor | enlarging testis O:enlarged, smooth, ovoid |
| hydrocele | painless swelling O: enlarged, transluminate, nontender mass |
| scrotal hernia | swelling O: enlarged, soft mushy mass, mass distinct from testicle |
| orchitis | acute or moderate pain, swollen tesits O: enlarged, edematous, redeened, swollen, congested, tense, tender |
| indirect inguinal hernia | sac herniates through intenral inguinal canal sxn:pain w/strianing, soft swelling Freq: coomon, infants <2 + males 16-20 Cause: congenital or acquired |
| direct inguinal hernia | directly bhind +thorugh external inguinal ring, rarel enters scrotum sxn: painless, round swelling, reduced supine freq:less common, men >40 cause:acquired weaknees, heavy lifting, muscle atrophy, obestiy, chronic cough |
| femoral hernia | thorugh femoral ring + canal sxn:pain mayb be sever freq:less common, women cause: due to increased ab pressure, frequent stooping |
Created by:
xnyzlatinangelx
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