2nd semester 2009 program
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What are the 2 assessments done for females | show 🗑
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show | Nipples 4 drainage, cracking, edema, redness…Tissue do self exam, lungs.
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What do u assess in the genitalia | show 🗑
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show | inflammation from pathogens in the fallopian tubes or ovaries or both, may involve other structures except uterus spreads upward.
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show | Streptococcus, staphylococcus, gonococcus.
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show | Freq intercourse, multiple sex partners, Iud’s & child birth.
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Pid complications | show 🗑
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show | Inflammation of peritoneum membrane covering the abd.
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show | Low temp, pelvic abd pain, foul discharge, n/v, dysmenorrheal, dyspareunia, oophoritis, salpingitis.
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show | inflammation of fallopian tubes.
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Oophoritis | show 🗑
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show | painful intercourse.
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show | painful menstruation
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3 Dx test | show 🗑
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show | D5LR or LR, antibiotics, vaginal suppositories.
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show | Hysterectomy or removal of uterus.
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Things 2 assess 4 for Pid | show 🗑
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show | growth of endometrial cells growing outside of the uterus in the pelvis.
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How many Rf does endometriosis have | show 🗑
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show | occur monthly not correlated w/ the severity of the disease: low backache, dyspareunia, heavy feeling in pelvis, spotting.
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show | Scar tissue, adhesions, infertility.
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Dx test for endo | show 🗑
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Laparoscopy | show 🗑
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show | based on age & desire for child bearing, pregnancy may help relieve symptoms.
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Surgical tx for endo | show 🗑
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Rx goals for endo | show 🗑
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Rx used for endo | show 🗑
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Endo Rx se’s | show 🗑
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show | breakthrough bleeding
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Mastalgia | show 🗑
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show | pain, prolonged excessive menstruation, dyspareunia, pain with defecation.
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show | Inflammation of the vagina.
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What causes vaginitis | show 🗑
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show | Candidiasis albicans(yeast), trichomonasis, gardnerella, chlymadia, post menopausal vaginitis.
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show | Obesity, pregnancy, douching, dm, abt’s, oral contraceptives.
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S/s of yeast | show 🗑
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Med tx for yeast | show 🗑
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Antifungal creams for treating yeast | show 🗑
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Cause of trichomonasis infection | show 🗑
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S/s of trichomonasis | show 🗑
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show | Flagyl taken by mouth for both partners.
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S/S of Gardenerella infection | show 🗑
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Med tx for Gardenerella | show 🗑
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show | s/s are asymptomatic. Complications are infertility.
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What dx test is done to diagnose chlymadia | show 🗑
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show | Oral abt for 7 days & then repeat c & s.
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What causes postmenopausal vaginitis | show 🗑
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S/S of postmenopausal vaginitis | show 🗑
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Med tx for postmenopausal vaginitis | show 🗑
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show | Wear cotton panties, do not sit in wet bathing suit in warm weather, treat quickly, 8 oz of yogurt po qd w/ abt.
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show | Bubble baths, panty hose, type of panties, hx of s/s, hx of menses, contraceptive methods, abt use
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show | recent illness, sexual hx, Dm, usual hygiene, pregnancy hx, use of deodorant tampons or pads, c,c,a,o of discharge, scratches, irritation.
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show | A condition most associated w/ staph
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show | Staphylococcus aureus.
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show | Tampon use, women under 30 yrs old.
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show | Temp of 102 or greater, vomiting, diarrhea, flulike s/s malaise, muscle weakness, sore throat, and headache, macular erythematous rash (red, flat) followed in 1-2 wks by peeling of the palms & soles, dehydration, disorientation.
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show | Iv fluids, mechanical ventilation, Cpap used to force O2 in to the lungs.
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Dx test for tss | show 🗑
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show | Treat hypotension, stop infection, maintain ventilation, fluid volume replacement, encourage Iv fluids.
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Things 2 assess for w/ tss | show 🗑
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show | Fibrocystic breast disease & fibroid tumors.
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show | Hyperplasia of the epithelial cells leads to an icrease in fibrous tissue aka chronic cystic mastitis or lumpy breast syndrome.
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What are the causes and pf’s of fbd | show 🗑
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S/s of fbd | show 🗑
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show | Over growth is the # of the cells.
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show | Over growth in the size of cells.
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show | Mammogram, bse pap smear on nipple discharge, biopsy (will tell if tumors are present either benign or malignant.
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Benign | show 🗑
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show | Likely to cause harm or death cancerous.
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Surgery for fbd | show 🗑
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show | Vit e qd
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Things to assess in fbd | show 🗑
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show | An overgrowth of cells in & around the uterus.
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show | Older than 30 yrs old & nulliparous.
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show | Never having delivered infant after 24 wks gestation.
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S/s of fibroid tumors leiomas | show 🗑
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show | Preterm delivery, fast growth (spreads & takes up a lot of space).
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show | Observe growth, myomectomy, d & c, & hysterectomy.
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Myomectomy | show 🗑
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show | High in iron.
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show | Ask about s/s, # of sanitary pads used in an hour, clots in menses, decreased hct, pale, hypotension, tachycardia.
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show | An overgrowth of mutated cells in the breast tissue. 2nd leading cause of death in women.
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Pf’s of breast cancer | show 🗑
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show | Pe, mammogram, bse.
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Stage 1 of breast cancer | show 🗑
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Stage 2 of breast cancer | show 🗑
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Stage 3 of breast cancer | show 🗑
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show | Tumor is of any size, lymph nodes may/may no test + for cancer cells, evident metastases into other areas lungs, bone, brain, liver.
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show | Painless mass or thickening lump, pain or discharge from the nipple, unilateral change in breast size, dimpling or puckering orange peel appearance, microclusters tiny palpable clusters of calcium that feel like rocks
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show | 20-40y/o-bse q mo, clinical bse q 3-4yrs
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show | 41-49 y/o-bse q mo, clinical bse q 1-2 yrs, mammogram q 1-2 yrs
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Prevention of breast cancer3 | show 🗑
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show | Tamoxifen helps prevent growth of tumors is given to high risk pts.
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Medication for breast cancer | show 🗑
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show | Lumpectomy, simple mastectomy, modified mastectomy, radical mastectomy.
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Lumpectomy | show 🗑
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Simple mastectomy | show 🗑
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show | Removal of the entire breast and nearby lymph nodes.
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Radical mastectomy | show 🗑
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Post op care for breast cancer surgery | show 🗑
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show | Antieoplastics: antiestrogens, androgens, alkalating agents, antitumor antibiotics, antimetabolites, steroids used in combo before or after or.
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Things 2 assess for in breast cancer | show 🗑
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Things 2 assess post op for breast cancer | show 🗑
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What is cervical cancer | show 🗑
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show | An early stage of the cancer a change in the size or shape of the cervical cells classified as mild, moderate or severe.
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Dx test for cervical cancer | show 🗑
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show | Multiple sexual partners, hpv 35-55y/o, maternal use of dithylstibestrol during pregnancy.
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S/s of cervical cancer | show 🗑
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Med tx of cervical cancer | show 🗑
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show | No spread only on the cervix.
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Cervical stage 2-5 | show 🗑
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Surgery for cervical cancer1 | show 🗑
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Surgery for cervical cancer2 | show 🗑
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Metastasis cervical cancer | show 🗑
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show | Radiation therapy, radium implants and chemotherapy.
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Things 2 assess for w/ cervical cancer1 | show 🗑
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show | Abnormal pap w/ cellular changes w/ progression, wt loss, anemia.
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What is endometrial cancer | show 🗑
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Pf’s of endometrial cancer | show 🗑
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S/S of endometrial cancer | show 🗑
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show | Endometrial biopsy.
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Medical tx for endometrial cancer | show 🗑
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Surgery for endometrial cancer | show 🗑
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What is ovarian cancer | show 🗑
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show | 45-65yrs old, nulliparous, smoking, slcohol, infertility, high fat diet, breast cancer, family hx, possibly related 2 the presence of ovarian cysts ( may be @ higher risk for ovarian cancer).
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show | Freq metastasizes before dx in colon, stomach, diaphragm.
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Dx test used to diagnose ovarian cancer | show 🗑
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show | Reoccurrence common: follow up q 2 mths for 2yrs, radiation.
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show | Total abdominal hysterectomy wit bilateral sapinoophorecomy (removal of uterus ovaries, & fallopian tubes).
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show | Chemotherapy analgesics (pca or bromptons syrup), laxatives, tranqulizers antiemetics.
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Bromptons syrup | show 🗑
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show | Fatigue, diarrhea, constipation, pelvic pressure, frequency of urination, loss of appetite, nausea, wt loss, vaginal bleeding or spotting w/ intercourse.
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show | Malaise, foul smelling vaginal discharge, pain in the lower back, health hx, reproductive hx, palpable mass, pap smear >11, abnormal biopsies.
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show | Abnormal appearance, increased abdonminal girth, ascites, pleural effusion.
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What are the 5 menstruation disorders | show 🗑
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show | Painful menstruation(cramps)
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show | Increased endocrine secretions, anatomical abnormalities, chronic illness, psych probs.
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show | Nulliparous, no intercourse.
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show | Complaints, Pelvic exam,bimanual exam, ultrasound.
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show | Positive attitude toward menstruation.
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show | Pelvic pain that can radiate before or at the onset of menstrual period caused by uterine spasms, narrowingof the cervical canal, emotional factors, Pid, Iud, endometriosis.
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Rx used for dysmenorrhea | show 🗑
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What is amenorrhea | show 🗑
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What are the 2 types of amenorrhea | show 🗑
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Primary amenorrhea | show 🗑
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show | 6 mths of normal menses & then stops or 12 mths of abnormal menses, then it stops.
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Causes of secondary amenorrhea | show 🗑
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Dx test done for amenorrhea | show 🗑
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Menorrhagia | show 🗑
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Metorrhagia | show 🗑
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show | Short cycles(<21 days).
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Oligomenorrhea | show 🗑
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show | low dose bcp’s, metabolic d/o, hormonal d/o.
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Tx of Pom2 d/o | show 🗑
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Things to assess for in Pom2 d/o | show 🗑
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Premenstrual syndrome(pms) | show 🗑
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show | Stress, poor nutrion, rx or s/e from bcp, sedentary lifestyle, marital status, hx of preeclampsia, muliparity, and hormone imbalance.
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show | Physical exam, keep calendar of s/s, labs to assess levels of: estrogen, progesterone, glucose.
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show | Has over 150 s/s, Onset 7-10 days before menses & ends w/ start of flow, wt gain, bloating, irritability, edema, ha, edema, mood swings, inability to concentrate, food cravings, acne.
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show | Tylenol, ibuprofen, naproxen, mifenamic acid, progesterone suppositories, last resort tranquilizers, antidepressants.
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show | Decrease: caffeine, dairy, chocolate, acidic foods, increase whole grains, nuts, pasta, herbal tea, legumes, root veggies, seafood, fruit.
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show | Vitamin supps w/ b complex vits, calcium, magnesium, zinc.
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Activity for Pms | show 🗑
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Things to assess for in Pms | show 🗑
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Complications of menopause (climacteric) cessation of menstruation | show 🗑
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show | Hormone decline
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Pf’s menopause | show 🗑
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show | gradually inc. over 1 yr relaxation of pelvic support structures decrease in skin elasticity & turgor, thinning hair, vaginal dryness, thinning of vaginal mucosa, wt gain, dry skin, hot flashes, stress incontinence, inc risk for fractures, depression, in
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show | Estrogen replacement therapy: po, cream, or patch, keep ota for 10-15 secs before application given for 10-15 yrs after menopause, progesterone suppositories.
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Diet for menopause | show 🗑
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Things to assess for in menopause | show 🗑
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Cystocele | show 🗑
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show | Downward displacement of the urethra into the vagina.
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Rectocele | show 🗑
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Prolapsed uterus | show 🗑
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Cause of CURP | show 🗑
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Med tx for CURP | show 🗑
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Pessary | show 🗑
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Surgery for CURP | show 🗑
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show | Surgical narrowing of the vagine done vaginally to put bladder, urethra, or rectum back in place.
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show | Marshall, marchette, kranz, attaches the bladder to the inferior surface of the pubic bone.
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Things 2 assess for with CURP | show 🗑
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Infertility | show 🗑
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Cause of infertility | show 🗑
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show | 40% female, 40% male, combo 20%.
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show | Primary-never been pregnant, secondary-inablity to conceive after having a child.
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show | Do full workup after having tried to conceive for 6-12 mths, basal body temp chart for 3 mths 1st half cycle-<98 degrees, 2nd half of cycle >98 degrees, endometrial biopsy, laparoscopy, endocrine imbalance tests, artificial insemination.
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show | Place semen into the cervix or uterus w/ a small flexible catheter & syringe.
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show | Gamete intra fallopian transfer- ovum & semen mixed in a catheter is injected into the fallopian tube.
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In vitro fertilization2 | show 🗑
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show | Fix hormone levels, hcg, progesterone suppositories, testosterone, thyroid extracts.
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show | Prevention of pregnancy.
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show | Natural method, barriers, spermicides, Iud, hormonal methods, bcp.
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show | Abstinence, rhythm method-no intercourse form 3 days before until 3 days after ovulation.
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show | Block the path of sperm, diaphragm, cervical cap, male & female condoms.
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Spermicides | show 🗑
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Intrauterine device (Iud) | show 🗑
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show | Oral contraceptives (bcp’s) suppress ovulation, make the body think that it is pregnant, 1:200 chance of pregnancy .
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Bcp’s contraindicated if | show 🗑
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S/E of bcp | show 🗑
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show | Levonorgestrel 6 pellets inserted under the skin in the arm, works for 5 yrs.
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show | Medroxyprofesterone acetate injection, IM q 12 wks suppresses ovulation, 3 weeks before effective s/e breakthrough bleeding.
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show | Tubal ligation- laparoscopy to tie fallopiantubes, generalor epidural, 30-60 mins, vasectomy- surgical resection of the vas deferns.
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Post op for vasectomy | show 🗑
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show | Marshall, marchette, kranz, attaches the bladder to the inferior surface of the pubic bone.
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show | Stress incontinence, frequency, urgency, constipation, childbearing hx, onset of s/s, ua w/ exam can visualize bulging of the bladder, urethra, or rectum into the vagina.
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show | The inability to produce offspring.
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show | Endocrine, anatomic, or immune systems d/o, decreased progesterone levels can cause spontaneous abortion, cause spontaneous abortion.
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Infertility in couples | show 🗑
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2 types of infertility | show 🗑
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Dx test for infertility | show 🗑
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Artificial insemination | show 🗑
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show | Gamete intra fallopian transfer- ovum & semen mixed in a catheter is injected into the fallopian tube.
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In vitro fertilization2 | show 🗑
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Rx for infertility | show 🗑
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show | Prevention of pregnancy.
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Contraception consist of | show 🗑
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Natural method | show 🗑
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Barriers | show 🗑
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Spermicides | show 🗑
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show | Device irriates the uterine cavity (dalcon shield), in place for 1-7yrs s/e, bleeding & infection.
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show | Oral contraceptives (bcp’s) suppress ovulation, make the body think that it is pregnant, 1:200 chance of pregnancy .
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show | No established menstrual, cycle, htn, dm, cvd, thrombophlebitis.
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S/E of bcp | show 🗑
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Norplant | show 🗑
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show | Medroxyprofesterone acetate injection, IM q 12 wks suppresses ovulation, 3 weeks before effective s/e breakthrough bleeding.
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show | Tubal ligation- laparoscopy to tie fallopiantubes, generalor epidural, 30-60 mins, vasectomy- surgical resection of the vas deferns.
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Post op for vasectomy | show 🗑
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