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Chap 24 Gyno
| Question | Answer |
|---|---|
| Pelvic Inflammatory Disease (PID) | An infection of the fallopian tubes and the surrounding tissues of the pelvis Occurs almost exclusively in sexually active women |
| Symptoms of Pelvic Inflammatory Disease (PID) | Complaints of lower abdominal pain, fever, foul-smelling vaginal discharge, increased pain during sex, general malaise, nausea, vomiting, shuffling gait when walking |
| Chlamydia | A sexually transmitted disease caused by the bacterium Chlamydia Trachomatis Causes arthritis that maybe accompanied by skin lesions and inflammation of the eye or urethra |
| Bacterial Vaginosis | An overgrowth of bacteria in the vagina; characterized by itching, burning, or pain and possible a "fishy" smelling discharge |
| Gonorrhea | STD caused by Neisseria Gonorrhoeae. a bacterium that can grow and multiply rapidly in the warm, moist areas of the reproductive tract including the cervix, uterus urethra (in men as well) and fallopian tubes |
| Gonorrhea 2/2 | It can also grow in the mouth, throat, eyes and anus |
| Possible causes of vaginal bleeding? | Ectopic pregnancy (egg grows outside the uterus) Cervical polyps (growths on the cervix) Vaginal trauma (injury) |
| Conditions that result in vaginal discharge? | Chlamydia PID Gonorrhea |
| Cervix | The lower third, or neck of the uterus |
| Vagina | Outermost cavity of a woman's reproductive system Forms lower part of birth canal |
| Fallopian tubes | The tubes that connect each ovary with the uterus and are the primary location for fertilization of the ovum |
| Ovaries | The primary female reproductive organs that produce an ovum, or egg, that if fertilized will develop into a fetus |
| Menarche | Onset of menstruation, occurring for first time between 11 and 16 years of age |
| Menopause | When the cycle of ovulation and menstruation ceases |
| Important SAMPLE information to collect? | Use of a birth control device or birth control pills Date of patient's last menstrual period Possibility of pregnancy |
| Labia majora | Outside fleshy "lips" covered with pubic hair that protect the vagina |
| Labia minora | Inner fleshy "lips" devoid of pubic hair that protect the vagina |
| Ovulation | The process in which an ovum is released from a follicle |
| Perineum | The area of skin between the vagina and the anus |
| Rape | sexual intercourse forcibly inflicted on another person against that persons will |
| Sexual assault | an attack against a person that is sexual in nature, the most common of which is rape |
| Uterus | The muscular organ where the fetus grows also called the womb; responsible for contractions during labor |
| Symptoms of Gonorrhea are? | Painful urination associated with burning / itching and a yellowish or bloody vaginal discharge usually with a foul odor and blood associated with vaginal sexual intercourse |
| in rare cases _______ causes arthritis that may be accompanied with skin lesions and inflammation of the eyes and urethra | Chlamydia |
| left untreated ___________ can lead to premature birth or low birth weight in pregnant woman | Bacterial Vaginosis |
| If the patient with vaginal bleeding presents with rapid pulse and pale or cool skin you should? | Place them in a supine position |
| What does the "PID" shuffle refer to? | A distinctive gait when the patient walks |
| EMT's treating a patient of sexual assault may not only be dealing with medical issues but with _________ issues as well | Psychological and Legal |
| When performing a physical exam on a victim of sexual assault you should? | Place the patients clothes into a paper bag |
| rape is considered to be a __________ diagnosis, not a medical diagnosis | legal |
| often the most important intervention for a sexual assault patient is _________and transport to a facility with a staff specially trained to deal with this scenario | Comforting reassurance |
| Your ________________ is the best tool to gain the patients confidence to seek medical help | Professionalism |
| Chlamydia infection of the cervix can spread to the rectum leading to? | Rectal pain, discharge or bleeding if it is left untreated |
| If gonorrhea is not treated, the bacteria may enter the bloodstream and spread to other parts of the body including? | The brain |
| Any report of ___________ in a woman complaining of vaginal bleeding is considered significant | Syncope |
| Injuries to the External Genitals are typically painful due to the? | Large quantity of nerves and blood vessels in this area |
| the process of fertilization begins in? | The vagina |
| Female hormones produced primarily in the ovaries control the process of? | Ovulation and Menstruation |
| The causes of gynecologic emergencies are varied and range from? | Sexually transmitted diseases to trauma |
| Ectopic pregnancy | A pregnancy that develops outside the uterus Most often in the fallopian tubes |
| Signs of chlamydia are? | Lower abdominal pain, low pack pain, nausea, fever, pain during sex, bleeding between menstrual periods |
| Infection of the rectum from gonorrhea generally present? | Anal discharge and itching occasional painful bowel movements with fecal blood spotting |
| Infection of the throat from gonorrhea are? | Difficulty swallowing, sore throat, swollen lymph glands fever, headache, nasal congestion |
| Causes of vaginal bleeding? | Abnormal menstruation, vaginal trauma (rape / sexual assault) ectopic pregnancy, spontaneous abortion (miscarriage) cervical polyps and even cancer |
| Genitourinary | Relating to the genital and urinary organs |
| Orthostatic vital signs | Serial measurements of blood pressure (B/P) and pulse that are taken with the patient in the supine, sitting, and standing positions Results are used to assess possible volume depletion |
| What are the several key components when dealing with sexual assault / rape? | Medical treatment Psychological care Remember you're at a crime scene |
| Use _____________ to indicate you are reporting the patients version of events | Quotation marks |
| Make sure you use______________ when attempting to control vaginal bleeding | External pads (do not pack the vagina) |
| Symptoms of gonorrhea appear approximately ____________ days after exposure | 2 - 10 days |
| Treatment for vaginal bleeding | Use external pads to control bleeding Keep the patient warm Place her in a supine position Provide supplemental oxygen Prompt transport Reassess vital signs every 5 minutes |
Created by:
cmoney833
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