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CS1 Female GYN
| Question | Answer |
|---|---|
| Adenexa | Fillopian tubes and ovaries |
| Potential GYN skin lesions | 1.Human Papillomavirus (HPV or genital warts). 2.Herpes Simplex Virus (HSV). 3.Syphilis. 4.Lymphogranuloma venereum. |
| General Vaginal inspection | 1.Symmetry. 2.Equal hair distribution. 3.Labia Majora (moisture, swelling, color, rash, lesions, *Increased varicosities during pregnancy*). 4.Labia Minora (glands, clitoris, urethral orifice, perineum). |
| Insertion of the speculum | 1.warmed, lubricated with water. 2.Spread vagina with opposite hand. 3.insert speculum at 45 degree angle. 4.Capture and inspect the cervix |
| Is it normal for pregnant women to have increased vericosities during pregnancy? | YES |
| Metrorrhagia | irregular, non-cyclic menstrual intervals |
| Oligomenorrhea | Prolonged periods, intervals >37 days long. (not as many per year) |
| Poly/Hypermenorrhea | Short menstratual cycles, intervals < 21 days long. (more than 12 periods per year) |
| Menorrhagia | Excessive bleeding and/or prolonged bleeding |
| Menometrorrhagia | Heavier periods as well as increased bleeding between periods |
| Inspection of the cervix | 1.Color (Should be PINK. pale: menapause, ectropion: red tissue around the OS). 2.Lesions. 3.Discharge |
| Shapes of Cervical OS | 1.Horizontal slit: parous women (given birth). 2.Small/round: nulliparous women (no child birth). |
| Cervix-Uterus position | They are inversly related: 1.Anterior OS: Retroverted uterus. 2.Posterior OS: Anteverted uterus. **Normal uterine position: Anteverted and Anteflexed. |
| What is the Primary screening test for cervical cancer? | PAP smear. **MUST VISUALIZE THE CERVICAL OS to conduct the test. |
| How do you obtain Ectocervical cells? | Using a spatula, rotate 360 degrees |
| How do you obtain Endocervical cells? | Insert brush 1/2 way into cervical OS, rotate 1/2 turn. |
| Advantage of a Cervical Broom? | it combines the spatula and brush to collect both endo and ecto cervical cells. |
| Can you still obtain a PAP smear if an IUD/ Nuvaring are in place? | YES |
| Bimanual exam: Cervix palpation | secure the cervix between two fingers. Test mobility insuring that it moves anterior, posterior, and laterally. Also feel for size and shape. |
| Pelvic Inflammatory Disease (PID) | Often discovered when moving the uterus to test its mobility. Patients will experience pain/tenderness. |
| Bimanual exam: Fundus palpation | Size, shape, and consistancy. If Anteverted & Anteflexed: Dr should be able to palpate from the stomach during bimanual exam. |
| Normal Fundus | Pear shaped, 5-8cm in length. **Usually located at level of Pubis |
| Post-menapausal Fundus | May not be palpable due to uterine degredation (dimishes in size). |
| Bimanaul Exam: Adenexa palpation | Often times they are not palpable unless there is a pathology or patient is very thin. **Normal: smooth, 3X2X1 cm |
| Rectal Exam | CHANGE GLOVES. Want to perform hemocult and evaluate tone of anal sphincter/rectal walls. **Better assesment of RETROVERTED Uterus. |
| Post Hysterectomy PAP | Do a PAP of vaginal cuff (one slide only) |
| How often should a women recieve her pelvic exam? | Yearly beginning at age 21 |
| Gardasil | Vaccine for cervical cancer. Need to get to as an adolescent. |
| 3 common symmptoms of Cervical Cancer (if any are seen at all) | 1.Post Coital Bleeding. 2.Abnormal Uterine Bleeding. 3.Biopsy of ALL visible lesions |
| Positions for women with disabilities | 1.Knee-chest. 2.Diamond-shaped. 3.Obstetric stirrups. 4.M-shaped. 5.V-shaped. |
| Cervical cancer risk factors | 1.STD. 2.Early 1st Coitus (<15yrs). 3.Smoking. 4.Sexual Partners. 5.History of cervical Dysplasia. 6.Obesity (BMI>30) 2X the risk. |
| Ovarian Cancer risk factors | 1.Nulliparity. 2.Endometriosis. 3.Ovarian dysfunction. 4.Spont abortion. 5.Exposure to talc/asbestos. 6.Irradiation of pelvic organs. 7.Anovulation. 8.Breast/endometrial cancer. 9.Family Hx of ovarian/breast cancer with BRCA1/BRCA2 genetic markers |
| FDLMP | First Day of Last Menstrual Period |
| EDC | Estimated Date of Confinement |
| Pregnancy History: GP(FPAL) | 1.G: Gravida (# X Pregnant). 2.P: Para (# of live births). 3.F: Full term preg. 4.P: Preterm preg. 5.A: Abortions/Miscarriages. 6.L: Living children. |
| G3P2 | She had 3 pregnancies with 2 live births |
| G1P(0202) | She had 1 pregnancy, 2 pre-term deliveries, and 2 living children [twins] |
| G2P(1011) | She had 2 pregnancies, 1 full term delivery, 1 abortion/miscarriage, and 1 child living |
Created by:
WeeG
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