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37 Cards in this Set
- Front
- Back
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Round, firm pad of adipose tissue covering symphysis pubis
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Mons pubis
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2 rounded folds of adipose tissue extending from the mons pubis down and around to the perineum
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Labia Majora
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2 smaller dark folds of skin
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Labia Minora
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Small, pea shaped erectile body; highly sensitive to tactile stimulation
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Clitoris
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-labial structures encircle a boat-shaped space
-contain numerous openings: 1. Urethral meatus 2. Skene's glands 3. Vaginal Orifice 4. Bartholin's glands |
Vestibule--External Genitalia
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flattened, tubular canal extending from the orifice up and backward into the pelvis
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Vagina
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smooth, DONUT shaped area with small hole called OS
-irregular arter childbirth |
Cervix
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Pear shaped, thick wall, muscular organ
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Uterus
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2 pliable, trumpet shaped tubes, 10cm in length
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Fallopian tubes
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develop ova
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Ovaries
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Puberty of Adolescent
1. _______ stimulates growth of cells in rep. tract 2. Develop secondary sex characteristics 3. 1st signs include what? Also, irregularity of menstrual cycle is common during adolescence b/c of girl's failure to ovulate |
Estrogen
Breast and pubic hair |
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-Hormones decrease rapidly
-Menopause: what age? -Estrogen and progesterone production stops with menopause -decreased estrogen causes: uterus shrinks, ovaries atrophy, pelvic muscles weaken, uterus drops, vagina becomes what? (vaginitis) |
AGING FEMALE
Vagina becomes shorter, narrower, and less elastic |
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Social custom, total removal of clitoris to inhibit sexual pleasure
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Infibulation
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Gravida =
Para = Abortions |
Gravia = # of pregnancies
Para = # of live births |
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What is the position for the vagina physical exam?
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LITHOTOMY POSITION
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What is symmetric, plump and well-formed?
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Labia majoria
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Separate labia majoria to evaluate _______.
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Clitoris
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What is dark pink, moist, and symmetric?
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Libia Minoria
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Inspection Order
1. Labia Majoria 2. _______ 3. Labia Minora 4. Urethral opening 5. _______ 6. ANUS |
2. Clitoris
4. Vaginal opening |
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Tenderness
Urethral Discharge Pain Bulging of the vaginal wall |
Abnormal Findings
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Speculum Examination
-Proper size -Warm and lubricate under warm water -Ease insertion by asking to _____ _______. (this relaxes perineal muscles) Inspect what with the speculum? |
Bear Down
-Inspect cervix and Os (color, position, size, os, surface, nabothian cysts) |
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Benign growths that appear on cervix after childbirth
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Nabothian Cysts
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-Pap smear screens for cervical cance
-Obtain 1st: -Vaginal Pool -Cervical Scrape -Endocervical specimen -____________: collect a scrape from the end of the vagina and vagina pool |
Cervical Smears and Cultrues
-Post hysterectomy |
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-if discharge is noted then obtain the gonorrhea/chlamydia culture
-insert a sterile cotton applicator into the Os and rotate 360 degrees, leave in place 10-20 seconds for complete saturation |
STD Screen
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-Acetic acid (white vinegar) screens for __________.
-Soak a thick-tipped cotton rectal swap with acetic acid and "paint" the cervix -_________ esp with irregular borders suggests __________. |
Asymptomatic HPV
-Rapid blanching = suggests HPV infection |
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-Lubricate first 2 fingers
-Extend 1st 2 fingers -Insert into vagina -Insert fingers fully when vaginal wall relaxes -Palapte internal genitalia to assess their location, size, and mobility and screen for any tenderness or mass |
Bimanual Examination
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smooth with no induration or tenderness
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Vaginal Wall
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smooth and firm; evenly rounded; move from side to side (no pain)
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Cervix
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Determine position of what?
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Uterus --many women it is anteverted
some other positions--midpostion and retroverted |
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-increased vaginal fluid in adolescent is normal b/c of ______ effect.
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Estrogen
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-Hyperemia of the perineum and vulva
-Varicose veins in labia or legs -Hemorrhoids -____________: cervix looks blue and feels velvety (soft) |
PREGNANT FEMALE
-Chadwick's sign |
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-Lubrication is decreased
-Pubic hair gradually decreases -Skin is thinner -Clitoris decreases -Cervix shrinks and looks ______. |
AGING ADULT
pale |
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Summary
1. Inspect external genitalia 2. Palpate labia 3. Using vaginal speculum, inspect ____ and _____. 4. Obtain specimens for cytologic study 5. Perform bimanual examination: ____, ______, ____. 6. Perform retrovaginal exam 7. Test stool for occult blood |
Cervix and Vagina
Bimanual exam: cervix, uterus, adnexa |
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-common sexually transmitted disease
-can lead to cervical cancer -Vaccine -protects against major types -recommended for girls/women BEFORE they become sexually active -not effective if the individual is infected with _____ |
HPV
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-Local pain, can be severe
-Overlying skin RED and HOT -Posterior part of ____ is swollen -Palpable mass and tenderness -Purulent discharge -Secondary to gonococcal infection |
Abscess of Bartholin's Gland
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-Postmenopausal vaginal itching, dryness, burning sensation, mucoid discharge
-an opportunistic infection r/t chronic estrogen deficiency |
Atrophic Vaginitis
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-usually asymptomatic
-abdominal enlargement from fluid accumulation -solid tumor palpated on ovary -Heavy, solid, fixed, poorly defined mass -_____ does NOT detect this |
OVARIAN CANCER
-Pap Smear |
