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21 Cards in this Set
- Front
- Back
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Infibulation
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Female genital mutilation: removes the clitoris to inhibit sexual pleasure
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Menorrhagia
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heavy bleeding
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Amonerrhea
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absent of menses
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Dysmonerrhea
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pain during bleeding
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Gravida
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number of pregnancies
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Infibulation
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Female genital mutilation: removes the clitoris to inhibit sexual pleasure
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Menorrhagia
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heavy bleeding
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Amonerrhea
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absent of menses
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Dysmonerrhea
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pain during bleeding
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Gravida
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number of pregnancies
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Obtaining smear from Vaginal Pool
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Rub blunt end of an Ayre spatula over veginal wall under and lateral to cervix
If mucosa is dry, moisten sterile swab with normal saline solution |
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Cervical Scrape
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Insert bifid end of Ayre spatula into vegina with more pointed bump into cervical os. Rotate all the way.
This scrapes surface of squamocolumnar junction and cervix. Specimen important for adolescent chose endocervical cells haven't yet migrated into endocervical canal |
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Endocervical Specimen
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Insert cytobrush into the os. Rotate 720 degrees in one direction
Cytobrush gives higher yield of endocervical cells at squamocolumnar junction |
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Data to include when sending PAP smear down to lab
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Date
DOB Date of last menstrual period Hormone medications If pregnant, estimated date of delivery Known Infxns Prior surgery/radiation Prior abnormal cytology Abnormal findings during PE |
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Positions of Uterus
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Anteverted, Midposition, Anteflexed, Retroflexed, Retroverted
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Herpes Simplex Virus (Type 2)
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Episodes of local pain, dysuria, fever
Clusters of small, shallow vesicles with surrounding erythema. Erupt on genital areas and thighs. Inguinal adenopathy, edema, vesicles on labia rupture in 1-3 days leaving painful ulcers. Remains dormant indefinitely. Initial infxn lasts 7- to 10 days and recurrent infections last 3-10 days |
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HPV (genital warts)
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Painless warty growths may go unnoticed by woman
Pink, flesh colored, soft, pointed, moist, warty papules, single or multiple in cauliflower patch. Occur around vulva, introitus, anus, vagina, cervix |
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Uterine prolapse
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With straining or standing, uterus protrudes into vagina
1st degree: cervix appears at introitus w/straining 2nd degree: cervix bulges outside introitus with straining 3rd degree: whole uterus protrudes even without straining |
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Bluish cervix
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Cyanosis, normal with pregnancy and other conditions causing hypoxia or venous congestion
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Carcinoma
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Bleeding between periods or after menopause, unusual discharge, ulcer and induration noted and diagnosed by pap smear and biopsy
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Candidiasis (Moniliasis)
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Intense itching, thick whitish discharge
Vulva & vagina are erythematous and edmatous, discharge thick white curdy like cheese, diagnosed by microscopic examination Predisposing causes: oral contraceptives or antibiotics, alkaline vaginal pH, pregnancy |
