Gynecology

Front 1

Define gynecology

Back 1

The branch of medicine that deals with the health maintenance and the diseases of women, primarily the reproductive organs.

Front 2

Define obstetrics

Back 2

The branch of medicine that deals with the care of women throughout pregnancy

Front 3

What are the two most common emergency gynecological complaints?

Back 3

Abdominal pain and vaginal bleeding

Front 4

Define dysmenorrhea

Back 4

Painful menstruation

Front 5

Define dyspareunia

Back 5

Painful sexual intercourse

Front 6

LMP should always be documented for what type of pts?

Back 6

Female pts of child bearing age

Front 7

True or false: Any pt of reproductive age who still has her uterus should be considered to be pregnant until proven otherwise.

Back 7

True

Front 8

Should an internal vaginal exam be performed in the field?

Back 8

No. If serious bleeding is reported or evident, it may be necessary to inspect the pts perineum. The color, character, amount, and the presence of absence of clots should be noted and documented, but an internal vaginal exam should not be performed.

Front 9

General management of gynecological emergencies is focused on what?

Back 9

Supportive care

Front 10

If bleeding is present, should the vagina be packed with dressings to stop the bleeding?

Back 10

No. Tampons to absorb the blood also should not be encouraged

Front 11

Define PID

Back 11

Pelvic Inflammatory Disease. An acute infection of the reproductive organs that can be caused by bacteria, virus, or fungus.

Front 12

What are the 3 most commonly involved with PID?

Back 12

Uterus
Fallopian tubes
Ovaries

Front 13

Who are most likely to be infected with PID?

Back 13

Sexually active women between the ages of 15 and 24.

Front 14

What are the two most common causes of PID?

Back 14

Gonorrhea and chlamydia

Front 15

What are some predisposing factors for PID?

Back 15

Hx of PID
Multiple sexual partners
Recent gynecological procedure
IUD

Front 16

True or false: PID is a major risk factor for pelvic adhesions.

Back 16

True. PID can cause the pelvic organs to "stick together."

Front 17

What is the general presentation for pts with PID?

Back 17

Diffuse lower abdominal pain that is moderate to severe, Pain may increase during intercourse, Walk with a shiffling gait, Fever, Chills, n/v, Sepsis, Foul smelling vaginal discharge that is yellowish, Irregular menses, Mid-cycle bleeding

Front 18

Define cystitis

Back 18

Infection of the urinary bladder

Front 19

Define dysuria

Back 19

Painful urination often associated with cystitis

Front 20

Define mittelschmerz

Back 20

Mid-cycle abdominal pain associated with ovulation

Front 21

Define endometritis

Back 21

Infection of the endometrium

Front 22

Define miscarriage

Back 22

Commonly used term to describe a pregnancy that ends before 20 weeks gestation. Also called spontaneous abortion.

Front 23

Define endometriosis

Back 23

Condition in which endometrial tissue grows outside the uterus

Front 24

In endometriosis, where is the tissue most commonly found?

Back 24

In the abdomen and pelvis, but has been found virtually everywhere in the body, including the lungs and CNS.

Front 25

Define ectopic pregnancy

Back 25

The implantation of a developing fetus outside the uterus

Front 26

What is the most common site of an ectopic pregnancy?

Back 26

The fallopian tubes

Front 27

True or false: Ectopic pregnancies are painful, but not a life threatening emergency.

Back 27

False. This is a surgical emergency because the tube can rupture, causing massive hemorrhage.

Front 28

Endometritis is and occasional complication of what?

Back 28

Miscarriage

Front 29

What is the common presentation of a pt with ovarian cysts?

Back 29

Moderate to sever unilateral abdominal pain that may radiate to the back, Hx of dyspareunia, irregular bleeding, delayed menstrual period, vaginal bleeding. May have been involved in physical activity or intercourse (may cause rupture).

Front 30

How will a typical pt with mittelschmerz present?

Back 30

Unilateral lower quadrant pain that is usually self-limited, mid-cycle spotting, fever

Front 31

What is the treatment for mittelschmerz?

Back 31

Symptomatic

Front 32

How will a typical pt with cystitis present?

Back 32

Frequent urination, pain or burning with urination (dysuria), a low-grade fever, occasionally blood-tinged urine

Front 33

What are common s/s of endometritis?

Back 33

Mild to severe lower abdominal pain, a bloody, foul-smelling discharge, fever. Onset us usually 48-72 hours after a gynecological procedure or miscarriage

Front 34

Endometritis mimics the presentation of what disease?

Back 34

PID

Front 35

How will the typical ectopic pregnancy pt present?

Back 35

Severe unilateral abdominal pain which may radiate to the shoulder on the affected side, a late or missed period, occasionally vaginal bleeding

Front 36

What is the general treatment for abdominal pain?

Back 36

Make the pt comfortable
Transport
O2 and IV if inidcated

Front 37

Define menorrhagia

Back 37

Excessive menstrual flow

Front 38

What is the most common cause of nontraumatic vaginal bleeding?

Back 38

Miscarriage (spontaneous abortion)

Front 39

What is the treatment for vaginal bleeding?

Back 39

Absorb blood flow, but do not pack vagina
Transport
Initiate O2 therapy and IV access based on the pts condition

Front 40

What is the treatment for injuries to the external genetalia?

Back 40

Direct pressure over the laceration or a cold pack applied to the hematoma. Watch for and treat s/s of shock

Front 41

Should the external genetalia be examined in the field of the pt is a victim of sexual assault?

Back 41

Not unless there is a life-threatening hemorrhage

Front 42

What are the two most important elements of care for a victim of sexual assault?

Back 42

Psychological and emotional support

Front 43

What are some general guidelines for preserving evidence in the case of a sexual assault?

Back 43

Consider the pt a crime scene, Handle clothing as little as possible, If clothing has to be removed, bag each piece separately, Do not cut through any tears or holes in clothing, Put bloody articles in brown paper bag, Do not allow pt to bathe, comb hair, brush teeth or clean fingernails, If possible do not clean wounds, Avoid disrupting scene as much as possible

Front 44

What are 4 guidelines to remember for documentation on victim of sexual assault?

Back 44

State pts remarks accurately
Objectively state your observations
Document any evidence turned over to the hospital staff and the name of the individual to whom you gave it
DO NOT include opinions