Lowdermilk & Perry - N 330 Ch. 3 Common Concerns

Front 1

amenorrhea

Back 1

absence or cessation of menstruation

Front 2

dysfunctional uterine bleeding (DUB)

Back 2

excessive uterine bleeding w/ no demonstrable organic cause

Front 3

dysmenorrhea

Back 3

painful menstruation beginning 2-6 months after menarche, r/t ovulation or to organic disease such as endometriosis, pelvic inflammatroy idsease, or uterine neoplasm

Front 4

endometriosis

Back 4

tissue closely resembling endometrial tissue located outside the uterus

Front 5

fibroadenoma

Back 5

firm, freely movable, solitary, solid, benign breast tumor

Front 6

fibrocystic changes

Back 6

benign changes in breast tissue

Front 7

leiomyoma

Back 7

benign smooth-muscle tumor

Front 8

lumpectomy

Back 8

removal of a wide margin of normal breast tissue surrounding a breast cancer

Front 9

menorrhagia

Back 9

abnormally profuse or excessive menstrual flow

Front 10

metrorrhagia

Back 10

abnoram bleeding from the uterus, particularly when it occurs at any time other than the menstrual period

Front 11

modified radical mastectomy

Back 11

surgery that includes the removal of the breast and fascia over the pectoralis major muscle

Front 12

oligomenorrhea

Back 12

abnormally light or infrequent menstruation

Front 13

pelvic inflammatory disease (PID)

Back 13

infection of internal reproducitve structures and adjacent tissues ususally secondary to sexually transmitted infections

Front 14

premenstrual syndrome (PMS)

Back 14

syndrome of nervous tension, irritability, wt. gain, edema, headache, mastalgia, dysphoria, and lack of coordination occurring during the last few days of the menstrual cycle preceding he onset of menstruation

Front 15

radical mastectomy

Back 15

surgery that includes the total removal of the breast, as well as the underlying pectoralis major and pectoralis minor muscles

Front 16

simple mastectomy

Back 16

surgery that includes the removal of the breast w/o the underlying muscle or fascial tissue

Front 17

What circumstances/criteria are used generally to evaluate when amenorrhea is a clinical problem?

Back 17

1. the absence of both menarche & secondary sexual characteristics by age 14
2. the absence of menses by age 16 1/2, regardless of presence of normal growth and development (primary amenorrhea)
3. a 6-12 month cessation of menses after a period of menstruation (2ndary amenorrhea)

Front 18

Amenorrhea is most commonly a result of ________ although it may occur from any defect or interruption in the __________________ or result from ________________ .

Back 18

pregnancy;
hypothalamic-pituitary-ovarian-uterine axis;
anatomic abnormalities; other endocrine disorders (e.g. hypo-/hyperthyroidism); chronic diseases (e.g. type 1 diabetes); medications (e.g. phenytoin); eating disorders; strenuous exercise; emotional stress; and oral contraceptive use.

Front 19

What is an important initial step when assessing of amenorrhea?

Back 19

to confirm that the woman is not pregnant.
rationale: specific components of the assessment process depend on a woman's age--adolescent, young adult, or perimenopausal-and whether she has previously menstruated.

Front 20

What are some possible causes of Abnormal Uterine Bleeding (AUB)?

Back 20

(see box 3-1) p. 69
Anovulation
Pregnancy-related conditions
Lower reproductive tract infections
Neoplasms
Trauma
Systemic diseases
Iatrogenic causes