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29 Cards in this Set
- Front
- Back
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__ __ is a nondescript term that refers to a variety of conditions r/t loss of connective tissue support surrounding the reproductive tract organs.
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pelvic relaxation
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pelvic pressure and pain, dyspareuria, bowel and bladder dysfunction, and urinary incontinence may all resort from __ __
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pelvic relaxation
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a loss of adequate support for the bladder results in a__
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cystocele
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a loss of adequate support for the rectum results in a __
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rectocele
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a true hernia at the top of the vagina allowing the small bowel to herniate is called a __?
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enterocele
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loss of the support for the uterus can result in ___
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uterine prolapse
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the evaluation of pt's with pelvic relaxation rests primarily on the __ & __.
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history and physical exam
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pelvic relaxation is best demonstrated by observing the vaginal area while having the pt. __
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strain`
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__incontinence is the most common form of urinary incontinence.
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stress
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stress incontinence presents with loss of bladder control with __(3 examples)
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laugh, cough, sneeze
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what are some nonsurgical therapies that may be effective in the treatment of stress incontinence?
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kegel exercises
weighted vaginal cones |
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surgical therapies for the treatment of urinary incontinence include
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slings, vaginal tape, bone anchor supports, bladder neck repair,
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urge incontinence results from an overactive ___ muscle
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detrusor
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what are potential treatments for urge incontinence?
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-bladder training
-biofeedback -medical therapy -anticholinergic drugs |
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generally, a pvr should be less than __cc's
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75
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the treatment of overflow incontinence is ?
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timed self-catheterization until the detrusor is able to return to spontaneous function
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approx. __% of women experience a uti in their lifetime.
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15%
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most urinary tract infections in women ascend from bacterial contamination of the __
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urethra
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what is the #1 anatomical reason that women experience uti's more than men?
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short urethras
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__ deficiency also causes a decrease in urethral resistance to infection
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estrogen
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of first uti infections, 90% are caused by __ bugs
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e coli
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anaerobic bacteria and yeasts are uncommon agents that cause uti's except in what 3 pt. populations?
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-diabetic
-immunosuppresed -chronic indwelling catheters |
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symptoms of a uti include:
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-frequency
-urgency -burning -hematuria -nocturia -dysuria |
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what time of the day is the best time to collect a urine specimen? why?
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first morning, when the urine is the most concentrated
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__ is defined as more than five wbc's per high-power field in the centrifuged specimen
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pyuria
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urine cultures that show colony counts of more than ____ for a single organism generally indicate infection.
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100,000
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colony counts as low as __for e.coli are assoc. with infxn when symptoms are present.
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10,000
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the treatment of uti (non-abx) include:
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-hydration
-urinary acidification -urinary analgesia (pyridium) -abx's once culture obtained |
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what abx's are good choices for the treatment of uti's?
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macrodantin, ampicillin, bactrim
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