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19 Cards in this Set
- Front
- Back
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What do you ask the upright pt to do that makes the breasts come forward?
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hands on hips
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What do you ask the upright pt to do so that you can visually examine the breasts?
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raise arms
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What makes it easier to palpate the upright pt's breast?
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lean forward
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After the upright exam, what do you ask the pt to do?
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lay supine, examine breast
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When pt is supine, note nipple discharge. What do different types of discharge mean?
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lactation (milk)
papilloma (greenish) intraductal problem (bloody) |
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What do you look for in the abdominal exam?
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pregnancy
bruits |
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What do you look for in the external genitalia exam?
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discolorations (melanoma),
lesions (condylomatous-HPV), hair pattern (testosterone), |
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What do you look for when palpating vagina
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vestibular glands
Bartholin gland |
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What do you look for when you examine the cervix?
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obstetric lacerations
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Diff b/w erosion and eversion
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erosion - vagina has not grown out over the top of the cervix
eversion - |
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What 2 things do you do for Pap smear?
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1) scrape ectocervix with spatula - gets squamous tissue and eversion tissue
2) use small brush to obtain endocervical tissue |
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After internal exam, what do you palpate?
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pelvic organs - uterus, ovaries
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what are palpating with the bimanual exam?
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uterus
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Rectovaginal exam may find what condition with older women?
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intestinal prolapse b/w rectum and vagina
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Wet prep, slides with normal saline and _______
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10% KOH
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Biopsy of what will cause uterine cramping?
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endometrium - Give pt some Advil one hour before
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To scrape the endo cervix, use what?
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Duncan curette
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Clue cells are what?
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epithelial cells studded with bacteria
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What does the KOH do in the wet prep
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dissolves normal cells and leaves behind hyphae from Candida, for example
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