Reproductive Disorders

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CLIENTS WITH CYTOCELE MAY EXPERIENCE_____________.

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~ STRESS INCONTENENCE- A LITTLE URINE SEEPS EVERY TIME THE WOMAN SNEEZES, COUGHS, LAUGHS, BEARS DOWN, OR STRAINS.

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WHAT IS A CYTOCELE ?

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~ CYTOCELE IS A BULGING OF THE BLADDER INTO THE VAGINA.

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WHAT IS A RECTOCELE ?

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~ A RECTOCELE IS A HERNIATION OF THE RECTUM INTO THE VAGINA.

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WHAT IS AN ENTEROCELE ?

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~ ENTEROCELE IS A PROTRUSION OF THE INTESTINAL WALL INTO THE VAGINA

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WHAT IS THE DEFINITION OF THE WORD "CELE" ?

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~ " CELE" SUFFIX MEANING SWELLING; HERNIA

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CULDOSCOPY IS USED TO VISUALIZE WHAT ?

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~ VISUALIZE THE UTERUS, BLADDER, & FALLOPIAN TUBES.

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CULDOSCOPY IS PERFORMED UNDER_A)____, OR __________ ANASTHESIA; ALLOWS VISUALIZATION OF THE UTERUS, BROAD LIGAMENTS, AND FALLOPIAN TUBES BY INSERTING AN ENDOSCOPE THRU AN INCISION MADE IN THE POSTERIOR VAG. WALL. ECTOPIC PREGNANCY AND PELVIC MASSES CAN BE VISUALIZED. AFTERWARD, OBSERVE CLIENT FOR:

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A) LOCAL OR GENERAL ANASTHESIA
1) SIGNS OF INTERNAL BLEEDING
2) SYMPTOMS OF SHOCK !!!!!!!!

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COLDOSCOPY IS USED FOR ?

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IS A TREATMENT USED TO VISUALIZE THE CERVIX AND VAGINA. a speculum is inserted into the vagina, and the surface areas are examined w/a light and MAGNIFYING LENS (COLPOSCOPE). A CERVICAL BIOPSY AND PAP TEST CAN BE TAKEN @ THIS TIME AS WELL.

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LAPAROSCOPY is _____________________>

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laparoscopy is an examination of the INTERIOR OF THE ABDOMEN using a special endoscope called a laprascope. It is inserted through a small incision located 1/2" BELOW THE UMBILICUS. TWO OR THREE LITERS OF CO2 OR NO2 ARE INTRODUCED INTO THE PERITONEAL CAVITY TO SEPERATE THE INTESTINES FROM THE PELVIC ORGANS AND FACILITATE VISUALIZATION. LAPAROSCOPY IS USED TO DETECT AN ECTOPIC PREGNANACY, PERFORM TUBAL LIGATION, OBTAIN OVARIAN TISSUE FOR BIOPSY, AND DETECT PELVIC ABNORMALITIES.

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TELL THE CLIENT UNDERGOING LAPAROSCOPY SHE WILL EXPERIENCE DISCOMFORT IN THE SHOULDER AS A RESULT OF THE INSTILLATION OF GAS AND..... _______>

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---> CHECK THE INCISIONAL SITES FOR BLEEDING AFTERWARD AND RELIEVE DISCOMFORT BY ADMINISTERING A PRESCRIBED ANALGESIC; NO ASPIRIN PRODUCTS DUE TO BLEEDING COMPLICATIONS!!!!!!!

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HYSTEROSALPINGOGRAM

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IS A RADIOGRAPHIC EXAM THAT VISUALIZES THE UTERUS & FLAOOPIAN TUBES.IT IS USED TO DETECT DEVIATIONS SUCH AS ADHESIONS AND TO DETERMINE FALLOPIAN TUBE PATENCY, OTHER TUBAL ABNORMALITIES, OR CONGENITAL MALFORMATIONS OF THESE STRUCTURES. A CANNULA IS INSERTED INTO THE CERVIX AND CONTRAST MEDIA INJECTED. FLOUROSCOPIC OR RADIOGRAPHIC FILMS ARE TAKEN. BOWEL PREP USUALLY IS NECESSARY TO CLEAR THE INTESTINE OF GAS AND FECAL MATERIAL THAT INTERFERE W/ PROPER VIUSALIZATION OF THE UTERUS AND FALLOPIAN TUBES.

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ULTRASONOGRAPHY (SONOGRAM)

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----> AIDS IN VISUALIZING SOFT TISSUES BY RECORDING SOUND WAVE REFLECTIONS. AN ABDOMINAL ULTRASOUND DETECTS PELVIC ABNORMALITIES SUCH AS TUMORS AND SIZE AND LOCATION OF FETAL & PLACENTAL TISSUE.

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PREMENSTRUAL SYNDROME (PMS)

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PMS is a group of physical and emotional symptoms that occur in some women 7 to 10 days BEFORE menstruation. cause is unknown; however, it may result from EXCESS ESTROGEN, DEFICIENT PROGESTERONE, or BOTH; HYPOTHALMIC-PITUITARY DYSREGULATION; OR THE EFFECT OF REPRODUCTIVE HORMONES ON BRAIN CHEMICALS SUCH AS ENDORPHINS, MELATONIN, AND SERATONIN.

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SYMPTOMS OF PMS---->

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1) WEIGHT GAIN
2) HEADACHE
3) NERVOUSNESS
4) IRRITABILITY
5) PERSONALITY CHANGES
6) DEPRESSION
7) ABDOMINAL BLOATING
8) BREAST PAIN
9) CRAVING FOR SWEETS
10) SWELLING OF HANDS, FEET, ANKLES
11) INCREASED PHYSICAL ACTIVITY

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TREATMENT PMS------>

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DEPENDS ON SEVERITY & TYPE OF SYMPTOMS.
HRT AIMS @ MANIPULATING THE CYCLIC FLUCTUATION IN ESTROGEN AND PROGESTERONE. THIS IS ACCOMPLISHED W/ ORAL CONTRACEPTIVES, PROGESTERONE, SYNTHETIC ANDROGENS, OR GnRh such as histerlin(Supperlin) and nafarelin (Synarel) for 6 months.
Short term therapy w/tranquilizers or antidepressants. Non-narcotic analgesics, such as mefenamic acid (PONSTEL),IBUPROFIN, (MOTRIN), AND NAPROXEN (ANAPROX), are given for discomfort.