Study Guide A

Front 1

Identify health HX questions regarding exam

Back 1

LMP,menarche, cycle, duration, flow, OB hx ( gravida,para, abortions) sexual activity, contraception, last pap, any s/s uti, STD,

Front 2

List Internal structures

Back 2

Vagina
Uterus
Fallopian tubes
Ovaries

Front 3

List External structures

Back 3

Mons Pubis
Labia minora
Clitoris
Vaginal Vestibule( hymen bartholins glands)
perineum

Front 4

Physical findings R/T Puberty

Back 4

Breast development (8 1/2 - 13 yrs.)
Pubic hair
ovaries in the pelvis

Front 5

Physical findings R/T Pregnancy

Back 5

Cervix soft(goodells sign)
vagina and cervix look blus( chadwicks sign)
uterus softens (hegar's sign)
Uterus globular in shape
mucus plug at cervix
increase vaginal secreations

Front 6

Physical findings R/T aging

Back 6

menopause
uterus shrinks
ovaries atrophy 1-2cm
possible prolaspe
cervix pale and (shrinks)
vagina( shorter,narrow,less elastic)
vaginal dryness
decreased vag. secretions
poss dyspareunia
Pubic hair decreases, clitoris and labia shrink

Front 7

S/S (findings) Candidiasis

Back 7

Intense itching
thick white discharge
vulva and vagina- redness and swelling

Front 8

s/s (findings) Trichhomoniasis

Back 8

watery discharge
maldorous vag discharge
urinary freq.
terminal dysuria
vulva red (strawberry appearence)
frothy green foul smelling discharge
(ID on wet mount)

Front 9

S/S Bacterial Vaginosis

Back 9

profuse thin grey-white fishy odor
(wet mount clue cells)

Front 10

S/S Chamydia

Back 10

( poss no s/s)
yellow/ green discharge
friable cx
urinary frequency dysuria
post coital bleeding
( tx with correct abt.)
cervicle tenderness

Front 11

S/S Gonorrhea

Back 11

purlent vag discharge
dysuria
abnormal vag bleeding
abcess in Bartholins glands
may have no s/s
dx by culture

Front 12

Cervical changes Erosin

Back 12

cervical lips inflammed red granular surface
( bx r/o ca)

Front 13

Cervical changesPolyp

Back 13

Bright red soft growth
(bx)

Front 14

Cervical changes Nabothian cysts

Back 14

yellow nodules smooth <1cm
occur after childbirth

Front 15

Cervical changes with cancer

Back 15

ulcer or induration
bleeding wetween periods or after menopause
unusual discharge

Front 16

S/S adnexal enlargement
PID

Back 16

fever >38c or 104
suprpubic pain and tenderness
acute rigid abd.
poss. purlent discharge from cx. intense pain with movement of uterus

Front 17

S/S etopic pregnancy

Back 17

amenorrhea or irregular vag bleeding
soft fundus and cx
palp tender mass ( solid mobile and unilateral)
pain

Front 18

S/S Ovarian cyst

Back 18

asymptomatic
smooth round fluctuant mobile non tender mass
may resolve with in 60 days
f/u closely

Front 19

Study guide 5 A

Back 19

answers 5A

Front 20

Hx questions to ask about breast exam

Back 20

any pain
any lumps
any discharge
and rash
any swelling
trauma
hx of breast disease
breast surgery ( bx mastectomy, augmention, reduction
last mamogram
do you do SBE

Front 21

surface anatomy of breast

Back 21

2 mammary glands between 2-6th rib
smooth
glangular tissue
ducts
muscular tissure
fat & blood vessels
nerves and lymph

Front 22

anatomy of breast

Back 22

nipple ( including aerola)
tail of spence
montgomery glands
lactiferous duct and sinus
coopers ligament(suspensory lig)
lobes

Front 23

Tanner Staging of breast tissue

Back 23

Tanner 1- no glandular tissue(pre pubertal)
Tanner 2- breast buds aerola starts to widen small glandular tissue
Tanner3- breast become elevated
Tanner4- increased size and elevation aerola and papilla form
Tanner5- full adult size projecting central papilla

Front 24

Breast exam Adolescent

Back 24

breast are enlarging age 8-9 for black and 10 for white girls.
may have assymentry
Tanner 2??

Front 25

Breast exam pregnant

Back 25

clostrum ( after 4th month)
expanded ductal system
nodular
aerola larger and darker more erectile.

Front 26

Breast exam aging female

Back 26

breast glandular tissue atrophy
increase in fibrous connective tissue
flat and flabby
palpable lactiferous ducts feel firm and stringy
decreased axillary hair

Front 27

Self breast exam

Back 27

SBE right after menses or day 4-7 of cycle
if no menses pick monthly date for SBE
SBE is to become familiar not find lumps

Front 28

Pathologic changes in begin breast disease

Back 28

swelling tenderness
mastalgia ( cyclic and non cyclic)
Lumpiness
nipple discharge
Nodularity- bi lat- firm mobile and well demarcated( rubbery )

Front 29

Pathologic changes abscess

Back 29

rare
pocket pus
nipple edema
stop nursing
abt therapy surgical I&D

Front 30

Pathologic changes mastitis

Back 30

uncommon
inflammation single quad
red swollen hot hard tender
headache malaise fever chills and sweating ( flu like)

rest leat freq breast feeding abt

Front 31

Pathologic changes Fibroadenoma

Back 31

single mass
common between 15- 30 yrs of age
can go up to age 55

grows quick
solid rubbery and elastic round oval 1-5 cm
r/o ca with bx

Front 32

Pathologic changes cancer

Back 32

solid unilateral non tender mass
fixed
boarders irregular poorley defined painless grows constantly
age 30-80 increased risk 40-44
can have firm hard axillary nodes dimpling and nipple retraction nipple elevation and discharge

Front 33

Pathologic changes Supernumerary nipples

Back 33

normal extra nipple 5-6 cm below breast no glandular tissue

Front 34

Pathologic changes Pagets disease ( intraducatal cancer)

Back 34

unilateral clear/yellow discharge dry scaling crust friable nipple re halo on aerola eczematous retracted nipple

tingling and burning itching

Front 35

Characteristics when a mass is palpated

Back 35

location
size
shape
consistency
movable
distinctness
nipple
skin over the lump
tenderness
lymphadenopathy