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Med-Surg Final - REPRODUCTIVE DISEASES
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define menopause


cessation of menstration; also called climacteric or change of life


define pre-menstrual syndrome


symptoms that occur about 1 or 2 weeks before menstruation: breast swelling and tenderness, Acne, Bloating and weight gain, Pain - headache or joint pain Food cravings, Irritability, mood swings, crying spells, depression


define dysmenorrhea


difficult or painful menstration


define amenorrhea


absence or abnormal stopping of menses


define menorrhagia


abnormally profuse menstrual flow


define metrohhagia


uterine bleeding at irregular intervals and sometimes for a prolonged period


define hysteroscopy


a thin telescope that is inserted through the cervix into the uterus


define culdoscopy


examination of the internal female viscera by means of an endoscope inserted through the posterior vaginal fornix


define dyspareunia


painful intercourse


define leukorrhea


white vaginal discharge which is a symptom of vaginitis


define oophoritis


inflamation of the ovaries


define salpingitis


inflammation of the fallopian tubes


define pyosalpinx


A reproductive system disorder in which the Fallopian tubes are distended with pus.


define pelvic exenteration


a radical surgical treatment that removes all organs from a person's pelvic cavity


define vesicovaginal fistula


an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vagina


define rectovaginal fistula


a fistula between the rectum and the vagina


define laproscopy


a medical procedure which allows a physician to view the abdominal and pelvic organs including the uterus, fallopian tubes, ovaries, liver, gall bladder, intestines


define conization


removal of a cone-shaped portion of the cervix


define prolapsed uterus


a collapse, descent, or other change in the position of the uterus in relation to surrounding structures in the pelvis.


define cystocele


herniation of the urinary bladder into the vagina


define rectocele


herniation of part of the rectum into the vagina


define D&C


Dilation & Curettage -


post-op care of D&C


monitor discharge on peripads q 15 minutes for the first hour, make sure patient is able to boid, educate on expected serosanguanous discharge for several days, report increased or frank bleeding or temperature, no douche, tub baths, tampons, intercourse


define PID


Pelvic Inflammatory Disease -


list 7 symptoms of PID


malodorous discharge, backache, abdominopelvic pain, nausea and vomiting, severe UTI symptoms, fever


give 3 treatments of PID


antibiotics for both partners, bedrest in semifowlers position


define endometriosis


presence of endometrial tissue outside of the uterus


give 5 symptoms of endometriosis


dysmenorrhea, menorrhagia, metrorrhagia, dysparunia


medical treatment of endometriosis


symptom relief, pregnancy, hormone therapy, natural or surgical menopause


surgical treatment of endometriosis


D&C, hysterectomy


define fibroid tumors of the uterus


muscle tumors in the endometrium


give 5 symptoms of fibroid tumors of the uterus


none, pressure in pelvic area, anemia, menorrhagia, dysmenorrhea, malaise


give possible treatments of fibroid tumors of the uterus


yearly pap, D&C, myomectomy, hysterectomy


define PAP test


scraping of the cervix to evaluate cells for cancer


define Schiller's test


after pap, the cervix is painted with an iodine solution and the suspicious cells will not absorb dye, these are biopsied


post-op care of vaginal hysterectomy


observe for drainage - moderate amount is expected for 48 hours and spotting is normal for 2 weeks. catheter is left in place for 4 days


post-op care of abdominal hysterectomy


same as general abdominal surgery


give 4 signs and symptoms of breast cancer


lump, pain, nipple discharge, change in breast appearance


give 3 main ways to detect breast cancer early


self exam, physician exam, mammogram


define incisional biopsy


sections of tissue are removed and inspected


define excisional biopsy


entire lesion is removed


define aspiration biopsy


aspired tissue with needle


types of mastectomy


lumpectomy, partial mastectomy, simple mastectomy, subcutaneous mastectomy, modified radical mastectomy, radical mastectomy


3 points of staging vasis


tumor, nodes, metastasis


post-op care of masectomy


arm positioned on pillow to prevent lymphedema, evaluate affected side circulation, swelling, temp, tingle, cyanosis, pulse, dressing - drainage, extra splinting with coughing and deep breathing, ambulation, encourage self care, no lifing, exercises, skin care, attitudes


define lymphedema


after lymph node removal, there is insufficient lymph tissues to get rid of edema


define cryptorchidism


undescended testicle


define torsion


twisting of the spermatic cord resulting in interruption of blood flow to testicle


define hydrocele


painless swelling of the scrotum caused by fluid accumulation


define varicocele


scrotal swelling caused by varicosities in the spermatic blood vessels