Science Medicine Gynecology
NR 509 Final Exam
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NR509 Final Exam NR 509 - Final Exam Bate's Interacti... NSG6020 Week 7 qu
88 terms 100 terms Teacher 20 terms
brit_oldland Preview jaci_buteau Preview Karanja_Ya
-A mobile mass that becomes fixed when the arm relaxes is
attached to the ribs and intercostal muscles; if fixed when the
hand is pressed against the hip, it is attached to the pectoral
Suspicious breast mass
fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or
underlying tissues, strongly suggest cancer
--Age
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of
Risk for Breast cancer
unopposed estrogen exposure related to early menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Characteristics of a breast cyst Soft to firm, round, mobile, often tender.
-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
The best way to examine the
-palpate in the axilla, moving in a straight line down to the bra
lateral portion of the breast
line, then move the fingers medially and palpate in a vertical strip
up the chest to the clavicle. Continue in vertical overlapping
strips until you reach the nipple
, -Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats
the vaginal walls, usually not profuse, may be minimal
- Fishy/musty genital odor
Bacterial Vaginosis (BV)
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with
stippled borders); sniff for fishy odor after applying KOH ("whiff
test"); test the vaginal secretions for pH > 4.5
-Cause: Candida albicans, a yeast (normal overgrowth of vaginal
flora); many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually thick, not as
profuse as trichomonal infection, not malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia
(painful intercourse)
Candidal Vaginitis -The vulva and surrounding skin are inflamed and sometimes
swollen to a variable extent; the vaginal mucosa is reddened,
with white tenacious patches of discharge; the mucosa may
bleed when these patches are scraped off; in mild cases, the
mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching
hyphae of Candida
-Trichomonas vaginalis, a protozoan; often but not always
acquired sexually
- Discharge:Yellowish green or gray, possibly frothy; often
profuse and pooled in the vaginal fornix; may be malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or possibly
Trichomonal Vaginitis
urethritis); dyspareunia
-Vestibule and labia minora may be erythematous; the vaginal
mucosa may be diffusely reddened, with small red granular spots
or petechiae in the posterior fornix; in mild cases, the mucosa
looks normal
- Scan saline wet mount for trichomonads
This ulcerated papule with an indurated edge usually appears
after 3 to 6 weeks of incubating infection from the spirochete
Treponema pallidum. These lesions may resemble a carcinoma or
crusted cold sore. Similar primary lesions are common in the
Syphillis
pharynx, anus, and vagina but may escape detection since they
are painless, nonsuppurative, and usually heal spontaneously in 3
to 6 weeks. Wear gloves during palpation since these chancres
are infectious.
Acute: swollen, and notably tender, making it difficult to
distinguish from the testis. The scrotum may be reddened and the
s/s of epididymitis vas deferens inflamed.
Chronic: firm enlargement of the epididymis, which is sometimes
tender, with thickening or beading of the vas deferens.
NR 509 Final Exam
Save
Students also studied
Flashcard sets Study guides
NR509 Final Exam NR 509 - Final Exam Bate's Interacti... NSG6020 Week 7 qu
88 terms 100 terms Teacher 20 terms
brit_oldland Preview jaci_buteau Preview Karanja_Ya
-A mobile mass that becomes fixed when the arm relaxes is
attached to the ribs and intercostal muscles; if fixed when the
hand is pressed against the hip, it is attached to the pectoral
Suspicious breast mass
fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or
underlying tissues, strongly suggest cancer
--Age
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of
Risk for Breast cancer
unopposed estrogen exposure related to early menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Characteristics of a breast cyst Soft to firm, round, mobile, often tender.
-Have pt roll onto the opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
The best way to examine the
-palpate in the axilla, moving in a straight line down to the bra
lateral portion of the breast
line, then move the fingers medially and palpate in a vertical strip
up the chest to the clavicle. Continue in vertical overlapping
strips until you reach the nipple
, -Caused by overgrowth of anaerobic bacteria (often from sex)
- Discharge: Gray or white, thin, homogenous, malodorous, coats
the vaginal walls, usually not profuse, may be minimal
- Fishy/musty genital odor
Bacterial Vaginosis (BV)
-Normal vulva and vaginal mucosa
-Scan saline wet mount for clue cells (epithelial cells with
stippled borders); sniff for fishy odor after applying KOH ("whiff
test"); test the vaginal secretions for pH > 4.5
-Cause: Candida albicans, a yeast (normal overgrowth of vaginal
flora); many factors predispose, including antibiotic therapy
-Discharge: white and curdy, may be thin but usually thick, not as
profuse as trichomonal infection, not malodorous
- vaginal soreness, pruritus, pain on urination, dyspareunia
(painful intercourse)
Candidal Vaginitis -The vulva and surrounding skin are inflamed and sometimes
swollen to a variable extent; the vaginal mucosa is reddened,
with white tenacious patches of discharge; the mucosa may
bleed when these patches are scraped off; in mild cases, the
mucosa looks normal
-Scan potassium hydroxide (KOH) preparation for the branching
hyphae of Candida
-Trichomonas vaginalis, a protozoan; often but not always
acquired sexually
- Discharge:Yellowish green or gray, possibly frothy; often
profuse and pooled in the vaginal fornix; may be malodorous
-Pruritus (though not usually as severe as with Candida
infection); pain on urination (from skin inflammation or possibly
Trichomonal Vaginitis
urethritis); dyspareunia
-Vestibule and labia minora may be erythematous; the vaginal
mucosa may be diffusely reddened, with small red granular spots
or petechiae in the posterior fornix; in mild cases, the mucosa
looks normal
- Scan saline wet mount for trichomonads
This ulcerated papule with an indurated edge usually appears
after 3 to 6 weeks of incubating infection from the spirochete
Treponema pallidum. These lesions may resemble a carcinoma or
crusted cold sore. Similar primary lesions are common in the
Syphillis
pharynx, anus, and vagina but may escape detection since they
are painless, nonsuppurative, and usually heal spontaneously in 3
to 6 weeks. Wear gloves during palpation since these chancres
are infectious.
Acute: swollen, and notably tender, making it difficult to
distinguish from the testis. The scrotum may be reddened and the
s/s of epididymitis vas deferens inflamed.
Chronic: firm enlargement of the epididymis, which is sometimes
tender, with thickening or beading of the vas deferens.
