wellness exam ch 10

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haleycarter6  on November 7, 2011

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wellness exam

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wellness exam

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wellness exam ch 10

vulva
All of the female external organs, collectively. Also called genitals
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Terms

Definitions

vulva All of the female external organs, collectively. Also called genitals
mons pubis The fatty, rounded areas of tissue in front of the pubic bone.
internal female sexual anatomy Vagina: The tube that connects a woman's external sex organs with her uterus.

Uterus (womb): The pear-shaped organ where a growing fetus is nurtured.

Ovaries: where ova (eggs) reside.

Fallopian tubes: A pair of tubes that connect the ovaries to the uterus.
preventive care (vaginal) 21- first pap smear, pelvic exam
>30, cervical screening every 2 years
>30, 3 years between each pap smear
Vulvovaginal candidiasis (VVC) yeast infection
prepuce foreskin
testes manufacture sperm
epididymis A coiled tube on top of each testicle where sperm are held until they mature.
vas deferns A tube ascending from the epididymis that transports sperm.
accessory glands- male Glands (seminal vesicles, prostate gland and Cowper's glands) that lubricate the reproductive system and nourish sperm
prostate gland The function of the prostate is to store and secrete a slightly alkaline fluid, milky or white in appearance, that usually constitutes 20-30% of the volume of the semen along with spermatozoa and seminal vesicle fluid.
seminal vesicles About 50-70%[2] of the seminal fluid in humans originates from the seminal vesicles.
cowpers gland During sexual arousal each gland produces a clear, viscous secretion known as pre-ejaculate. This fluid helps to lubricate the urethra for spermatozoa to pass through, neutralizing traces of acidic urine in the urethra,[2] and helps flush out any residual urine or foreign matter.
phases of menstrual cycle1- menstrual phase- menstrual flow, release of follicle stimulating hormone from pituitary, release of estrogen

2- proliferative phase- thickening of uterine lining, discharge of cervical mucous; ends when lutinizing hormones triggers release of egg

3- secretory phase- degeneration of follicle sac, high progresterone, increase of endometrial lining
endometriosis A condition in which endometrial tissue grows in areas outside of the uterus
transgenderism the state in which someone's gender identity or gender expression is different from his or her assigned sex at birth.
transsexual transgendered individual who lives as the gender opposite to their assigned sex.
Hormonal treatments and surgical procedures are sometimes used to complete the physical transformation from one sex to the other.
HIV attacks CD4, monocytes, macrophages
AIDS- when CD4 < 200
frequent infections:
Pneumocystis carinii pneumonia
Karposi's sarcoma
Frequent and difficult to treat vaginal yeast infections
Tuberculosis
HIV treatment Reverse transcriptase inhibitors.
Zidovudine (AZT).
Protease inhibitors.
Highly active antiretroviral therapy (HAART).
Structured intermittent therapy.
Fusion inhibitors
Enfuvirtide (Fuzeon)
Inhibit the fusion of viral and cell membranes
Hep B More than 50 times as infectious as HIV
unprotected sex. sharing needles, razors, syringes
Symptoms in 2-3 months -abdominal and joint pain, nausea, dark urine, weakness, fatigue, jaundice.
testing- blood test

Interferon (shots given for 4 months)
Lamivudine (pill taken 1x/day for 1 year)
liver transplant
HERPES 1- oral, 2-genital
infected for life
testing- visual, culture, blood test for 1
antiviral medications
HPV warts, more than 100 types, 4 main ones
genital warts- STD, (Condyloma)
Dysplasia (pre-cancerous condition)
women- can grow in cervix, vagina, vulva, urethra, anus
HPV testing/treatment TESTING AND TREATMENT FOR WOMEN
TESTS
Pap Test
Evaluation using a colposcope
Biopsy
TREATMENT
Destruction with liquid nitrogen (cryosurgery]
Laser ablation
Surgical excision of affected tissue
No surgery has been shown to permanently eradicate HPV because it is a virus

TESTING AND TREATMENT IN MEN
TESTING
Visual examination of genitalia

Treatment
Destruction with liquid nitrogen
Topical treatment of podophyllin (Condylox) administered by a physician
gardasil 6
11
16
18
CHLAMYDIA TRACHOMATIScan be mom->child
Most frequently reported bacterial STI in US
Abnormal vaginal discharge
Burning with urination
Pain with intercourse
Vaginal bleeding between menstrual periods
Painful inflammation of the oviducts (symptomatic of PID)
Pelvic Inflammatory Disease (PID)
TREATMENT - Antibiotics, bed rest, sexual abstinence and maybe surgery to remove scarring
DIAGNOSIS- Pelvic Exam, cultures, laparoscopy

men- burning pee, watery discharge, swollen testes, UTIS, epididimytis, infertility

TESTS
Women: Vaginal swab, urine test
Men: Urine test, urethral swab

TREATMENT
Both partners are administered antibiotics for cure (Doxycycline or Azithromycin).
Gonorrheabacterial
teenage girls, men in their 20s
ejaculation not required

women- mostly asympotomatic
Painful or burning sensation with urination
Increased vaginal discharge
Severe menstrual cramps
Painful abscesses in the Bartholin's glands
vaginal bleeding
PID

SYMPTOMS IN MEN
Urethritis
Painful urination
Thick yellowish white or green discharge from the penis
Lips of the urethral opening may become inflamed and swollen
Lymph glands in the groin become enlarged and swollen
swollen testes
epididtimitis-->infertility

TEST
gram stain, culture of fluids

antibiotics
Syphilis bacteria- Treponema pallidum
can cross placenta- stillborn, premature, seizures

TEST- dark field microscope, blood test

penicillin in early stages treats it
stages of syphilisStage 1: 10 days to 3 months after infection, primary syphilis appears. A painless sore called a chancre appears where the bacteria entered the body, around the genitals, inside the vagina or rectum, or on the lips or mouth.

Stage 2: Secondary syphilis; symptoms may include a rash on the hands or feet, neck, head, or torso, wart-like growths around the genitals, and grayish sores in the mouth. Hair loss may occur. The infection will then enter a latent stage, which lacks symptoms, and can last for years.

Stage 3: Tertiary stage; can also cause severe problems with the heart, brain, and eyes, causing blindness, paralysis, brain damage, dementia, and even death.
Trichomoniasis young women

painful urination, pain during intercourse, vaginal itching and irritation, and a greenish-yellow, strong-smelling vaginal discharge.

oral antibiotics

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