Podcast
Questions and Answers
A patient reports experiencing chronic pelvic pain, particularly during menstruation and intercourse, alongside difficulty conceiving. Physical examination reveals enlarged ovaries. Which of the following conditions is most consistent with these findings?
A patient reports experiencing chronic pelvic pain, particularly during menstruation and intercourse, alongside difficulty conceiving. Physical examination reveals enlarged ovaries. Which of the following conditions is most consistent with these findings?
- HPV infection
- Ectopic Pregnancy
- Endometriosis (correct)
- Uterine Fibroids
The lithotomy position for a speculum examination requires the patient to be completely undressed, lying flat with legs extended.
The lithotomy position for a speculum examination requires the patient to be completely undressed, lying flat with legs extended.
False (B)
During the objective data collection of a female genitourinary system exam, what specific aspects of the external genitalia should be inspected?
During the objective data collection of a female genitourinary system exam, what specific aspects of the external genitalia should be inspected?
Skin color, mucous membranes, hair distribution, symmetry, clitoris, labia, urethral opening, vaginal opening, perineum, and any lesions.
An _______ pregnancy occurs when a fertilized egg implants outside of the uterus, commonly in the fallopian tube.
An _______ pregnancy occurs when a fertilized egg implants outside of the uterus, commonly in the fallopian tube.
Match the following conditions of the female genitourinary system with their key characteristics:
Match the following conditions of the female genitourinary system with their key characteristics:
A patient presents with chronic pelvic pain, dysmenorrhea, and dyspareunia. An examination reveals enlarged ovaries. Which condition is most likely?
A patient presents with chronic pelvic pain, dysmenorrhea, and dyspareunia. An examination reveals enlarged ovaries. Which condition is most likely?
A speculum examination is primarily performed to assess the external genitalia for lesions and abnormalities.
A speculum examination is primarily performed to assess the external genitalia for lesions and abnormalities.
What key aspects of the external genitalia should be inspected during a physical examination?
What key aspects of the external genitalia should be inspected during a physical examination?
An ectopic pregnancy typically occurs when a fertilized egg implants outside of the uterus, most commonly in the ________.
An ectopic pregnancy typically occurs when a fertilized egg implants outside of the uterus, most commonly in the ________.
Match the following conditions with their typical presentation:
Match the following conditions with their typical presentation:
Flashcards
Female Genitalia Inspection
Female Genitalia Inspection
Visual inspection of skin color, mucous membranes, hair distribution, symmetry, clitoris, labia, urethral opening, vaginal opening, and perineum for any lesions.
Speculum Exam Setup
Speculum Exam Setup
Lithotomy position (supine with legs raised), empty bladder, chaperone present, head of bed elevated, arms at sides.
Speculum Examination
Speculum Examination
A procedure using an instrument to widen the vaginal opening to view the cervix, collect cervical tests, and cultures.
Ectopic Pregnancy
Ectopic Pregnancy
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Endometriosis
Endometriosis
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Uterine Fibroids
Uterine Fibroids
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GU System Subjective Data
GU System Subjective Data
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HPV Vaccination
HPV Vaccination
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Endometriosis Symptoms
Endometriosis Symptoms
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Study Notes
- Focus is on the pathophysiology & structure of the female genitourinary system
Subjective Data Collection
- Questions include descriptions of menstrual cycle, if they've been pregnant, pap smear history, and sexual activity.
Objective Data Collection
- Involves physical examination of the external genitalia.
Inspect
- Skin color and mucous membranes should be examined.
- Hair distribution
- Symmetry
- Clitoris
- Labia
- Urethral opening
- Vaginal opening
- Perineum
- Note any lesions
Speculum Examination
- Completed with patient in lithotomy position, socks and shoes on, head of the bed elevated, arms at their side, and bladder emptied.
- A chaperone is essential during this examination.
- Used to collect cervical tests and cultures.
Developmental Considerations
- These should be taken into account when assessing the female genitourinary system
Common Conditions
- Ectopic Pregnancy:
- Fertilized egg implants outside the uterus, often in the fallopian tube.
- Endometriosis:
- Causes chronic pelvic pain, dysmenorrhea, or dyspareunia.
- Ovaries are often enlarged and may cause infertility.
- Uterine Fibroids:
- Uterus irregularly enlarged, firm, mobile, and nodular with hard, painless nodules in the uterine wall.
- Confirmed by ultrasound imaging.
Health Promotion & Risk Reduction
- HPV vaccination protects against HPV, a cause of several cancers.
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Description
This lesson covers the pathophysiology and structure of the female genitourinary system. Subjective data collection involves gathering information on menstrual cycle, pregnancy history, pap smear history, and sexual activity while objective data collection involves physical examination of the external genitalia.
