OB/GYN & Emergencies - EMT PDF

OB/GYN & Emer EMERGENCIES Pelvic-inflammatory disease Disease-causing organisms enter through the vagina during sexual activity and travel up to the cervix and into the uterine cavity. Here, they may expand into the fallopian tubes and cause scarring that can cause ectopic pregnancies or sterility....

OB/GYN & Emer EMERGENCIES Pelvic-inflammatory disease Disease-causing organisms enter through the vagina during sexual activity and travel up to the cervix and into the uterine cavity. Here, they may expand into the fallopian tubes and cause scarring that can cause ectopic pregnancies or sterility. It can also lead to life-threatening abscess in the ovaries. The most common sign is generalized lower abdominal pain. Other signs and symptoms may be abnormal, foul-smelling discharge, increased pain during sex, fever, general malaise, nausea, and vomiting. Bacterial vaginosis: ⁃ 15yrs-44years ⁃ Normal bacteria in the vagina are replaced by an overgrowth of other bacterial forms. Symptoms may include itching, burning, pain, and may be accompanied by fishy foul-smelling discharge. Pregnant women with this may have premature babies or babies born with low birth weight. Gonorrhea: ⁃ A bacteria that multiples in warm, moist areas of the reproductive tract, including the cervix, uterus, and fallopian tubes and in the urethra. It can also grow in the mouth, throat, eyes, and anus. ⁃ Symptoms appear 2-10 days after exposure. ⁃ Symptoms may appear with painful urination, associated burning/itching, yellow/bloody discharge with foul-odor. More severe symptoms may be associated with abdominal pain as well. Chlamydia: ⁃ People with chlamydia often report lower abdominal pain, low back pain, nausea, fever, pain during sex, bleeding between menstrual periods. This infection can even spread to the rectum to cause rectal bleeding, pain, or discharge. PATHO PHYSIOLOGY CSTD's) (STD's progress can PFDs) to Abnormal menstruation > - As menstruation month , it can be : occurs once a overlooked Ectopic Embryo - pregnant conditions that in a Spontaneous - Abortion : AKA Miscarriage cause Loss of > - prior Table 34-1 pregnancy 20 weeks of to gestation w/o surgical/ & medical intervention > Induced-abortion - Pg124g Abruptio/Placenta Previo > - Abruptio : Placenta prematurely from the Uterus - covers over Cancer >Internal - - bleeding > - 893 MIcortant - things 1) Privacy 2) Get 3) See 7) a menstrual , here Injuries caused painful are because Of the amount of blood vessels & nerves Internal be painless AssAULT/RADE and comfort of the patient are &TAKE crucial YOUR NOTE OF CLUES IN SURROUNDINGS PD involved if you can talk to the individually (same-gender EMT first life-threatening injuries EVIDENCE Call local rape is preferrable) documentation , Address patient S &Everythingwilbeconsidered 6 a are to note : 4) Factual , objective thorough 5) woman who missed may SEXUAL page I I often cycle and reports sudden severe unilateral pain in the lower abdomen. Review table in Can be considered for Cervical polyps bleeding : may be painless 24-1 most abdominal pain E the first trimester should in vaginal bleeding this Vaginal Trauma : I separates wall of the Placenta develops the cervix , fallopian tube sudden onset of be considered - : outside of the uterus VAGINAL BLEEDING HYPERTENSION AND TRAUMA Previo : > Placenta and - - Vaginal bleeding pregnancy develops center take if patient precationi the refuses transport.