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female genitalia subjective data
- Menstrual hx; LMP
- Obstetric hx:
- vaginal discharge
- menopause
- urinary symptoms
- sexual activities
- STD contact
- contraceptive use
- self care
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Tools for vaginal assessment
- speculum w/ light sources
- lubricant
- gloves
- hemoccult
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Ways to help patients relax
- empty bladder
- position away from door
- maintain eye contact & communicate
- support person
- dont abduct legs too far
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Possible cervix openings
- nulliparous: small & round - no pregnancies
- parous: horizongal - have given birth before
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bimanual vaginal exams looks at
uterus & ovary positions
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female genitalia developmental considerations- infants
- Infants: assess for ambiguous genitalias
- swelling is normal due to maternal hormones
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Female genitalia developmental considerations - adolescents & older adults
- adolescents: Tanner stages of development, menarche
- older adults: decreased estrogen, thin & dry vaginal walls
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Herpes simplexII
- local genital pain
- dysuria
- fever
- clusters of small vesicles
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human papilloma virus
- soft, watery papules
- patchy cauliflower like shapes
- painless
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bartholin gland abscess
- pain in vaginal alrea
- posterior orfice is red
- tender upon palpate
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rectocele
- collapsed rectum
- -pressure in vagina
- -constipation
- -no pubic har
- - bulging at posterior vaginal wall
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cystocele
- bladder prolapse
- -incontinence
- solf, round bulge at anterior vaginal wall
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Risks for Yeast infection
- change in vaginal flora
- antibiotics
- diabetes
- chemotherapy
- HIV
- immunocompromised
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Risks for cervical cancer
- early intercourse
- multiple partners
- STD's
- smoking
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Ovarian cancer
- asymptomatic until tumor enlarges
- risk increases 40yrs old
- abdominal pain
- post menopausal bleeding
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Female STD's
- often asymptomatic
- may have discharge & itching
- dysuria
- abdominal pain
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common STD's
- Trichomoniasis: inflammation
- Chlamydia
- Gonorrhea
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