N112 Female

10 and 13 years of age, after the peak of adolescent growth spurt

3 years, although the range may be up to 6 years

Increased progesterone and estrogen

stimulates growth cells in the reproductiive tract

help prepare body from pregnancy and maintain pregnancy

most common spread in american women, causes ulcers of the cervecs, culters are expensive and not ordered routinely

symptoms- menstral irregular

can be cured but can also damage the reproductive system if left untreated

some STIs can lead to pelvic inflammatory disease (PID), which can cause infertility, some may even be fatal

- penicellin, affect a newborn, minimal symptoms

Most common symptoms of PID:

diffuse pain and tenderness in the lower abdomen, Right upper abdominal pain increased foul-smelling vaginal discharge

fever and chills

vomiting and nausea

pain during urination

pain during sexual intercourse

Ages under 25 years of age

Can cause infertility and ectopic pregnancy

PID is a result of HIV

one of the main causes of cervical cancer

treatment to reduce the signs and symptoms, there is currently no cure for this virus

HPV vaccine has recently been developed to prevent HPV infection

age 9 to 26

• 3 shots over 6 months
• type 6 and 11 are most common

• Trychloric acid for a treatment
• for it .

NO CURE

• Early sexual activity
• HPV
• Childhood diabetes, arthritus – immunosuppression

Abnormal vaginal bleeding (particularly after sex)

Pain in the lower back

Pain while urinating

Pain during sex

Weight loss

Anemia

Papanicolaou test (PAP test)-Pap test 90% of early change in the cervix

Speculum

Biopsy

Treated- caught in early mid stage

Cryco surgery- freezing technique or laser surgery- get rid of abnormal tissue

baby in hospital for a longer time missing out on mother bonding time

for multiple relatives with breast or ovarian cancer particularly if diagnosed at early age.

Over age 50

Early menarche before age 12, late menopause after age 55

First full term pregnancy after 30 can cause cancer

Lateral, Central, Subcapular and Pectoral lymph nodes

Progression in breast cancer can be detected from the lymph nodes

high up in the middle of the axilla, over the ribs and serratus anterior muscle. These receive lymph from the other three groups of nodes.

along the lateral edge of the pectoralis major muscle, just inside the anterior axillary fold.

along the lateral edge of the scapula, deep in the posterior axillary fold.

along the humerus, inside the upper arm.

Upper Outer Quadrent 48%

may reappear in the aging male and may be due to testosterone deficiency.

1 to 2 years of decline in ovarian function, irregular menses that gradually stop. Ovaries don’t produce progesterone and estrogen.

Breast glandular tissue atrophy because of decreased estrogen & progesterone

Breast tissue is replaced with fibrous connective tissue; beginning in the middle years & markedly in 8th & 9th decades of life which turns into decreased breast size & loss of elasticity

Use fat pads of three fingers fingers and make gentle rotary motion on breast

Palpate Nipples and Palpate Axillae

• With either pattern, move in a clockwise direction, taking care to examine every
• square inch of the breast.

• Spokes-on-a-Wheel Pattern: start at the nipple and palpate out to the periphery as if following
• spokes on a wheel.

Concentric-circles Pattern: start at the nipple and palpate in concentric circles, increasing out to the periphery.

age 20 on up; monthly, 1 week post-menses

breastfeeding, oral contraceptive use greater than 5 years

¨Bloating

¨Indigestion

¨Abdominal discomfort

¨Pelvic heaviness

¨Loss of appetite

¨Change in bowel habits

¨Abnormal vaginal bleeding

¨Palpation

¨Ultrasound

¨Tumor marker