exam 3 - reproductive

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primary sexual characteristics
- vagina
- penis
secondary sexual characteristics
- breasts
- testicles
everything u know about fibroid tumors?
- leiomyomas, myomas (same as fibroid)
- slow growing solid tumors of the uterus
who's at increased risk for fibroid tumors?
- af ams
- premenopausal
what happens to fibroid tumors after menopause?

usually shrinks
why can fibroid tumors cause anemia?

abnormal bleeding
fibroid tumors:

what kind of surgery?
surgery does what?
- myomectromy/TAH/TVH
- remove or deprive fibroid of blood supply
when are ovarian tumors usually found

too late in teh disease

*survival rate is low

*silent killer
Ovarian tumors metastasize by....
- direct extension
- blood
- lymph
- free floating abd cells
how are ovarian tumors treated
- surgery
- chemo
- radiation
risk factors for ovarian tumors
- age : 50-60
- fam hx
- DM
- nulliparity or 1st over 30
- breast ca
- gene mutations
risks for breast cancer?
age, gender, genetics
- fam tendency
- onset of mense before 12 yrs old
- oral contraceptives
- nulliparity or 1st after age 30
- obesity
- HRT more than 5 yrs
- ETO
- high fat diet
- sedentary life style
- genes
manifestations of breast cancer
- lump
- nipple discharge
- rash
- nipple retraction
- dimpling
- pain
when are mammograms done after age 40?

annually
when are mammograms done 20-30 yrs old

q3 years
how is breast cancer treated
- lumpectomy
- mastectomy w/ or w/o reconstruction
- chemo
- radiation
testicular cancer common between what ages

15-40
testicular ca:

who's at risk?
- white more than af ams
- cryptochordism (undescended teste)
- genetics
- Ca of other testes
- maternal hormone use
testicular ca

manifestations?
- painless swelling of one teste (most common)
- testes enlargment
- discomfort
- dull ache in pelvis/scrotum
dx for testicular ca
- tumor markers:
- HCG - beta human chorionic gonadotropin
- AFP - alpha fetoprotein
- LDH - lactate dehydrogenase
treatment for testicular ca
- chemo
- radiation
- surgery (orchiectomy)
what is the most common cancer in men

prostate
what age does prostate cancer happen

after 65

*curable when caught early
early s/s of protate ca?

none
late s/s of prostate ca?
- slow stream
- weak stream
- retention
- hesitancy
- dysuria
- nocturia
- blood w/ ejaculation
risk for protate ca
- age
- race - af am more at early age/ low incidence in asian countries/
- genetic
- vasectomy
- high fat diet
- excess vit A
excess in w/c vitamin increases risk of prostate ca

vitamin a
dx for prostate ca?
- DRE - digital rectal exam
- PSA - prostate specific antigen (PSA should be drawn before DRE)
surgery for prostate ca
- prostatectomy:
- transurethral
- retropubic
- perineal
- laparascopic
other treatments for prostate ca?
- radiation
- hormone manipulation
other complications of prostate ca
- erectile dysfunction
- urinary incontinence
surgical management for localized prostate ca

TURP: transurethral resection of prostate (take out overgrown part)
TURP is done to cure prostate ca. t or f?

false

promote urination for those with advanced disease
nurse assessment post TURP.

urination.

pt should be voiding 150-200 ml of clear yellow urine 3-4 hrs

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Anonymous

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exam 3 - reproductive

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reproductive

Updated

2011-04-03T01:32:46Z

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