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NSG6020 WEEK 7 MISC HEALTH STUDY GUIDE (LATEST-2020): SOUTH UNIVERSITY (UPGRADED AND PERFECT GUIDE, DOWNLOAD TO SCORE A) $10.49   Add to cart
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NSG6020 WEEK 7 MISC HEALTH STUDY GUIDE (LATEST-2020): SOUTH UNIVERSITY (UPGRADED AND PERFECT GUIDE, DOWNLOAD TO SCORE A)

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  • Course
  • NSG6020 (NSG6020)
  • Institution
  • SOUTH UNIVERSITY

NSG6020 WEEK 7 MISC HEALTH STUDY GUIDE (LATEST-2020): SOUTH UNIVERSITY (UPGRADED AND PERFECT GUIDE, DOWNLOAD TO SCORE A)

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  • August 27, 2020
  • 5
  • 2020/2021
  • Exam (elaborations)
  • Questions & answers

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  • nsg6020 week 7 misc health study guide latest 2020 south university upgraded and perfect guide
  • download to score a

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  • SOUTH UNIVERSITY
  • NSG6020 (NSG6020)
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NSG 6020 WEEK 7 MISC HEALTH STUDY GUIDE

1. Bartholin’s gland infection
Large, red, tense swelling seen to left introitus & on palpation of the mass causes pain.
Usually caused by trauma, gonocci, anaerobes like bacterioides & peptostreptococci & C.
trachomatitis. Acutely the gland appears as a tense, hot, very tender abscess. Look for pus
emerging from the duct or erythema around the duct opening.


2. Candida Vaginitis
Visualization of the vulva shows a thick, white, & curdy, may be thin but typically thick, not as
profuse as in trichomonal infection, not malodorous. Discharge, pH 4.1 & the KOH whiff test is
negative with no unusual smell. Wet prep shows budding hyphae.
Candida albicans, a yeast (normal overgrowth of vaginal flora) many factors predispose, including
antibiotic therapy.
Pruritus; vaginal soreness; pain on urination from skin inflammation; dyspareunia. The vulva &
even the surrounding skin are often inflamed & sometimes swollen to a variable extent. The vaginal
mucosa is often reddened, with white tenacious patches of discharge; the mucosa may bleed when the
patches are scraped off. In mild cases the mucosa looks normal. Scan potassium hydroxide
(KOH) preparation for the blanching hyphae of candida.


3. Bacterial Vaginitis
Caused by bacterial overgrowth from anaerobic bacteria; often transmitted sexually. There may be a
gray or white, thin, homogenous, malodorous; coats the vaginal walls; usually profuse, may be
minimal. Unpleasant fishy or musty genital odor; reported to occur after intercourse. The vulva &
vaginal mucosa usually appear normal. Scan saline wet mount for CLUE CELLS (epithelial cells
with stippled borders) sniff for fishy odor after applying KOH (whiff test) test the vaginal secretions
for PH > 4.5


4. Trichomonal Vaginitis
A protozoa; often but nor always acquired sexually. Yellowish, green, gray, possibly frothy. Often
profuse & pooled in vaginal fornix; may be malodorous. Pruritis (not as severe as w/ candida);
painful urination from skin inflammation or urethritis or dyspareunia.

, Vestibule & labia minora may be erythematous; the vaginal mucosa may be diffusely reddened with
small granular spots of petechiae in the posterior fornix. Mild cases the mucosa may look normal.
Scan wet mount for trichmonads.


5. Bleeding between periods is known as metrorrhagia.


6. Epidermoid cyst
2mm to 3mm round yellow nodules on the left labia. Palpation they are nontender & quite firm. C/o
growths in her vulvar area.


7. Breast cancer
Nipple discharge in Breast CA is usually unilateral & can be clear or bloody. Although a breast
mass is not palpated, in this case a fixed lymph node is palpated. Other forms of Breast CA can
present as a chronic rash on the breast.


8. Benign breast abnormality
Nipple discharge in benign breast abnormalities tends to be clear & unilateral. The discharge is
usually not spontaneous. This patient needs to be told to stop compressing her nipple. If the
problem still persists after the patient has stopped compressing the nipple, further workup is
warranted.
9. Nipple retraction
A retracted nipple is flattened or pulled inward or toward the medial, lateral, anterior, or posterior
side of the breast. The surrounding skin can be thickened. This is a relatively late finding in breast
cancer.


10. Acanthosis nigricans
Acanthosis nigricans can be associated with an internal malignancy, but in most cases it is a benign
dermatologic condition associated with polycystic ovarian syndrome, consisting of acne,
hirsutism, obesity, irregular periods, infertility, ovarian cysts, and early onset type 2
diabetes. It is also known to correlate with insulin resistance.


11. Imbalance of hormones of puberty
Mildly overweight and enlarged breast tissue

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