Exam (elaborations)
OB & Peds Fisdap
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OB & Peds Fisdap OB & Peds Fisdap OB & Peds Fisdap
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OB & Peds FisdapInternal Anatomy - ANS vagina, uterus, fallopian tubes, ovaries
Uterus - ANS where fetus develops from conception to birth
Fallopian tubes - ANS connects ovaries with the uterus and serves as the passageway for the egg
(ovum)
Fertilization of egg occurs here
Estrogens - ANS secreted in response to FSH
result in the development and maintenance of the female reproductive system and breast growth,
widening of hips, and changes in fat
Progesterone - ANS secreted by corpus luteum
development and maintenance of endometrium
Follicular Phase - ANS begins with menstrual flow, which sheds the uterine lining.
Follicles begin to produce estrogen (negative feedback effects on GnRH, LH, FSH)
Pregnancy Phase - ANS if fertilization occurs, the zygote develops into a blastocyst that implants
uterine lining and secrete hCG.
Second Trimester: hCG levels decline because placenta has grown to sufficient size to secrete
progesterone and estrogen by itself
Pregnant emergency transport - ANS transport in position of comfort
Hypermenorrhea (menorrhagia) - ANS abnormally heavy bleeding during period
Polymenorrhea - ANS has period more frequently than once every 24 days brought on by physical or
mental stress
, Dysmenorrhea - ANS painful menses so bad that interrupts daily life.
lower abd pain and cramping similar to childbirth
Metorrhagia - ANS spotting between periods related to hormonal problems
Vaginal bleeding - ANS likely indicates spontaneous abortion if gestational age is <20 weeks.
After 20 weeks could still indicate spontaneous abortion, but may also indicate placenta previa, or
abruptio placenta
Endometriosis - ANS endometrial tissue located outside the uterus.
Can irritate peritoneum called peritonitis
Endometriosis S&S - ANS generalized lower abd pain that sometimes spreads around to the back and
into the pelvis
May complain of painful intercourse and bowel movements
Endometritis - ANS inflammation of the endometrium
most commonly caused by STD, specifically chlamydia and gonorrhea
Endometritis S&S - ANS lower abd pain and pelvic pain
can lead to constipation and abd distention
malaise
fever
lethargy
Ectopic Pregnancy - ANS pregnancy occurring anywhere other than within the uterus
most common location is fallopian tubes
pts who have had PID, tubal ligation reversal, or previous ectopic pregnancies are at higher risk
ectopic pregnancy S&S - ANS unilateral abd pain gradually worsening over a couple of days
may have vaginal bleeding
blood can accumulate in abd cavity, causing rebound tenderness and diffuse abd pain.
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