Genitalia (KMH)
+CMT (Cervical Motion Tenderness) - ANS-Pain with PID = +CMT
2 main capabilities of male genitalia - ANS-1) Excrete Urine 2) Introduces sperm into vagina
A nulliparous female: - ANS-has by no means delivered a infant, labia majora will meet at
midline
Abnormal Cervical Findings: - ANS-crimson floor, granular or uneven, friable (bleeds
effortlessly), white patch on cervix = cervicitis or cancer, strawberry spot = Trichomoniasis,
erosion or ulcers, cervical polyp (vibrant pink growth protruding from os) foul odor, tense
discharge (yellow, inexperienced, white or gray =infection)
Abnormal Cervical findings: - ANS-redness or inflammation (irritation or infection), pale =
anemia, cyanotic (now not preg) hypoxia (CHF), lateral role = adhesion or tumor, projection >
3cm = prolapse, hypertophy > four cm = irritation or tumor
adnexa - ANS-appendages or accessory systems of an organ, ovaries, Fallopian Tubes and
ligaments that preserve uterus in place
Bartholin's glands - ANS-produce a mucus secretion to lubricate the vagina, beside and
posterior to vaginal orifice
Blue dot visible on penis with: - ANS-Testicular Torsion
Budding yeast with pseudohypae - ANS-Diagnostic for yeast infection
BV - ANS-Clue Cells gift (no boarder), + Whiff take a look at= Diagnostic for BV
Candida albicans - ANS-yeast infection
Cervical Cancer: - ANS-ninety% as a result of HPV kind 16, 18, 31, forty five, Subclinical lesions
may be detected by using pap, colposcopy, biopsy/software of acetic acid with mild and
magnification, Gold Standard: finding the viral nucleic acid RNA/DNA, Gardasil vaccine protects
against: traces 16 and 18 (70% of cervical cancers), traces 6 and 11 (ninety% of genital warts)
Cervical Epithelium: 2 types - ANS-in the Os: endocervical canal is lined with columnar
epithelium that looks pink & hard, the factor wherein these 2 types meet is the squamocolumnar
junction and isn't seen , **Need those 2 types of cells in a pap smear**
Cervix - ANS-at cease of canal that initiatives into vagina, center is the OS (establishing),
non-stop recess around cervix, anterior fornix and posterior fornix
Chordee - ANS-Penis curving downward (or upward), circumcision is contraindicated right here
Clitoris - ANS-pea-formed erectile frame above anterior fold
Communicating Hydrocele - ANS-that is associated with a hernia that stays open from the
scrotum to the stomach cavity, typically happens after activity, suggests the sac (processus
vaginalis) continues to be open and requires surgical treatment
Condyloma Acuminata - ANS-genital warts (HPV), >70 types, 30 can infect the genitalia--Dx
through inspection (cauliflower look), HPV can purpose genital warts and penile and anal cancer
in men.
, Condylomata lata (secondary syphilis) - ANS-flat warts, second degree of syphilis
cremaster muscle - ANS-elevates or suspends testes to control temp
cryptorchidism - ANS-undescended testes
Epididymis - ANS-A long, coiled duct on the outside of the testis wherein sperm are made and
mature. Also transit for sperm. Decrease component continuous with vas deferens
Epispadias - ANS-dorsal region of meatus
Erection - ANS-2 corpora cavernosa end up engorged with blood (20-50ml), there may be a
neurovascular reflex involved
Estrogen - ANS-A intercourse hormone, secreted in more quantities via females than via males.
In nonhuman female mammals, estrogen ranges peak for the duration of ovulation, selling
sexual receptivity, falls after ovulation to everyday level
Excoriated pores and skin on penis may indicate: - ANS-Pubic lice or nits
External Genitalia female, Vestibule, Urethral meatus - ANS-2.5 cm posterior to clitoris
Fallopian tubes - ANS-2 pliable trumpet shaped tubes, 10cm in length, increase from uterine
fundus laterally to brim of pelvis, curve posterior finishing near ovaries
Female Genitalia: Vulva, Mons Pubis - ANS-Round firm pad of fat tissue covering symphysis
pubis
Female: Age Related issues: - ANS-STI 15-25, Uterine Myomas 30-50, Cervical Cancer
forty-60, Post menopausal: vulval most cancers, cystocele, rectocele, atrophic vaginitis, Over
60- Endometrial Cancer, Ovarian Cancer, Vaginal Cancer
frenulum - ANS-posterior transverse fold of the labia majora
FSH (follicle stimulating hormone) - ANS-a hormone that affects the maturing of eggs and
production of sperm, upward thrust after ovlulation then tapers off to regular level
Gardasil - ANS-prevents HPV
administered to both male and girl- (2009 permitted by FDA advisory committee) for men elderly
nine-26 to prevent genital warts,
GC Culture - ANS-Use Agar Plate with pattern drawn as a "z", DNA probe for GC and
Chalmydia
GC Urethritis - ANS-"The Drip"
genital herpes - ANS-caused by herpes simplex virus, confirmed by means of a TZank take a
look at on tissue taken from base of vesicle
Genital Herpes (can't put off) - ANS-STI because of HSV 1 or 2, genital herpes is usually HSV
2, Clusters of small 1mm or less fluid-filled on a crimson base, vesicles may rupture or coalesce,
takes place inside first 2 weeks after transmission, blisters break, leaving smooth ulcers that
could take 2 to 4 weeks to heal the first time it takes place, 45 Million ppl a long time 12+ have
this, or 1/five youngsters and adults, greater commonplace in Women r/t M to Female
transmission is much more likely than Female to Male
Goodell's signal of pregnancy - ANS-softening of the cervix (5-6 weeks)
Gravida and Para - ANS-Gravida is quantity of pregnancies, Para is # live youngsters
Health evaluation cue for older men, situation of: - ANS-BPH
Health evaluation cue for more youthful guys, subject of: - ANS-Prostatitis
hernia - ANS-Pt needs to be status to evaluate, check out inguinal vicinity for bulge, palpate
canal on each aspect