NSG6020 WEEK 7 MISC HEALTH STUDY GUIDE
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1. Bartholin’s Igland Iinfection
Large, Ired, Itense Iswelling Iseen Ito Ileft Iintroitus I& Ion Ipalpation Iof Ithe Imass Icauses Ipain.
Usually Icaused Iby Itrauma, Igonocci, Ianaerobes Ilike Ibacterioides I& Ipeptostreptococci I& IC.
trachomatitis. IAcutely Ithe Igland Iappears Ias Ia Itense, Ihot, Ivery Itender Iabscess. ILook Ifor Ipus
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emerging Ifrom Ithe Iduct Ior Ierythema Iaround Ithe Iduct Iopening.
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2. Candida IVaginitis
Visualization Iof Ithe Ivulva Ishows Ia Ithick, Iwhite, I& Icurdy, Imay Ibe Ithin Ibut Itypically Ithick, Inot Ias
profuse Ias Iin Itrichomonal Iinfection, Inot Imalodorous. IDischarge, IpH I4.1 I& Ithe IKOH Iwhiff Itest Iis
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negative Iwith Ino Iunusual Ismell. IWet Iprep Ishows Ibudding Ihyphae.
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Candida Ialbicans, Ia Iyeast I(normal Iovergrowth Iof Ivaginal Iflora) Imany Ifactors Ipredispose, Iincluding
antibiotic Itherapy. I
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Pruritus; Ivaginal Isoreness; Ipain Ion Iurination Ifrom Iskin Iinflammation; Idyspareunia. IThe Ivulva I&
even Ithe Isurrounding Iskin Iare Ioften Iinflamed I& Isometimes Iswollen Ito Ia Ivariable Iextent. IThe
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vaginal Imucosa Iis Ioften Ireddened, Iwith Iwhite Itenacious Ipatches Iof Idischarge; Ithe Imucosa Imay Ibleed
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when Ithe Ipatches Iare Iscraped Ioff. IIn Imild Icases Ithe Imucosa Ilooks Inormal. I IScan Ipotassium
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I hydroxide I(KOH) Ipreparation Ifor Ithe Iblanching Ihyphae Iof Icandida.
3. Bacterial IVaginitis I I
Caused Iby Ibacterial Iovergrowth Ifrom Ianaerobic Ibacteria; Ioften Itransmitted Isexually. IThere Imay Ibe Ia
gray Ior Iwhite, Ithin, Ihomogenous, Imalodorous; Icoats Ithe Ivaginal Iwalls; Iusually Iprofuse, Imay Ibe
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minimal. IUnpleasant Ifishy Ior Imusty Igenital Iodor; Ireported Ito Ioccur Iafter Iintercourse. IThe Ivulva I&
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vaginal Imucosa Iusually Iappear Inormal. IScan Isaline Iwet Imount Ifor ICLUE ICELLS I(epithelial Icells
I
with Istippled Iborders) Isniff Ifor Ifishy Iodor Iafter Iapplying IKOH I(whiff Itest) Itest Ithe Ivaginal Isecretions
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for IPH I> I4.5
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4. Trichomonal IVaginitis
, A Iprotozoa; Ioften Ibut Inor Ialways Iacquired Isexually. IYellowish, Igreen, Igray, Ipossibly Ifrothy.
IOften Iprofuse I& Ipooled Iin Ivaginal Ifornix; Imay Ibe Imalodorous. IPruritis I(not Ias Isevere Ias Iw/
Icandida); Ipainful Iurination Ifrom Iskin Iinflammation Ior Iurethritis Ior Idyspareunia. I
Vestibule I& Ilabia Iminora Imay Ibe Ierythematous; Ithe Ivaginal Imucosa Imay Ibe Idiffusely Ireddened
Iwith Ismall Igranular Ispots Iof Ipetechiae Iin Ithe Iposterior Ifornix. IMild Icases Ithe Imucosa Imay Ilook
Inormal. IScan Iwet Imount Ifor Itrichmonads.
5. Bleeding Ibetween Iperiods Iis Iknown Ias Imetrorrhagia.
6. Epidermoid Icyst
2mm Ito I3mm Iround Iyellow Inodules Ion Ithe Ileft Ilabia. IPalpation Ithey Iare Inontender I& Iquite Ifirm. I IC/o
Igrowths Iin Iher Ivulvar Iarea.
7. Breast Icancer
Nipple Idischarge Iin IBreast ICA Iis Iusually Iunilateral I& Ican Ibe Iclear Ior Ibloody. IAlthough Ia Ibreast
Imass Iis Inot Ipalpated, Iin Ithis Icase Ia Ifixed Ilymph Inode Iis Ipalpated. IOther Iforms Iof IBreast ICA Ican
Ipresent Ias Ia Ichronic Irash Ion Ithe Ibreast.
8. Benign Ibreast Iabnormality
Nipple Idischarge Iin Ibenign Ibreast Iabnormalities Itends Ito Ibe Iclear I& Iunilateral. IThe Idischarge Iis
Iusually Inot Ispontaneous. IThis Ipatient Ineeds Ito Ibe Itold Ito Istop Icompressing Iher Inipple. IIf
Ithe Iproblem Istill Ipersists Iafter Ithe Ipatient Ihas Istopped Icompressing Ithe Inipple, Ifurther Iworkup Iis
Iwarranted.
9. Nipple Iretraction
A Iretracted Inipple Iis Iflattened Ior Ipulled Iinward Ior Itoward Ithe Imedial, Ilateral, Ianterior, Ior Iposterior
Iside Iof Ithe Ibreast. IThe Isurrounding Iskin Ican Ibe Ithickened. IThis Iis Ia Irelatively Ilate Ifinding Iin Ibreast
Icancer.
10. Acanthosis Inigricans
Acanthosis Inigricans Ican Ibe Iassociated Iwith Ian Iinternal Imalignancy, Ibut Iin Imost Icases Iit Iis Ia Ibenign
I I I I I I
1. Bartholin’s Igland Iinfection
Large, Ired, Itense Iswelling Iseen Ito Ileft Iintroitus I& Ion Ipalpation Iof Ithe Imass Icauses Ipain.
Usually Icaused Iby Itrauma, Igonocci, Ianaerobes Ilike Ibacterioides I& Ipeptostreptococci I& IC.
trachomatitis. IAcutely Ithe Igland Iappears Ias Ia Itense, Ihot, Ivery Itender Iabscess. ILook Ifor Ipus
I
emerging Ifrom Ithe Iduct Ior Ierythema Iaround Ithe Iduct Iopening.
I
2. Candida IVaginitis
Visualization Iof Ithe Ivulva Ishows Ia Ithick, Iwhite, I& Icurdy, Imay Ibe Ithin Ibut Itypically Ithick, Inot Ias
profuse Ias Iin Itrichomonal Iinfection, Inot Imalodorous. IDischarge, IpH I4.1 I& Ithe IKOH Iwhiff Itest Iis
I
negative Iwith Ino Iunusual Ismell. IWet Iprep Ishows Ibudding Ihyphae.
I
Candida Ialbicans, Ia Iyeast I(normal Iovergrowth Iof Ivaginal Iflora) Imany Ifactors Ipredispose, Iincluding
antibiotic Itherapy. I
I
Pruritus; Ivaginal Isoreness; Ipain Ion Iurination Ifrom Iskin Iinflammation; Idyspareunia. IThe Ivulva I&
even Ithe Isurrounding Iskin Iare Ioften Iinflamed I& Isometimes Iswollen Ito Ia Ivariable Iextent. IThe
I
vaginal Imucosa Iis Ioften Ireddened, Iwith Iwhite Itenacious Ipatches Iof Idischarge; Ithe Imucosa Imay Ibleed
I
when Ithe Ipatches Iare Iscraped Ioff. IIn Imild Icases Ithe Imucosa Ilooks Inormal. I IScan Ipotassium
I
I hydroxide I(KOH) Ipreparation Ifor Ithe Iblanching Ihyphae Iof Icandida.
3. Bacterial IVaginitis I I
Caused Iby Ibacterial Iovergrowth Ifrom Ianaerobic Ibacteria; Ioften Itransmitted Isexually. IThere Imay Ibe Ia
gray Ior Iwhite, Ithin, Ihomogenous, Imalodorous; Icoats Ithe Ivaginal Iwalls; Iusually Iprofuse, Imay Ibe
I
minimal. IUnpleasant Ifishy Ior Imusty Igenital Iodor; Ireported Ito Ioccur Iafter Iintercourse. IThe Ivulva I&
I
vaginal Imucosa Iusually Iappear Inormal. IScan Isaline Iwet Imount Ifor ICLUE ICELLS I(epithelial Icells
I
with Istippled Iborders) Isniff Ifor Ifishy Iodor Iafter Iapplying IKOH I(whiff Itest) Itest Ithe Ivaginal Isecretions
I
for IPH I> I4.5
I
4. Trichomonal IVaginitis
, A Iprotozoa; Ioften Ibut Inor Ialways Iacquired Isexually. IYellowish, Igreen, Igray, Ipossibly Ifrothy.
IOften Iprofuse I& Ipooled Iin Ivaginal Ifornix; Imay Ibe Imalodorous. IPruritis I(not Ias Isevere Ias Iw/
Icandida); Ipainful Iurination Ifrom Iskin Iinflammation Ior Iurethritis Ior Idyspareunia. I
Vestibule I& Ilabia Iminora Imay Ibe Ierythematous; Ithe Ivaginal Imucosa Imay Ibe Idiffusely Ireddened
Iwith Ismall Igranular Ispots Iof Ipetechiae Iin Ithe Iposterior Ifornix. IMild Icases Ithe Imucosa Imay Ilook
Inormal. IScan Iwet Imount Ifor Itrichmonads.
5. Bleeding Ibetween Iperiods Iis Iknown Ias Imetrorrhagia.
6. Epidermoid Icyst
2mm Ito I3mm Iround Iyellow Inodules Ion Ithe Ileft Ilabia. IPalpation Ithey Iare Inontender I& Iquite Ifirm. I IC/o
Igrowths Iin Iher Ivulvar Iarea.
7. Breast Icancer
Nipple Idischarge Iin IBreast ICA Iis Iusually Iunilateral I& Ican Ibe Iclear Ior Ibloody. IAlthough Ia Ibreast
Imass Iis Inot Ipalpated, Iin Ithis Icase Ia Ifixed Ilymph Inode Iis Ipalpated. IOther Iforms Iof IBreast ICA Ican
Ipresent Ias Ia Ichronic Irash Ion Ithe Ibreast.
8. Benign Ibreast Iabnormality
Nipple Idischarge Iin Ibenign Ibreast Iabnormalities Itends Ito Ibe Iclear I& Iunilateral. IThe Idischarge Iis
Iusually Inot Ispontaneous. IThis Ipatient Ineeds Ito Ibe Itold Ito Istop Icompressing Iher Inipple. IIf
Ithe Iproblem Istill Ipersists Iafter Ithe Ipatient Ihas Istopped Icompressing Ithe Inipple, Ifurther Iworkup Iis
Iwarranted.
9. Nipple Iretraction
A Iretracted Inipple Iis Iflattened Ior Ipulled Iinward Ior Itoward Ithe Imedial, Ilateral, Ianterior, Ior Iposterior
Iside Iof Ithe Ibreast. IThe Isurrounding Iskin Ican Ibe Ithickened. IThis Iis Ia Irelatively Ilate Ifinding Iin Ibreast
Icancer.
10. Acanthosis Inigricans
Acanthosis Inigricans Ican Ibe Iassociated Iwith Ian Iinternal Imalignancy, Ibut Iin Imost Icases Iit Iis Ia Ibenign
