ch.12 pt3

Most women are born with 2 ovaries; however, can have both removed and still become pregnant.

• Embryo is implanted in uterus

true

Ovaries are within the______; symptoms present as nonspecific pain locations

peritoneal cavity

where are the ovaries located

LRQ and LLQ

fallopian tubes

• Projections of the uterus (bilaterally)

• Egg travels from ovary to uterus via fallopian tubes

ovarian cysts

80% resolve without intervention

Ectopic Pregnancy

1%-2% of all pregnancies in the U.S

signs/symptoms of ovarian cyst and ectopic pregnancy

• Abdominal pain

• Vaginal bleeding

• Nausea and/or vomiting

• Abdominal tenderness

• Amenorrhea is common with both conditions

• Absence of a menstrual cycle

testicles

Paired organ that is external to the body

scrotum

A bifurcated sack that houses each testis and epididymis,as well as the spermatic cords

• The cord is a group of vesicles, artery, nerve, and duct

Sperm needs to be maintained at about 2-3°F cooler than the body

true

Dartos and cremaster muscles contract to bring scrotum closer to the body in colder weather and relax in the warmer conditions.

true

More testicular injuries occur in ______ weather than in colder weather,because they are less protected

warmer

testicle contusion

Blood accumulating within the testis or between the testis and the scrotum

testicular torsion

Causes infarct due to the spermatic cord twisting to a point where nutrients no longer reach the individual testis

Acute trauma to male genitals symptoms

• Nausea, vomiting, hyperventilation, pale skin•

Often not able to effectively communicate pain symptoms immediately after injury

Signs of testicular contusions

•Swollen testicle, sometimes to the point where scrotum appears stretched to capacity

Signs of testicular torsion

Higher testicle than typical for the patient, or a transverse-lying of the affected testis

testiucular contusion or torsion conditions should be referred immediately to a

urologist

Testicular detorsion that occurs within 6 hours of injury has the highest testicle salvage rate.

true

trauma to abdominal organs

Observe, auscultate, palpate, percuss

Patient should be supine or hook lying for exam

Blunt abdominal trauma as a common lead cause of mortality and morbidly

true

Observing the abdomen

Rigidity, bruising, scrapes; signs of internal or external bleeding

Auscultate the abdomen

Listen with stethoscope for normal or abnormal GI sounds

palpate the abdomen

• Size and quality of superficial organs (pain), fluid, or gas

• If no pain, palpate each quadrant deeper

Percuss the abdomen

Listen for quality of sound

History Questions for Evaluating a Blow to the Abdomen

What happened? (Obtain MOI.)

• Have you been ill recently?

• Have you seen the physician recently?

• Have you recently been diagnosed with a sore throat mormononucleosis?

• Have you been very tired lately?

History Questions for aSuspected Gastrointestinal Illness

• When did you begin to feel unwell?

• Where exactly is your pain? Has it moved?

• When was the last time you ate, and what did you eat?• Do you have food allergies or reactions? If so, to what?

• Do you have any chronic gastrointestinal conditions (e.g.,GERD, gastritis, Crohn's disease, celiac disease)?•

When was your last normal bowel movement?(continued)