HA reproductive perineal

Health Promotion - 5

• sexual habits

• STI

• Cervical Cancer Screening

• Testicular Cancer Screening

• self examination

• HPV and Heb C screening

• hypertension treatment

• diabetes treatment

Risk Factors - 12

• several partners

• obesity

• osteoporosis

• history of cancer

• hygiene

• diabetes

• alcohol

• drugs

• tabacco

• cardiovascular probs

• psychological probs

• contributing health probs

Common Complaints - 11

• pain during intercourse

• discharge

• lesions

• menstrual disorders

• acute pain

• structural probs

• sexual dysfunction

• dysuria

• erectile dysfunction

• rectal bleeding

• scrotal enlargement

Urgent - 7

• pelvic pain

• vaginal bleeding

• sexual abuse

• testicular pain

• CAUTI

• priapism

• changes in bowel or bladder habits

Meds to ask (subjective) - 4

• antidepressents

• antihypertensives

• antibiotics

• oral contraceptives

Exposure to ask (subjective) - 2

• participation in hobbies or sports

• abuse

Prepare (objective) - 3

• privacy

• position for comfort

• empty bladder

Female (objective) - 8

• hair*

• skin breakdown*

• inguinal area*

• anus and perineal area*

• tanner staging*

• labia

• vagina

Male (objective) - 10

• hair*

• skin breakdown*

• inguinal area*

• anus and perineal area*

• tanner staging*

• penis

• glans

• scrotum

• sacrococcygeal

Pregnancy - 3

• cervical changes

• bleeding

• cramping

Children - 3

• newborns have pink discharge

• bubble baths

• tanner stages

Culture - 3

• black have early menstreaution

• body piercings

• same sex practitioner

Elderly - 7

• decreased hormones (decreased size of sex organs)

• risk of UTI

• risk of dypareeunia

• risk of ED

• pubic hair thins and grays

• stool and urine incontinence and retentions

• risk of cancers

Mon Pubis - 1

• cushion for pubic bone w hair

FSH - 1

synthesizes and secretes estrogen from ovaries

LH - 1

stimulates secretion of progesterone

Cervical Cancer Risk Factors - 8

• persistent infection w HIV

• intercourse at early age and must sex partners

• suppressed immune system

• smoke

• multiple childbirths

• oral contraceptives

• obesity

• history of cervical cancer

Ovarian Risk Factors - 7

• history

• pelvic inflammatory disease

• Lynch syndrome

• nulliparity

• obese

• estrogen in hormone therapy

• age

STI Risk Factors - 7

• unprotected sex

• mult partners

• young

• alcohol

• drugs

• history

• not vaccinated w HPV or Hep B

STI screenings (Health Promotion) - 5

• HIV

• HPV

• syphillis

• gonorrhea

• chlamydia

Examination (female) - 5

• hand hygeine

• inspect pubic hair and skin

• inspect labias and clitoris

• Inspect urethreal meatus, hymen, perineum, vaginal introitus

• Inspect perianal anus

Erection - 1

neuromuscular reflex occurring when arterial dilate and decreased venous outflow

Testicular Risk Factors - 3

age

cryptorchism (undescended testicle)

history

white

Examination (male) - 6

• perform hand hygeine

• insect pubic hair

• inspect and palpate penis

• inspect scrotum

• inspect and palpate sacroccocygeal

• Insect perianal and anus

Prostate Risk Factors - 5

• 65

• Black

• history

• diet in fats, dairy, and calcium

• Lynch syndrome

Light tan or gray (Stool Colors) - 1

obstruction of biliary tract (jaundice)

Pale yellow (stool colors) -1

malabsorption syndrome

Examination (Anus, rectum, and prostate) - 6

• insect and palpate sacrococcygeal

• inspect perianal and anus

• access anal ring and sphincter

• palpate rectal wall

• palpate prostate

• examine stool