women's health and diagnostics - reproductive tract disorders + IPV and trafficking

reproductive tract disorders put the patient at increased risk for what 4 things

chronic pain, CA, systemic infection, infertility

• UTIs

• PID

• vaginitis

• STIs

• TSS (rare)

these are all examples of

reproductive tract disorders

with cystitis the patient will report pain where

lower abd

with pyelonephritis the patient will report pain where

flank pain

• menopause

• suppressed immune system

• weakened bladder

• decreased estrogen

these are all risk factors for a UTI in an

older woman

• fever

• dysuria

• cloudy, foul smelling urine

• backache + suprapubic tenderness

these are S/S of a UTI in a

younger woman

• agitation

• confusion, delirium, hallucinations

• poor motor skills

• dizziness/falls

• fever

these are all S/S of a UTI in an

older woman

in an older woman with a UTI what is a sign that treatment is needed immediately

fever

acute inflammation of the upper female genital tract is called

PID

PID is from what two STIs

chlamydia and gonorrhea

• poss asymptomatic

• vague S/S

• severe abd pain, uterine, ovarian pain or tenderness

• dyspareunia

• purulent vaginal d/c

• nausea/anorexia

• irregular vaginal bleeding

• fever 100.4

these are all S/S of what reproductive tract disorder

PID

with PID what kind of pregnancy is 10x more likely

ectopic

• test for STIs

• treat with PO abx

• screen patient and sexual partner(s)

• analgesia

• hospitalization/IV abx

are all some medical management options for what reproductive tract disorder

PID

if PID is left untreated what are 3 possible results

ectopic pregnancy, infertility, chronic pelvic pain

what are the two types of vaginitis

yeast (fungal) and bacterial

what is it called when the vaginal ecosystem is disturbed by a gram positive fungus

candidiasis vaginitis

in what two situations is a yeast infection more likely to develop

during pregnancy and before/after menses

what is the most common form of vaginitis

yeast

• abx therapy

• suppressed immune system

• DM

• pregnancy

• menopause

these are all risk factors for what reproductive tract infection

yeast infection

how is a yeast infection dx

wet mount and whiff test (negative)

what med will be prescribed for a yeast infection

fluconazole

• itching of vulva

• white, cottage cheese d/c

• burning on urination

• dyspareunia

these are all S/S of which reproductive tract infection

yeast infection

what is it called when there is a disruption of normal vaginal flora

bacterial vaginitis

what are 3 consequences if BV is left untreated

choriomanionitis, PROM, premature labor and delivery

• multiple partners

• new sexual partner

• lesbians > share toys

• douching

• Abx therapy

these are all S/S of what kind of reproductive tract infection

BV

• 50% are asymptomatic

• thin white, gray, milky d/c

• fishy vaginal smell

these are all S/S of what kind of reproductive tract infection

BV

for the dx of BV what tests are done

wet mount and whiff test (postive)

what two medications might be prescribed for BV

metronidazole and clindamycin

metronidazole is known for making foods taste

metallic

metronidazole may make urine appear

dark or reddish brown

TSS is caused by what bacteria

staphylococcus aureas

using what 4 feminine/contraceptive products can cause TSS

tampon, cervical cap, diaphragm, sponge

• hypotension

• generalized rash

• skin peeling on palms of hands and soles of feet

• flu like > HA, ST, V/D

these are all S/S of what kind of reproductive tract infection

TSS

stabilize hypotension and antimicrobial therapy are medical management tactics for what infection

TSS

~70-80% of rape is considered an __________ rape

acquaintance

what is the secondary vicitmization or “2nd rape”

when the patient has to relive the experience while reporting to the nurse

when someone is forced into involuntary servitude, debt bondage, or slavery that is called

human trafficking

when someone is kidnapped and used for commerial sex acts induced by force, fraud, or coercion this is called

sex trafficking

when is the risk for homicide in IPV the highest

when the victim tries to leave