gynecologic, obstetrical and special populations

pelvic imflammatory disease

infections of the upper female reproductive organs (uterus ovaries reproductive tubes)

symptom: abdominal pain, before or after cycle

Chlamydia

STD, abdominal pain, lower back pain, nausea, fever, pain during sx

bacterial vaginous

common in women 15-44. normal bacteria is replaced by other forms. ithcing, burning, fishy smell

Gonorrhea

grows in warm, moist areas. painful urnation, yellow discharge, blood

Gynecology rules

dont expose the patient or make them feel uncomfortable. dont put patient in a box just because they are older or younger. Vaginal bleeding shouldnt be overlooked as well

embryo phase

0-10 weeks

fetus phase

10 weeks till delivery

Placenta

gives baby nutrients through the umbilical cord

umbilical cord

connects mother and fetus through the placenta

amniotic sac

bag like membrane for the fetus

Changes in pregnancy

polyuria, increased respiratory rate, increased blood volume, anemia (not enough rbc) , more blood clotting, gas reflex, nausea, vomiting

supine hypotensive syndrome

compressing the vena cava will laying flat back , pregnant women should always be a to the left

gestational diabetes

manage the same way as diabetes

gestational hyoertension

high blood pressure (>140 or <90)

preeclampsia

new onset hypertension, headache, seeing spots, swelling of hands and feet

eclampsia

the presence of seizures

ectopic pregnancy

embryo develops outside of the uterus, often in the fallopian tube

abruptio placentae and placenta previa

placenta is not in place (sepertaes from uterus wall) or is coving the cervix. tranport immediately

fetal alcohol syndrome

infants who have been exposed to alcohol

APGAR score

Appearance (pink), pulse, grimace (crying), activity (resisting straightening attempt), respirations (regular and rapid)

developmental disability

a group of conditions that may impair development in physical ability, learning, language

intellectual disability

a subset of developmental disability where patients have significant limitations in both intellectual functioning and skills needed for daily living

autism spectrum disorder

deficits in social communication and social interaction. repetitive patterns of behavior interest and activities

down syndrome

chromosomal defect resulting in mild to severe intellectual impairment (extra copy in 21)

cerebral palsy

poorly controlled body movement

spina bifida

the lower portion of the spine does not close, exposed portion of the spine

orthotic device

device for supporting body parts to improve function

obesity

anyone with a BMI 30 or greater

ventricular peritoneum shunt

used in hydrocephalus to drain fluid out of brain