gynecological 1

Introduction to Emergencies

Contextual Awareness: Acknowledgment of feeling out of depth in emergencies; emphasis on active learning from experiences of all participants, regardless of gender.

Engagement Exercise: Participants encouraged to write down answers to questions regarding female reproductive health to gauge understanding.

Expected Response: Not just "her body", but specifically from the uterine lining.
Clarification Needed: Participants were encouraged to think deeper—"Where is that blood coming from?"

Expected Response: Not 5 liters or total blood volume; closer to 300 to 500 cc (3 to 5 milliliters) which is much lower than common assumptions.
Discussion: Acknowledgment that many women may not know the actual amount lost.

Key Terms: GP (Gravida, Para) and GT Pal for documenting pregnancy history. Important to learn these from hospital experiences.
Discussion: Emphasis on understanding and using medical terminologies accurately.

Participants required to identify five causes of vaginal bleeding aside from menstruation.

Definition Required: Participants to define endometriosis, focusing on understanding the complexity of this condition.

Discussion Points: Recognition of signs that lead to identifying ectopic pregnancies.

Participants to identify common indicators of PID which may present in various cases.

Definition Required: Explanation of this condition and its presentations—important for recognizing severe complications.

Encouragement to Engage: Round table discussion about answers to questions with pairs.
Clarification of terms regarding menstruation, volume of blood loss, and potential complications discussed.

Symptoms: Sudden onset of abdominal pain starting in right flank and moving to the epigastric region.
Physical Presentation: The patient looks pale. Discussion on possible differential diagnoses including ovarian cysts.

Menstrual History: When was the last menstrual period? Importance of asking about period history for a young patient.
Consideration of Adolescent Context: Discussion on appropriateness of asking if a 13-year-old could be pregnant. Potential for misinterpretation by the patient.
Building Rapport: Strategies for questioning that involve parents to maintain a supportive atmosphere and open communication.

Assessment of Vital Signs: Monitoring breathing rate and heart rate to understand the patient's condition—possible recognition of SIRS (Systemic Inflammatory Response Syndrome).
Blood Loss Concerns: Discussion on patient potentially going into shock due to excessive blood loss from menstruation or another medical condition.

Details of Normal Menstrual Cycle: Typical patterns of menstruation, including starts around age 12.
Changes Over Time: Historical perspective on menstruation age, relevance of societal factors such as diet, health care, and environmental issues.

Symptoms Around Menstruation: Physical and emotional symptoms including breast pain, headaches, cramping, and mood changes.
Menopause Definition: Diagnosed when there has been no period for twelve months; the average age is 45-55 years. Importance for acknowledging the possibility of pregnancy until confirmed.
Age Variability in Period Onset: Highlighting that while averages exist, individuals may begin periods outside of expected norms.

Key Structures: Importance of understanding anatomy including ovaries, fallopian tubes, uterus, cervix, and vagina. Each plays a crucial role in menstruation and reproductive health.

Menstruation Defined: Blood discharge every 24-35 days standing from uterine lining shedding due to hormonal activity within the body. Each cycle facilitated by several hormones, primarily estrogen and progesterone.
Cycle Overview: Explanation of the cycle from puberty, development of oocytes, ovulation process, and subsequent shedding of the uterine lining, leading to menstruation if fertilization does not occur.

Menstrual Cycle as Empowerment: Importance of learning and understanding one's own cycle to better engage with broader health concerns and navigate conversations around reproductive health issues effectively.

Closing Remarks: Encouragement for individuals to respect the nuances of the menstrual cycle, emphasizing unique variations among women. Understanding these differences leads to better health literacy and personal empowerment.