MDC3 Exam 1 Review
ABCs
A - airway
B - breathing
C – circulation
Uterine Leiomyoma
Benign, slow growing solid tumors of the muscle
... [Show More] layer of the uterus (fibroids)
Excessive local growth of smooth muscle tissues
o Growth may be stimulated by estrogen, progesterone, and growth
hormone
Assessment: asymptomatic or symptomatic (heavy prolonged vaginal bleeding)**
Assess pelvic pressure, elimination pattern, abdomen size, dyspareunia,
infertility
Painful menses
Elimination patterns (due to enlarged fibroid pressing on organs)
Ask how many pads/tampons used in a day
S/S: Heavy periods or periods that last a long time & abd distention, urinary
frequency
Psychosocial assessment:
Quality of life from dyspareunia
Fear that symptoms could be cancerous
Anxiety
Significance of loss of uterus for patient and partner if want to conceive
Diagnostic assessment:
CBC – iron deficiency anemia from heavy bleeding
WBC would be normal
HGB and HCT – low
Pregnancy test to rule out uterine enlargement
Transvaginal US – able to see if fibroid is protruding into uterine cavity
Biopsy: gold standard
Pelvic exam
Planning and Implementation
Manage bleeding
o Non-surgical management: oral contraceptive**
o Surgical management:
MRI focused ultrasound-heat to tumor
Uterine artery embolization – starves tumor of circulation
allowing it to shrink
Myomectomy- laser removal
Hysterectomy
Erectile Dysfunction: causes & treatment
Common as one ages: reduced blood flow to penis
Causes
Medical causes: change in blood pressure
Non-organic: increased stressor, illnesses
Treatment
Medications that increase perfusion to penis (PDE- 5 inhibitors)
Vacuum pump
Pineal implant
Managing stress
Education related to treatment for HPV/Cervical Cancer
Caused by HPV
s/s of cervical cancer:
o heavy bleeding in later stages
o bleeding after sex
o Most of the time asymptomatic
Bleeding between periods
Preventive screening: PAP smear, surgical biopsy (gold standard) to determine
staging
Treatment:
Early- ablation, laser
Late- chemotherapy/radiation
Education:
No sticking anything up the vagina (tampons, douches)
May have bleeding
No sexual intercourse
No tub baths
Breast cancer- preventative screenings, risk factors, diagnostic tests
Preventative screenings
Mammography
o Recommended to start screening at 45
o Women over 55 may switch to every 2 years
Breast self-awareness/self-examinations
o >90% detected by patient
Clinical breast clinical
o At least every 3 years for women in their 20s and 30s and every year for
asymptomatic wom [Show Less]