MDC3 Exam 1 Review

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MDC3 Exam 1 Review ABCs  A - airway  B - breathing  C – circulation Uterine Leiomyoma  Benign, slow growing solid tumors of the muscle 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 [Show More]

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