0
Chapter 26 Obstetrics and Gynecology
Obstetrics <ul><li>Care of mother and fetus during    pregnancy </li></ul><ul><li>Initial Prenatal Visit </li></ul><ul><li...
Tests and Procedures <ul><ul><li>Alpha Fetal Protein (AFP)   </li></ul></ul><ul><ul><ul><li>- Amniocentesis at 16 weeks  <...
Tests and Procedures <ul><li>Ultrasonography/Amniocentesis </li></ul><ul><ul><li>Ultrasound produces image of fetus (prep:...
Complications of Pregnancy <ul><li>Abortion or interruption of pregnancy </li></ul><ul><li>Eclampsia (toxemia) </li></ul><...
Parturition (Labor) & Postpartum <ul><li>Three stages </li></ul><ul><ul><li>Stage I Dilation </li></ul></ul><ul><ul><li>St...
Gynecological & Breast Exam <ul><li>Detects diseases of female reproductive tract </li></ul><ul><li>Breast Exam checks for...
Assisting with  Gynecological Exam <ul><li>Pap Smear </li></ul><ul><ul><li>Testing mandated by CLIA 88 </li></ul></ul><ul>...
Gynecological Diseases and Conditions <ul><li>Infertility </li></ul><ul><li>Menopause </li></ul><ul><li>Endometriosis </li...
Other Diagnostic Tests <ul><li>Colposcopy </li></ul><ul><li>Cervical Punch Biopsy </li></ul><ul><li>Cervical Cone Biopsy <...
Chapter 28 Male Reproductive System
Male Reproductive System <ul><li>Testes </li></ul><ul><li>Scrotum </li></ul><ul><li>Sperm </li></ul><ul><li>Semen </li></u...
Testicular Self-Examination <ul><li>Perform testicular self-examination on a regular basis </li></ul><ul><li>Patient educa...
Male Disorders <ul><li>Testicular Cancer </li></ul><ul><li>Prostatitis </li></ul><ul><li>Prostate Cancer </li></ul><ul><li...
Other Disorders or Diseases <ul><li>Balanitis </li></ul><ul><li>Epididymitis </li></ul><ul><li>Infertility </li></ul><ul><...
Assisting with the Male Reproductive Exam <ul><li>Physician will examine penis and foreskin of uncircumcised patient </li>...
Diagnostic Tests and Procedures <ul><li>Vasectomy: surgical sterilization  </li></ul><ul><li>Removal of a portion of Vas D...
Upcoming SlideShare
Loading in...5
×

135 Week 6 Chapter 26 Female Chapter 28 Male

604

Published on

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
604
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
7
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide
  • Care of mother and fetus during pregnancy: a. 40-week pregnancy b. Puerperium – 6 weeks following delivery 2. Initial Prenatal Visit a. Prevention and complications b. History and physical c. Pelvic measurements d. Laboratory tests – blood and urine tests (HCG, CBC, VDRL) Prenatal History a. Identify high risk b. Risk factors: disease, age, and OB history c. Gravida, Para: F.P.L.A. d. Potential serious problems Subsequent Prenatal visits Vital signs Measurement of fundus Tests and procedures
  • Eclampsia (toxemia) life threatening Gestational diabetes – usually disappears after pregnancy Hyperemesis gradiarum – excessive vomiting Placenta Previs – placenta may cover os Placenta abruptio – placenta separates from uterine lining
  • Pueryserium: usually 4 to 6 weeks Lochia Rubra Serosa Alba
  • GYN Cervical cancer Pap smear performed annually Other problems BSE Checks for abnormalities Medical Assistant teaches self-breast exam to patient
  • Colposcopy- exam of vagina and cervix with lighted instrument and magnifying lens, used for examination and biopsy; lithotomy position; unlubricated speculum; use acetic acid to help visualize (dissolves mucus) Cervical punch or cervical cone biopsy can be performed during colposcopy; punch uses cervical punch biopsy forceps, cone uses laser scalpel or electrosurgery Cryosurgery – freeze tissue to treat cervicitis and cervical erosion; tissue regenerates, may have discharge up to one month later Laparoscopy – use of lighted instrument to view inside pelvic cavity (dx. Endometriosis, ovarian cysts, tubal ligation/fugation). Can be done abdominally or vaginally D &amp; C – dilate and scraping of cervix of endometrial tissue (abnormal uterine bleeding, incomplete abortion)
  • Testicular Cancer Most common type of male cancer; 20-35 years. Painless lump in testicle; history of undescended testicle or mumps predisposing factors; diagnosis by biopsy after palpation of mass. Surgery to remove testicle (orchidectomy) with radiation and chemo treatment. Self exam best preventive measure Prostatitis Inflammation of prostate; usually men over 50; prostate enlarges (burn w/ urination, pain in back, muscle aches, urinary frequency). Cause may be bacterial. UA, urine culture digital rectal exam used to diagnose; treatment:meds (penicillin/pain), force fluids Prostate Cancer 3 rd leading cause cancer death in men (lung &amp; colon); Metastasis; symptoms: difficulty urinating, frequency urinating, inability to urinate; Check PSA (bllod), biopsy confirms. US or CAT scan used to check for metastasis; treatment: prostatectomy, hormonal therapy, radiation, chemotherapy, brachytherapy (seeds) Benign Prostatic Hypertrophy BPH common men +50; symptoms include urinary retention, diminished flow, difficulty starting flow, hesitancy &amp; nocturia common; Probably caused by hormonal changes with aging; prostate enlarges to surround urethra; physician palpates during rectal exam, PSA, IVP, catheterization, US; Treatment : meds to relax prostate muscles, hormones, bladder relaxants. TURP of prostate common surgical tx.
  • Transcript of "135 Week 6 Chapter 26 Female Chapter 28 Male"

    1. 1. Chapter 26 Obstetrics and Gynecology
    2. 2. Obstetrics <ul><li>Care of mother and fetus during pregnancy </li></ul><ul><li>Initial Prenatal Visit </li></ul><ul><li>Prenatal History </li></ul><ul><li>Subsequent Prenatal Visits </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    3. 3. Tests and Procedures <ul><ul><li>Alpha Fetal Protein (AFP) </li></ul></ul><ul><ul><ul><li>- Amniocentesis at 16 weeks </li></ul></ul></ul><ul><ul><li>Chronic Villi Sampling (CVS) </li></ul></ul><ul><ul><ul><li>- Performed if history of abnormalities </li></ul></ul></ul><ul><ul><ul><li>- Performed at 8 to 10 weeks </li></ul></ul></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    4. 4. Tests and Procedures <ul><li>Ultrasonography/Amniocentesis </li></ul><ul><ul><li>Ultrasound produces image of fetus (prep: drink 1 qt. water one hour prior) </li></ul></ul><ul><ul><li>Amniocentesis – surgical punctures of amniotic sac to obtain sample </li></ul></ul><ul><ul><li>Diagnose congenital abnormalities </li></ul></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    5. 5. Complications of Pregnancy <ul><li>Abortion or interruption of pregnancy </li></ul><ul><li>Eclampsia (toxemia) </li></ul><ul><li>Gestational diabetes </li></ul><ul><li>Hyperemesis gravidarum </li></ul><ul><li>Placenta Previs </li></ul><ul><li>Placenta abruptio </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    6. 6. Parturition (Labor) & Postpartum <ul><li>Three stages </li></ul><ul><ul><li>Stage I Dilation </li></ul></ul><ul><ul><li>Stage II Expulsion </li></ul></ul><ul><ul><li>Stage III Placental </li></ul></ul><ul><li>Braxton Hicks: false labor </li></ul><ul><li>Pueryperium (4-6 weeks) </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    7. 7. Gynecological & Breast Exam <ul><li>Detects diseases of female reproductive tract </li></ul><ul><li>Breast Exam checks for abnormalities </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    8. 8. Assisting with Gynecological Exam <ul><li>Pap Smear </li></ul><ul><ul><li>Testing mandated by CLIA 88 </li></ul></ul><ul><ul><li>Classification </li></ul></ul><ul><ul><li>Results </li></ul></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    9. 9. Gynecological Diseases and Conditions <ul><li>Infertility </li></ul><ul><li>Menopause </li></ul><ul><li>Endometriosis </li></ul><ul><li>Ovarian cysts </li></ul><ul><li>Ovarian cancer </li></ul><ul><li>Pelvic Inflammatory Disease (PID) </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    10. 10. Other Diagnostic Tests <ul><li>Colposcopy </li></ul><ul><li>Cervical Punch Biopsy </li></ul><ul><li>Cervical Cone Biopsy </li></ul><ul><li>Cryosurgery </li></ul><ul><li>Laparoscopy </li></ul><ul><li>Dilation and curettage (D&C) </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    11. 11. Chapter 28 Male Reproductive System
    12. 12. Male Reproductive System <ul><li>Testes </li></ul><ul><li>Scrotum </li></ul><ul><li>Sperm </li></ul><ul><li>Semen </li></ul><ul><li>Epididymis </li></ul><ul><li>Prostate gland </li></ul><ul><li>Urethral opening </li></ul><ul><li>Penis </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    13. 13. Testicular Self-Examination <ul><li>Perform testicular self-examination on a regular basis </li></ul><ul><li>Patient education is vital </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    14. 14. Male Disorders <ul><li>Testicular Cancer </li></ul><ul><li>Prostatitis </li></ul><ul><li>Prostate Cancer </li></ul><ul><li>Benign Prostatic Hyperplasia </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    15. 15. Other Disorders or Diseases <ul><li>Balanitis </li></ul><ul><li>Epididymitis </li></ul><ul><li>Infertility </li></ul><ul><li>Erectile Dysfunction </li></ul><ul><li>Sexually Transmitted Diseases </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    16. 16. Assisting with the Male Reproductive Exam <ul><li>Physician will examine penis and foreskin of uncircumcised patient </li></ul><ul><li>Checks for swelling, discomfort, or masses </li></ul><ul><li>Physician will do digital rectal exam and check for inguinal hernia </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    17. 17. Diagnostic Tests and Procedures <ul><li>Vasectomy: surgical sterilization </li></ul><ul><li>Removal of a portion of Vas Deferens renders patient sterile </li></ul><ul><li>Semen analysis post-vasectomy </li></ul>Copyright © 2006 by Thomson Delmar Learning. ALL RIGHTS RESERVED.
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×