Female Genitourinary System

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Female Genitourinary System

• Chapter 26

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• Structure and Function
• Subjective DataHealth History Questions
• Objective DataPhysical Exam
• Abnormal Findings

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Subjective DataHealth History Questions (cont.)

• History
• Sexual activity
• Contraceptive use
• Sexually transmitted disease (STD) contact
• STD risk reduction

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Subjective DataHealth History Questions (cont.)

• Additional history for infants and children
• Urination
• Perineal hygiene
• Sexual abuse

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Subjective DataHealth History Questions (cont.)

• Additional history for the aging adult
• Postmenopausal bleeding
• Atrophic vaginitis
• Uterine prolapse
• Sexual satisfaction

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Objective DataPhysical Exam (cont.)

• External genitaliaInspection
• Skin color
• Hair distribution
• Labia majora
• Any lesions
• Clitoris
• Labia minora
• Urethral opening
• Vaginal opening
• Perineum
• Anus

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Abnormal FindingsAbnormalities of theExternal
Genitalia

• Pediculosis pubis (crab lice)
• Syphilitic chancre
• Herpes simplex virustype 2 (herpes genitalis)
• Red rashcontact dermatitis
• Human papillomavirus (HPV) warts
• Urethritis
• Abscess of Bartholins gland
• Urethral caruncle

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Abnormal Findings (cont.)Abnormalities of the
Pelvic Musculature

• Cystocele
• Uterine prolapse
• Rectocele

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Abnormal Findings (cont.)Abnormalities of the
Cervix

• Bluish cervixcyanosis
• Human papillomavirus (HPV, condylomata)
• Diethylstilbestrol (DES) syndrome Erosion
• Erosion
• Polyp
• Carcinoma

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Abnormal Findings (cont.) Vulvovaginal
Inflammation

• Atrophic vaginitis
• Candidiasis (moniliasis)
• Trichomoniasis
• Chlamydia
• Bacterial vaginosis
• Gonorrhea

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Abnormal Findings (cont.) Conditions of Uterine
Enlargement

• Pregnancy
• Myomas (leiomyomas, uterine fibroids)
• Carcinoma of endometrium
• Endometriosis