FEMALE GENITOURINARY SYSTEM Chapter 26 Structure and Function

FEMALE GENITOURINARY SYSTEM Chapter 26

Structure and Function Subjective Data—Health History Questions Objective Data—Physical Exam Abnormal Findings Slide 26 -2

SUBJECTIVE DATA— HEALTH HISTORY QUESTIONS (CONT. ) History Sexual activity Contraceptive use Sexually transmitted disease (STD) contact STD risk reduction Slide 26 -3

SUBJECTIVE DATA— HEALTH HISTORY QUESTIONS (CONT. ) Additional history for infants and children Urination Perineal hygiene Sexual abuse Slide 26 -4

SUBJECTIVE DATA— HEALTH HISTORY QUESTIONS (CONT. ) Additional history for the aging adult Postmenopausal bleeding Atrophic vaginitis Uterine prolapse Sexual satisfaction Slide 26 -5

OBJECTIVE DATA— PHYSICAL EXAM (CONT. ) External genitalia—Inspection Skin color Hair distribution Labia majora Any lesions Clitoris Labia minora Urethral opening Vaginal opening Perineum Anus Slide 26 -6

ABNORMAL FINDINGS ABNORMALITIES OF THE EXTERNAL GENITALIA Pediculosis pubis (crab lice) Syphilitic chancre Herpes simplex virus—type 2 (herpes genitalis) Red rash—contact dermatitis Human papillomavirus (HPV) warts Urethritis Abscess of Bartholin’s gland Urethral caruncle Slide 26 -7

ABNORMAL FINDINGS (CONT. ) ABNORMALITIES OF THE PELVIC MUSCULATURE Cystocele Uterine prolapse Rectocele Slide 26 -8

ABNORMAL FINDINGS (CONT. ) ABNORMALITIES OF THE CERVIX Bluish cervix—cyanosis Human papillomavirus (HPV, condylomata) Diethylstilbestrol (DES) syndrome Erosion Polyp Carcinoma Slide 26 -9

ABNORMAL FINDINGS (CONT. ) VULVOVAGINAL INFLAMMATION Atrophic vaginitis Candidiasis (moniliasis) Trichomoniasis Chlamydia Bacterial vaginosis Gonorrhea Slide 2610

ABNORMAL FINDINGS (CONT. ) CONDITIONS OF UTERINE ENLARGEMENT Pregnancy Myomas (leiomyomas, uterine fibroids) Carcinoma of endometrium Endometriosis Slide 2611