Meagan Shared "Med Surg Test 6" - 21 Picmonics

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Med Surg Test 6

Benign Prostatic Hyperplasia (BPH) Assessment
Assessment
Men Over 50
Enlarged Prostate Gland
Urinary Retention
Weak Urine Stream
Frequency
Urgency
Nocturia
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1 min
Benign Prostatic Hyperplasia (BPH) Interventions
Interventions
Timed Voiding
Decreased Caffeine Intake
Catheterization
Medications
Finasteride (Proscar)
Tamsulosin (Flomax)
Surgical Interventions
TURP Procedure
Open Prostatectomy
Continuous Bladder Irrigation (CBI)
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2 mins
Breast Cancer Diagnosis
Mammography
Ultrasound
MRI for High Risk Patients
Confirmed with Biopsy
Considerations
Lymph Node Involvement
Receptor Positivity
Estrogen and Progesterone Receptors
HER-2
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2 mins
Breast Cancer Interventions
Radiation or Chemotherapy
Hormonal Therapy
Tamoxifen
Lumpectomy
Mastectomy
Avoid BP and Injections Affected Arm
Hand Exercises
Considerations
Grief Related to Body Image
Prosthetics
Reconstruction
Lymphedema
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3 mins
Cervical Cancer Assessment
Cause/Mechanism
Human Papillomavirus (HPV)
Assessment
Metrorrhagia
Leukorrhea
Pain
Abnormal Pap Test
May Be Asymptomatic
Considerations
HPV Vaccine
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2 mins
Cervical Cancer Screening
Women aged 21-65 years old
Pap smear every 3 years
Women aged 30-65 years old
Can opt for Co-testing (Pap Smear + HPV testing) every 5 years
Identify lesions
High grade lesions
Cryotherapy
Loop Excision
Cold knife Conization
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2 mins
Chlamydia
Mechanism
Chlamydia trachomatis
Assessment
May Be Asymptomatic
Dysuria
Epididymitis
Discharge
Dyspareunia
Interventions
Doxycycline
Azithromycin
No Intercourse for 1 Week
Treat Partners
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2 mins
Dysfunctional Uterine Bleeding
Assessment
Bimodal Age Distribution
Painless Vaginal Bleeding
Amenorrhea
Menorrhagia (Heavy Menstrual Bleeding)
Metrorrhagia (Bleeding Between Menses)
Interventions
Balloon Thermotherapy
Hormone Medications
Dilation and Curettage (DandC)
Considerations
Monitor for Anemia
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3 mins
Endometriosis
Cause
Endometrial Tissue Outside Uterus
Retrograde Menstrual Flow
Assessment
Dysmenorrhea
Cyclic Pelvic Pain
Irregular Vaginal Bleeding
Pain with Defecation
Dyspareunia
Interventions
Medications to Decrease Ovulation
NSAIDs
Surgery
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2 mins
Genital Herpes
Mechanism
Herpes Simplex Virus 1 and 2 (HSV)
Assessment
May Be Asymptomatic
Oral or Genital Lesions
Vesicles in Clusters
Pain
Flu-like Symptoms
Antiviral Medications
Acyclovir
Valacyclovir
Famciclovir
Considerations
Infectious During Recurrences
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2 mins
Genital Warts - Condylomata Acuminata
Mechanism
Human Papillomavirus (HPV)
Assessment
Papillary Cauliflower Like Growths
Bleeding
Vaginal Discharge
Interventions
Wart Removal
Trichloroacetic acid (TCA)
Podophyllin resin
Cryotherapy
Considerations
HPV Vaccine
Cervical Cancer
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2 mins
Gonorrhea
Mechanism
Neisseria gonorrhoeae
Assessment
Dysuria
Yellowish-Green Discharge
Increased Urinary Frequency
Women Often Asymptomatic
Interventions
Ceftriaxone (IM)
Doxycycline
Azithromycin
Treat Partners
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2 mins
Hydrocele
Mechanism
Impaired Lymphatic Drainage
Signs and Symptoms
Large Scrotum
Painless
Considerations
Needle Aspiration or Surgery
Scrotal Support
Monitor for Bleeding and Infection
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1 min
Infertility
No Conception After 1 Year
Interventions
Artificial Insemination
In Vitro Fertilization (IVF)
Drug Therapy
Clomiphene Citrate (Clomid)
Menotropins
GnRH Agonists
Considerations
Treat Underlying Disorders
Emotional Support
Multiple Gestations
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3 mins
Pelvic Inflammatory Disease (PID) Assessment
Mechanism
Untreated Cervicitis
Assessment
May Be Asymptomatic
Dysuria
Vaginal Discharge with Odor
Fever
Dyspareunia
Lower Abdominal Pain
Spotting
Cervical Motion Tenderness
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1 min
Pelvic Inflammatory Disease (PID) Interventions
Antibiotics
No Intercourse for 3 Weeks
Semi-Fowler's Position
Analgesics
Monitor Temperature
Treat Partners
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2 mins
Prostate Cancer Assessment
Most Common Cancer in Men
Assessment
Mimics BPH
Metastasis to Back
Low Back Pain
Fatigue
Considerations
Prostate Specific Antigen (PSA)
Digital Rectal Examination (DRE)
Transrectal Ultrasound (TRUS)
Biopsy
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2 mins
Prostatitis
Cause/Mechanism
Bacterial Infection
Chronic Pelvic Pain Syndrome
Assessment
Flu-Like Symptoms
Perineal Pain
Dysuria
Sexual Dysfunction
Diagnosis 
Prostatic Massage
Interventions
Antibiotics
Increased Fluid Intake
Pain Management
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3 mins
Testes
Characteristics
FSH Stimulates Sertoli Cells
Inhibin B Release
LH Stimulates Leydig Cells
Leydig Cells Secrete Testosterone
Testosterone Causes Male Development
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2 mins
Testicular Carcinoma Assessment
Cause/Mechanism
Seminoma Germ Cells
Non-Seminoma Germ Cells
Assessment
Painless Scrotal Mass
Testicular Swelling
Acute Pain Rare
Elevated Serum Tumor Markers
Considerations
Males Between 15-35 Years Old
Cryptorchidism
Testicular Self Exam
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2 mins

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