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  • Abbreviations - A

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  • Chapter I - Human Anatomy

  • Chapter II - Human Anatomy

  • Chapter III - Human Anatomy

  • Chapter IV - Human Anatomy

  • Chapter V - Human Anatomy

  • Chapter VI - Human_Anatomy

  • Chapter VII - Human Anatomy

  • Chapter I - Cardiovascular System

  • Chapter II - Cardiovascular System

  • Chapter III - Cardiovascular System

  • Chapter IV - Cardiovascular System

  • Chapter I - Dermatology

  • Chapter II - Dermatology

  • Chapter III - Dermatology

  • Chapter IV - Dermatology

  • Chapter I - Digestive System

  • Chapter II - Digestive System

  • Chapter III - Digestive System

  • Chapter I - Respiratory System

  • Chapter II - Respiratory System

  • Chapter III - Respiratory System

  • Chapter IV - Respiratory System

  • Chapter V - Respiratory System

  • Chapter I - Endocrine System

  • Chapter II - Endocrine System

  • Chapter III - Endocrine System

  • Chapter IV - Endocrine System

  • Chapter V - Endocrine System

  • Chapter VI - Endocrine System

  • Chapter VII - Endocrine System

  • Chapter VIII - Endocrine System

  • Chapter I - Urinary System

  • Chapter II - Urinary System

  • Chapter III - Urinary System

  • Chapter IV - Urinary System

  • Chapter V - Urinary System

  • Chapter VI - Urinary System

  • Chapter I - Male Reproduction

  • Chapter II - Male Reproduction

  • Chapter III - Male Reproduction

  • Chapter IV - Male Reproduction

  • Chapter V - Male Reproduction

  • Chapter I - Gynecology

  • Chapter II - Obstetrics

  • Chapter III - Female Reproductive System

  • Chapter IV - Female Reproduction

  • Chapter V - Female Reproduction

  • Chapter VI - Female Reproduction

  • Chapter VII - Obstetric Procedures

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  • Chapter II - Vertebral Column

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  • Section X - Transcribed Documents

  • Appears in Categories
  • Medical Transcription Course

  •  

    Online MT Course



    Chapter VI - Female Reproduction


     

    Physical Assessment

    The physical assessment starts with an evaluation inquiring about past gynecologic history which includes questions about menarche (age of onset of menstruation), frequency of cycle, regularity, duration of periods, amount of flow, and the last menstrual period date. She is then inquired regarding onset of pain or cramps during periods, heavy flow, and bleeding be­tween periods, or bleeding after menopause. Last but not the least is inquiry about patient's sexual activity, use of birth control pills and other medications, use of hormones, or other contraceptive methods. The patient may also be asked questions regarding her past reproduc­tive history like number of pregnancies, abor­tions, stillbirths, C-section, normal deliveries, or any complications during pregnancy. The physician inquires about pelvic pain, vaginal discharge, any infections, itching, rashes, dis­charge from nipples. The subject is also ques­tioned about family history of gynecologic problems and any surgeries undergone in the past for gynecologic illnesses.

     

    Thorough examination includes an examination of the external and internal genital organs as well as the breasts. The breasts are examined for irregularities, size, and shape, and then palpated for abnormal masses, lumps, tight­ened skin, and tenderness. The physician then performs pelvic examination, which is performed with the subject being placed in lithotomy position. The examining tables have heel or knee stirrups, which help the subject to maintain or hold this position. The physician first examines the external genital area, notes the distribution of hair in that area or any other abnormalities, lesions, inflammation, swelling, discoloration, and discharge. The examiner inspects the urinary meatus, Bartholin glands, and Skene glands by palpating them.

     

    After inspecting the external genitalia, the physician then examines the deeper areas of vagina and cervix with the help of a lubricated speculum that spreads the walls of vagina apart for good visual examination. The cer­vix can be examined closely by passing a col­poscope to look for signs of infection or cancerous growths. When this is over, a bi­manual pelvic examination is performed. Herein, the exam­iner inserts the lubricated index and middle fingers of one gloved hand in to the vagina and places the other hand on the lower abdomen above the pubic bone. Between the two hands, the examiner can assess the uterus for its shape, firmness, position, size, and amount of tenderness, and can detect any masses if present. The physician then performs a rectovaginal exam by inserting an index finger in the va­gina and the middle finger in the rectum and examines the back wall of vagina for its thick­ness, masses, or abnormal growths.

     

    Pathology

     

    Ectopic pregnancy/tubal pregnancy

    An ectopic or tubal pregnancy occurs when the fertilized egg becomes implanted in one of the fallopian tubes and develops there (or elsewhere in the pelvic cavity) rather than the uterus (See Fig. 11.3). Tubal pregnancy is a leading cause of maternal death during the first trimester. As the embryo grows in­side the fallopian tubes, it stretches it. If left untreated or unnoticed, it can result in rup­ture of the tube and sudden and massive bleeding. If the tube ruptures, immediate, surgery is necessary to save the woman's life.

     

    Endometriosis

    Endometriosis is a female reproductive system's disorder in which the endometrial tissue that normally lines the uterus, grows in other parts of the body, most likely on the pelvic area, including fallopian tubes, ova­ries, outer surface of the uterus, colon, and other pelvic structures (See Fig. 11.4). The endometrial tissue responds to hormonal changes that occur during the menstrual cycle in the manner the endometrium itself does. During the menstruation just like en­dometrium, this endometrial tissue also breaks and bleeds but finds no outlet. As a result, the tissue becomes inflamed and swollen and results in intense cramps during latter days of menstruation. There is no cure for endometriosis but its growth can be slowed down by hormonal treatments.

     

    Genital herpes

    Genital herpes is a sexually transmitted dis­ease in which red blister-like sores develop in the genital area and anorectal area. In women, these sores may be present in the vagina, cervix, and urethra. It is caused by herpes simplex virus type 2. In men, lesions appear on the glans penis, foreskin, or penile shaft.

     

    Pelvic inflammatory disease

    Pelvic inflammatory disease is a general term for the infection of woman's internal repro­ductive organs, which may be acute, sub­acute, or chronic in nature. It may include endometriosis or inflammation of lining or uterus, myometritis or inflammation of uterine muscles, cervicitis or inflammation of the cervix, oophoritis or inflammation of ovaries, or salpingitis or inflammation of fallopian tubes. Most pelvic inflammatory diseases are sexually transmitted. Gonorrhea and chlamy­dia are two very common causes underlying pelvic inflammatory disease. Symptoms of acute pelvic inflan1matory disease include severe abdominal pain, tenderness and high fever. Pelvic inflammatory disease, if left un­treated, may lead to infertility. It also increases chances of ectopic pregnancy in females.

     

    Premenstrual syndrome

    Premenstrual syndrome is collection of nu­merous physical and psychological (emo­tional) symptoms associated with menstrual cycle/menstruation. Premenstrual symptoms usually begin a week before menstruation and disappear as soon as it starts. There are myriad manifestations of premenstrual syn­drome. Common physical manifestations of premenstrual syndrome may include swell­ing of the breasts and tenderness, headaches, backaches, cramps, dizziness, digestive dis­orders, joint and muscle pain, flare up of acne, and palpitations. The psychologic symptoms may include mood swings, feelings of anxiety, irritability, depression, fatigue, foods cravings, insomnia aggressive behavior, lethargy, and panic attacks.

     

    Toxic shock syndrome

    Toxic shock syndrome is a rare but fatal dis­ease caused by toxins produced by a strain of Staphylococcus aureus bacteria. Maxi­mum percentages of those affected by toxic shock syndrome are women who use vaginal tampons and vaginal sponges. A painless red rash develops, starting on the trunk and quickly spreading to legs, arms, soles, and palms, followed a week or two later by peel­ing of skin, especially on the soles and palms. If left untreated, this disease can be fatal.

     

    Vaginitis

    Inflammation of vagina and often vulva as well is called vaginitis. Most common symp­toms include intense itching, vaginal discharge which varies in color, odor, and consistency, depending upon the cause. It may also lead to painful intercourse or urination. It can be caused by protozoa Tri­chomonas vaginalis, which causes a profuse, frothy discharge with an unpleasant odor; by Gardnerella vaginalis bacterium, which pro­duces blood-streaked, white or yellow dis­charge with fishy odor; or by Candida albicans which produces a cheesy discharge with yeast-like odor.

    All text of this article available under the terms of the GNU Free Documentation License (see Copyrights for details).

     


     


    Online MT Course
    Chapter VI - Female Reproduction



  • Home
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  • Medical Lectures
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  • Blood System
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  • Lymphatic and Immune system


  •   
  • Musculoskeletal System
  •   
  • Skin & Appendages
  •   
  • Ophthalmology
  •   
  • Otorhinolaryngology


  •   
  • Endocrine Glands
  •   
  • List of Terms associated with Diabetes
  •   
  • Cancer Medicine


  •   
  • All Diagnostic Tests
  •   
  • Obstetric Ultrasound Scan
  •   
  • Pulmonary Function Test & Spirometry


  •   
  • Radiology
  •   
  • Pharmacology & Drug Classifications
  •   
  • Body movements and Planes


  •   
  • Miscellaneous
  •   
  • Breast
  •   
  • Human Anatomy
  •   
  • Digestive System
  •   
  • Urinary System


  •   
  • Female Reproductive System
  •   
  • Male Reproduction System
  •   
  • Nervous System
  •   
  • Cardiovascular System


  •   
  • Course 1
  •   
  • Grammar Guidelines
  •   
  • ABBREVIATIONS
  •   
  • ACRONYMS AND INITIALISM


  •   
  • ADDRESS GUIDELINES
  •   
  • AMPERSAND
  •   
  • APGAR SCORE
  •   
  • CANCER CLASSIFICATION AND GUIDELINES


  •   
  • CAPITALIZATION GUIDELINES
  •   
  • DECIMALS
  •   
  • Drug Abbreviations
  •   
  • Drug Terminology
  •   
  • EPONYM USAGE
  •   
  • FRACTIONS


  •   
  • GUIDELINES WITH BUILDING
  •   
  • GUIDELINES WITH AGES
  •   
  • BLOOD COUNTS
  •   
  • Guidelines with Blood Pressure


  •   
  • Guidelines with Dates
  •   
  • Guidelines with Proper names
  •   
  • SI UNITS
  •   
  • VIRGULE
  •   
  • Diabetes Mellitus


  •   
  • Format for Letters
  •   
  • Geographic Names & Proper Names
  •   
  • Genetic Terminology


  •   
  • Transcribing Globulins & Immunoglobulins
  •   
  • Guidelines for transcribing numbers
  •   
  • Obstetrics Terminology


  •   
  • Transcribing suture
  •   
  • Transcribing percentages
  •   
  • English Usage
  •   
  • Occupation Index


  •   
  • Medical Prescription?
  •   
  • Some English Prefixes and Suffixes
  •   
  • Frequently Used Pleural Forms


  •   
  • PREFIXES AND SUFFIXES
  •   
  • Medicine Specialties and Specialists
  •   
  • Combining Forms


  •   
  • Diagnostic Tests
  •   
  • CAT Scan
  •   
  • Positron Emission Tomography
  •   
  • Magnetic Resonance Imaging


  •   
  • Ultrasound
  •   
  • X-ray
  •   
  • MUGA scan
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  • Endoscopy
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  • Esophagogastroduodenoscopy
  •   
  • Colonoscopy


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  • Endoscopic Retrograde
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  • Bronchoscopy
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  • Cystoscopy
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  • Hysteroscopy
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  • Arthroscopy
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  • Laparoscopy


  •   
  • Barium Tests
  •   
  • Pap Smear
  •   
  • Flow Cytometry
  •   
  • Intravenous Pyelogram (IVP)
  •   
  • KUB
  •   
  • Mammography


  •   
  • HIV Tests (AIDS Tests)
  •   
  • Electroencephalography
  •   
  • Echocardiography
  •   
  • Electrocardiogram


  •   
  • Holter Monitor
  •   
  • Single Photon Emission
  •   
  • Genetic Testing
  •   
  • Tumor Marker Tests


  •   
  • Blood Tests
  •   
  • Complete Blood Count
  •   
  • Liver Function Tests
  •   
  • Radioimmunoassay


  •   
  • Mantoux Test
  •   
  • Heaf Test
  •   
  • Gram Staining
  •   
  • Renal Function Tests
  •   
  • Creatinine Clearance


  •   
  • PULMONARY FUNCTION TESTS
  •   
  • Normal Laboratory Values
  •   
  • Obstetric Ultrasound Scan


  •   
  • Transcription resources & indexes
  •   
  • All Orthopedic Tests
  •   
  • Cancer Drug Index
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  • Clinical Sign Index


  •   
  • Commonly Used Cancer Regimens
  •   
  • List of Eponyms in Medicine
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  •   
  • Chapter I - Human Anatomy
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  • Chapter II - Human Anatomy
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  • Chapter III - Human Anatomy


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  • Chapter IV - Human Anatomy
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  • Chapter V - Human Anatomy
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  • Chapter VI - Human_Anatomy


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  • Chapter VII - Human Anatomy
  •   
  • Chapter I - Cardiovascular System


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  • Chapter II - Cardiovascular System
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  • Chapter III - Cardiovascular System


  •   
  • Chapter IV - Cardiovascular System
  •   
  • Chapter I - Dermatology
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  • Chapter II - Dermatology


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  • Chapter III - Dermatology
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  • Chapter IV - Dermatology
  •   
  • Chapter I - Digestive System


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  • Chapter II - Digestive System
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  • Chapter III - Digestive System
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  • Chapter I - Respiratory System


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  • Chapter II - Respiratory System
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  • Chapter III - Respiratory System
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  • Chapter IV - Respiratory System


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  • Chapter V - Respiratory System
  •   
  • Chapter I - Endocrine System
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  • Chapter II - Endocrine System


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  • Chapter III - Endocrine System
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  • Chapter IV - Endocrine System
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  • Chapter V - Endocrine System


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  • Chapter VI - Endocrine System
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  • Chapter VII - Endocrine System
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  • Chapter VIII - Endocrine System


  •   
  • Chapter I - Urinary System
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  • Chapter II - Urinary System
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  • Chapter III - Urinary System


  •   
  • Chapter IV - Urinary System
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  • Chapter V - Urinary System
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  • Chapter VI - Urinary System


  •   
  • Chapter I - Male Reproduction
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  • Chapter II - Male Reproduction
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  • Chapter III - Male Reproduction


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  • Chapter IV - Male Reproduction
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  • Chapter V - Male Reproduction
  •   
  • Chapter I - Gynecology


  •   
  • Chapter II - Obstetrics
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  • Chapter III - Female Reproductive System


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  • Chapter IV - Female Reproduction
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  • Chapter V - Female Reproduction
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  • Chapter VI - Female Reproduction


  •   
  • Chapter VII - Obstetric Procedures
  •   
  • Chapter I - Bony Organization
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  • Chapter II - Vertebral Column


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  • Chapter IV - All about Muscles
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  • Chapter V - Fractures
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  • Chapter VI - Bone Pathology


  •   
  • Chapter I - Eye Anatomy
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  • Chater II - Eye Physiology
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  • Chapter III - Visual Apparatus


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  • Chapter IV-Eye Pathology
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  • Chapter V - Common Eye Procedures
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  • Chapter VI - Eye Pharmacology


  •   
  • Chapter I - ENT Anatomy
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  • Chapter II - ENT Examination
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  • Chapter III - ENT Pathology


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  • Chapter IV - ENT Procedures
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  • Chapter V - Common Terms
  •   
  • Anemia & Types of Anemia


  •   
  • Body Movements and Planes
  •   
  • Blood Type
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  • Blood Transfusion and Substitutes


  •   
  • Breast Anatomy and Pathology
  •   
  • Cancer
  •   
  • Drug Classification
  •   
  • Infectious Diseases
  •   
  • Suture materials


  •   
  • Training Audio Files
  •   
  • Section I - Audio Files
  •   
  • Transcribed Documents


  •   
  • Transcribed Documents-Section I
  •   
  • Quality Assessment Standards
  •   
  • The 206 Bones in Human Body


  •   
  • Section II - Abbrevation Audio Files
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  • Section II - Transcribing Abbreviations


  •   
  • Section III - Examination Audio Filies
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  • Section III - Transcribing Physical Exam


  •   
  • Section IV - Audios for Drugs
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  • Section V - Specialty Audios
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  • Section V - Specialty Transcriptions


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  • Section IV - Transcription of Drugs
  •   
  • Section VI - Specialty Audios


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  • Section VI - Specialty Transcriptions
  •   
  • Useful Downloads
  •   
  • Chapter III - Chest & Pelvis
  •   
  • Section VII - Audio


  •   
  • Section VII - Specialty Transcription
  •   
  • Section VIII - Audio
  •   
  • Section IX - Audio Dictation


  •   
  • Section VIII - Specialty Transcription
  •   
  • Section X - Audio Dictation
  •   
  • Section IX - Transcribed Documents


  •   
  • Section X - Transcribed Documents


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