EMT Chapter 21 Gynecologic Emergencies
Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
-PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy
Ectopic Pregnancy
-a pregnancy that develops outside the uterus, most often in the fallopian tubes
Gonorrhea
-a sexually transmitted disease caused by Neisseria gonorrhoeae, grows and multiplies rapidly -symptoms, which are generally more severe in men than in women, appear approximately 2 to 10 days after exposure -when symptoms do appear in women, they generally manifest as painful urination, with associated burning or itching and vaginal discharge - S/S painful or difficulty swallowing, sore throat, swollen lymph nodes, fever. If left untreated could spread to other parts of body via lymph node
Chlamydia
-a sexually transmitted disease caused by the bacterium Chlamydia trachomatis -some women may have symptoms including lower abdominal pain, low back pain, nausea, fever, pain during intercourse, and/or bleeding (including discharge) between menstrual periods -can spread from cervix to anus -left untreated, the disease can progress to PID
Sexual Assault
-an attack against a person that is sexual in nature, the most common of which is rape
Pelvic Inflammatory Disease (PID)
-an infection of the Fallopian tubes and the surrounding tissues of the pelvis -although life threatening its ultimate consequence is ectopic pregnancy or abscess build up that can be lethal -the most common gynecological reason why women call for emergency medical services -an infection of the female upper organs of reproduction -- specifically, the uterus, ovaries, and Fallopian tubes -- that occurs almost exclusively in sexually active women -S/S lower abdominal pain and discharge, fever, nausea and vomiting. ... and sex hurts
Bacterial Vaginosis
-an overgrowth of bacteria in the vagina -characterized by itching, burning, or pain, and possibly a "fishy" smelling discharge -left untreated, bacterial vaginosis can lead to premature birth or low birth weight in case of pregnancy, make the patient more susceptible to more serious infections, and result in PID
Which of the following conditions would MOST likely lead to PID if left untreated?
-chlamydia
Vaginal Bleeding
-could be overlooked as menstruation -may be abnormal menstruation, vaginal trauma, ectopic pregnancy, spontaneous abortion(miscarriage), cervical polyps, and possible due to cancer
Labia Minora
-inner fleshy "lips" devoid of pubic hair that protect the vagina
When caring for a woman who is experiencing a gynecologic emergency, the EMT's main focus should be to:
-maintain her ABCs and transport without delay
Labia Majora
-outer fleshy "lips" covered with pubic hair that protect the vagina
Potentially life-threatening consequences of PID include:
-ovarian abscess and ectopic pregnancy
Which of the following statements regarding gonorrhea is correct?
-painful urination is a common symptom of gonorrhea in men and women
Rape
-sexual intercourse inflicted forcibly on another person, against that person's will (legal diagnosis)
Perineum
-the area of skin between the vagina and the anus
Cervix
-the lower third, or neck, of the uterus
Uterus
-the muscular organ where the fetus grows, also called the womb -responsible for contractions during labor
Vagina
-the outermost cavity of a woman's reproductive system -the lower part of the birth canal
Ovaries
-the primary female reproductive organs that produce an ovum, or egg, that, if fertilized, will develop into a fetus
Ovulation
-the process in which an ovum is released from a follicle
Fallopian Tubes
-the tubes that connect each ovary with the uterus and are the primary location for fertilization of the ovum