Escolar Documentos
Profissional Documentos
Cultura Documentos
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 1
Accessory glands
Seminal vesicles
Prostate gland
Cowpers glands
Slide 2
Figure 12-1
(From Thibodeau, G.A., Patton, K.T. [2007]. Anatomy and physiology. [6th ed.]. St. Louis: Mosby.)
Slide 3
Figure 12-2
(From Thibodeau, G.A., Patton, K.T. [2007]. Anatomy and physiology. [6th ed.]. St. Louis: Mosby.)
Male sex cell (spermatozoon) greatly enlarged (left). Female sex cell
(ovum) surrounded by sperm at time of fertilization (right).
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 4
Ovaries
Fallopian tubes
Uterus
Vagina
External genitalia
Accessory glands
Skenes glands
Bartholins glands
Perineum
Mammary glands (breasts)
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 5
Figure 12-3
(From Thibodeau, G.A., Patton, K.T. [2007]. Anatomy and physiology. [6th ed.]. St. Louis: Mosby.)
Slide 6
Figure 12-4
(From Thibodeau, G.A., Patton, K.T. [2008]. Structure and function of the body. [13th ed.]. St. Louis: Mosby.)
Slide 7
Figure 12-6
(From Thibodeau, G.A., Patton, K.T. [2007]. Anatomy and physiology. [6th ed.]. St. Louis: Mosby.)
Slide 8
Figure 12-7
(From Thibodeau, G.A., Patton, K.T. [2007]. Anatomy and physiology. [6th ed.]. St. Louis: Mosby.)
Slide 9
Figure 12-14
(From Seidel, H.M., Ball, J.W., Dains, J.E., Benedict, G.W. [2003]. Mosbys guide to physical
examination. [5th ed.]. St. Louis: Mosby.)
Slide 10
Human Sexuality
Sexual identity
The sense of being feminine or masculine
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 11
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 12
Testicular biopsy
Semen analysis
Prostatic smears
Cystoscopy
Rectal digital exam
Prostate specific antigen (PSA)
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 13
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 14
Clinical manifestations/assessment
No menstrual flow for at least 3 months
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 15
Clinical manifestations/assessment
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 16
Exercise
Nutritious foods, high in fiber
Heat to pelvic area
Mild analgesics
Prostaglandin inhibitors
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 17
Metrorrhagia
Uterine bleeding between regular menstrual periods or
after menopause
May indicate cancer or benign tumors of the uterus
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 18
Clinical manifestations/assessment
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 19
Dietary recommendations
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Slide 20
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Slide 21
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 22
Premarin
Provera
Calcium supplements
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 23
Clinical manifestations/assessment
Decreased erections; decreased seminal fluid
Enlarged prostate gland; decreased muscle tone
Loss or thinning of hair
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 24
Functional
Anatomical
Atonic
Slide 25
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Slide 26
Clinical manifestations/assessment
Inflammation of the vagina
Yellow, white, or grayish white, curd-like discharge
Pruritus and vaginal burning
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 27
Organism-specific
Sitz baths
Abstain from sexual intercourse during treatment
Treat partner if necessary
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 28
Clinical manifestations/assessment
Backache
Whitish exudate
Menstrual irregularities
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Slide 29
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Slide 30
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 31
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Slide 32
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 33
Clinical manifestations/assessment
Lower abdominal and pelvic pain
May radiate to lower back, legs, and groin
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Slide 34
Figure 12-9
Slide 35
Clinical manifestations/assessment
Urine and/or feces being expelled from vagina
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Slide 36
Figure 12-10
(From Herbst, A.L., et al. [1998]. Comprehensive gynecology. [3 rd ed.]. St. Louis: Mosby.)
Slide 37
Retroversion
Retroflexion
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Slide 38
Backache
Muscle strain
Leukorrheal discharge
Heaviness in the pelvic area
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 39
Clinical manifestations/assessment
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 40
Figure 12-11
(From Seidel, H.M., Ball, J.W., Dains, J.E., Benedict, G.W. [2003]. Mosbys guide to physical
examination. [5th ed.]. St. Louis: Mosby.)
Uterine prolapse.
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 41
Vaginal hysterectomy
Anteroposterior colporrhaphy
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Slide 42
Rectocele
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Slide 43
Figure 12-12
(From Lewis, S.M., Heitkemper, M.M., Dirksen, S.R. [2007]. Medical-surgical nursing: assessment and
management of clinical problems. [7th ed.]. St. Louis: Mosby.)
A, Cystocele. B, Rectocele.
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Slide 44
Rectocele
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Slide 45
Clinical manifestations/assessment
Pelvic pressure; pain; backache
Dysmenorrhea; menorrhagia
Constipation; urinary symptoms
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 46
Figure 12-13
(Redrawn from Novak, E. R., Woodruff, J. D., eds. [1967]. Novaks gynecologic and obstetric
pathology. [6th ed.]. Philadelphia, Saunders. In McCance, K.L., & Huether, S.E. [2002].
Pathophysiology: the biologic basis for disease in adults and children. [4th ed.]. St. Louis: Mosby.)
Leiomyomas.
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 47
Clinical manifestations/assessment
May be no symptoms
Palpable on examination
Disturbance of menstruation
Pelvic heaviness; pain
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 48
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Slide 49
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 50
Early carcinoma
Hysterectomy
Intracavitary radiation
Advanced carcinoma
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Slide 51
Clinical manifestations/assessment
Postmenopausal bleeding (50% will have cancer)
Abdominal pressure; pelvic fullness
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Slide 52
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Slide 53
Advanced
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Slide 54
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Slide 55
Hysterectomy
Total hysterectomy
Removal of the uterus including the cervix
TAH-BSO
Removal of the uterus, fallopian tubes, and ovaries
Radical hysterectomy
TAH-BSO with removal of the pelvic lymph nodes
Vaginal hysterectomy
The uterus is removed through the vagina
Abdominal hysterectomy
Abdominal incision is made to perform procedure
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 56
Clinical manifestations/assessment
Cysts are soft, well-differentiated, tender, and freely
moveable; often bilateral and multiple
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 57
Clinical manifestations/assessment
Breasts are tender, inflamed, and engorged
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 58
Clinical manifestations/assessment
Tender, painful, and palpable cysts
Usually unilateral
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Slide 59
Clinical manifestations/assessment
Small, solitary, irregular-shaped, firm, non-tender, and
non-mobile tumor
Change in skin color
Puckering or dimpling of tissue
Nipple discharge; retraction of nipple
Axillary tenderness
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Slide 60
Radiation
Chemotherapy
Surgery
o Lumpectomy
o Mastectomysimple, radical
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Slide 61
Clinical manifestations/assessment
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 62
Antibiotics
Digital massage of the prostate
Sitz baths
Monitor I&O
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Slide 63
Clinical manifestations/assessment
Scrotal pain and edema
Pyuria; chills and fever
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Slide 64
Clinical manifestations/assessment
Infection of foreskin and glans penis
Occasionally causes obstruction of urine flow
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Slide 65
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 66
Clinical manifestations/assessment
Enlargement of the scrotum; pain
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Slide 67
Clinical manifestations/assessment
Engorgement and elongation of the scrotum
Pulling sensation in scrotum; dull, aching pain
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Slide 68
Clinical manifestations/assessment
Enlarged scrotum; feeling of heaviness
Firm, painless, smooth mass
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Slide 69
Clinical manifestations/assessment
Painless, wart-like growth or ulceration, usually on the
glans penis
Removal of tissue
Partial or total amputation of the penis
Metastasis: Radical surgical procedures
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Slide 70
Clinical manifestations/assessment
Fluid-filled vesicles
Eventually rupture and develop shallow, painful ulcers
Fever; malaise
Dysuria
Leukorrhea (female)
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Slide 71
Figure 12-19
(From Beare, P.G., Myers, J.L. [1998]. Adult health nursing. [3rd ed.]. St. Louis: Mosby.)
Slide 72
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 73
Clinical manifestations/assessment
Incubation period
No symptoms
Primary stage
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Slide 74
Latent stage
No symptoms
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Slide 75
Penicillin
Tetracycline or erythromycin, if allergic to penicillin
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 76
Clinical manifestations/assessment
Vaginal (female)
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Slide 77
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Slide 78
Penicillin
Rocephin
Doxycycline or tetracycline
Patient education
TREAT ALL SEXUAL CONTACTS
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 79
Clinical manifestations/assessment
Most are asymptomatic
Male: Urethritis, dysuria, urinary frequency, pruritus, and
purulent exudate
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Slide 80
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Slide 81
Metronidazole (Flagyl)
Patient education
TREAT ALL SEXUAL CONTACTS
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Slide 82
Clinical manifestations/assessment
Mouth: Edema; white patches
Nails: Edematous, darkened, erythematous nail base;
purulent exudate
Vaginal: Cheesy, tenacious white discharge; pruritus;
inflammation of the vagina
Penis: Purulent exudate
Systemic: Chills; fever; general malaise
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 83
Nystatin (Mycostatin)
Topical amphotericin B
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Slide 84
Clinical manifestations/assessment
Usually asymptomatic
Male
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Slide 85
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Slide 86
Nursing Process
Nursing diagnoses
Anxiety
Body image, disturbed
Coping, ineffective
Fear
Fluid volume, deficient
Health maintenance,
ineffective
Infection, risk for
Knowledge, deficient
Pain, acute and
chronic
Self-esteem,
situational low
Sexual dysfunction
Skin integrity, impaired
Tissue perfusion,
ineffective
Urinary elimination,
impaired
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Slide 87
Sex Hormones
Copyright 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc.
88
Androgens
Actions
Uses
Adverse Reactions
89
Androgens (cont.)
Drug Interactions
Nursing Implications
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90
Androgens (cont.)
Patient and Family Teaching
Administration
Response time
Diet
Symptoms to report
Administration considerations
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91
Estrogens
Progestins
Table 21-10
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92
Estrogens
Action and Uses
Adverse Reactions
Drug Interactions
Copyright 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc.
93
Progestins
Action
Uses
Drug Interactions
Nursing Implications and Patient Teaching
Copyright 2013, 2010, 2006, 2003, 2000, 1995, 1991 by Mosby, an imprint of Elsevier Inc.
94
Oral Contraceptives
Combination Drugs: Estrogen and Progestin
Table 21-11
Action
Prevent ovulation
Use
Contraception
Adverse Reactions
95