tailieunhanh - Lecture Mosby's paramedic textbook (4th ed) - Chapter 31: Gynecology

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/11/2012 1 Chapter 31 Gynecology 2 Learning Objectives • Describe the physiological processes of menstruation and ovulation. • Describe the pathophysiology of the following nontraumatic causes of abdominal pain in females: pelvic inflammatory disease, Bartholin’s abscess, vaginitis, ruptured ovarian cyst, ovarian torsion, cystitis, dysmenorrhea, mittelschmerz, endometriosis, ectopic pregnancy, vaginal bleeding, uterine prolapse, and vaginal foreign body. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Outline the prehospital assessment and management of the female with abdominal pain or bleeding. • Outline specific assessment and management for the patient who has been sexually assaulted. • Describe specific prehospital measures to preserve evidence in sexual assault cases. 4 Female Anatomy • Female reproductive organs – Ovaries – Fallopian (uterine) tubes – Uterus – Vagina – External genital organs – Mammary glands 5 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Female Anatomy • Ovaries – Small, oval‐shaped glands located on either side of uterus – Each consists of dense outer portion (cortex) and less dense inner portion (medulla) – Produce eggs (ova) and hormones • Estrogen • Progesterone 7 Female Anatomy • Fallopian tubes – Uterine ducts for ovaries – Ovum fertilized while in fallopian tube normally implants in lining for uterus (endometrium) • Signals beginning of pregnancy 8 Female Anatomy • Uterus – Womb – Muscular organ that is size and shape of medium‐ sized pear – Main function is to accept and nourish fertilized ovum • Fertilized ovum not implanted in uterus is shed from body through menstruation 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 Female Anatomy • Vagina – Birth canal – Female organ of copulation – .

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