NSG 230 Lecture Notes - Lecture 2: Streptococcal Pharyngitis, Cottage Cheese, Obstetrics And Gynaecology

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14 May 2019
September 17, 2018
The Pap Smear Up Close and Personal
o Women are recommended to start having these when they are 18, CDC
recently raised this to age 21
Doesn’t just have to be OBGYN
Appointment will start as a normal check up
o Tests for signs of cervical change whether or not you have cancer cells
in you
Take a brush and brush the inside/outside of the lab to get cells
from your cervix
Cervix is the same color as your skin and feels like the tip of your
Use the speculum thing to open up the vaginal walls so they can
see your cervix
o Bimanual exam
Feeling the uterus to see if there are any growths, pregnancy, or
Insert two fingers and push your uterus up to your stomach and
then they feel it
o Rectal exam
One finger in to feel the underside of the uterus for tumors
Yeast Infection
o Seen more in people with diabetes, weakened immune system, you just
used antibiotics (strep throat, UTI, etc.)
Antibiotics are wiping out good and bad bacteria Zpack,
o White clumpy discharge, cottage cheese
o Bread like odor
o Swelling on the vulva or cervix
Hepatitis B
o Spreads through bodily fluids (ex. Sex, needles, etc.)
o No cure yet
o Now there is a vaccination for it; give babies 3 rounds of it
o Impacts the liver, can lead to liver cancer eventually
All viruses start with an H: herpes, hepatitis B, HPV, HIV
All life long, non curable, symptoms are treatable, can be
sexually transmitted
Bacterial: Gonorrhea, chlamydia, syphilis, bacterial vaginosis,
Fungal: yeast infection
Parasites: crabs, trichomonas
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