NURS3244 Lecture Notes - Lecture 12: Sickle-Cell Disease, Permethrin, Lymphadenopathy
5 Sep 2016
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Primary: no menses @ 15 y/o in spite of developing normally as female. If there is no normal female development, look into it. Etiology: chromosomal abnormalities (turner syndrome), anatomic abnormalities. Secondary: no menses for at least 3 times in 6 months in women who previously had menses. Etiology: pregnancy, stress, weight loss, strenuous exercise, hormonal probs. Treatment: identify and treat underlying cause, hormonal management. Hormones: progesterone to induce menses, oral contraceptives to regulate cycle, calcium supplements w/ women w/ history of eating disorders. Primary: noticed 6 12 months after menarche (first period) Recurrent, crampy, lower abd. pain during menses. Pain triggered w/ release of prostaglandins during luteal phase. : heat, massage, exercise, salt, caffeine, natural diuretics, meds (nsaid), Secondary: acquired menstrual pain developed later in life. Associated w/ adenomyosis (endometrial tissue grows inside uterine muscle), endometriosis, pid, endometrial polyps, fibroids, iud. Abdominal aching, pain radiating to back/lower thighs, bloating, pelvic fullness. Get rid of underlying cause, same treatment of primary.
