TAILIEUCHUNG - mosby paramedic (31)

9/11/20121Chapter 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 .body3Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend 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 cases4Female Anatomy.• Female reproductive organs .– Ovaries.– Fallopian (uterine) tubes.– Uterus.– Vagina.– External genital organs.– Mammary glands56Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning 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.• Progesterone7Female Anatomy.• Fallopian tubes.– Uterine ducts for ovaries.– Ovum fertilized while in fallopian tube normally .implants in lining for uterus (endometrium).• Signals beginning of pregnancy8Female 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 menstruation9Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Anatomy.• Vagina .– Birth canal.– Female organ of copulation.– Canal that joins cervix (lower portion of uterus) to .outside of body.– Functions to receive penis during intercourse 10Female Anatomy.• External genital organs (vulva).– Outer parts of female genitalia.– Protect internal organs from infectious disease.– Consist of.•.•.•.•Labia ’s Anatomy.• Mammary glands.– Organs of milk production.– Located within breasts (mammae).– Under influence of hormones, secrete milk .during nursing12Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning .• Women of reproductive age prepare for .potential pregnancy about once each month.– If pregnancy does not occur, menstruation follows• Normal, periodic discharge of blood, mucus, .and cellular debris from uterine mucosa.– Normal cycle lasts about 28 days.– Occurs at more or less regular intervals from .puberty to menopause.• Except during pregnancy and lactation13Menstruation.• Average menstrual flow is 25 to 60 mL.– Lasts 4 to 6 days, fairly constant from .cycle to cycle• Onset of menses (menarche) generally begins .between ages 12 and 13.– Ends permanently (menopause) at average age of .47 years.– Depending on person, normal menopause age .may vary from ages 35 to 60 .• Occurs in three phases .– Follicular phase.– Ovulatory phase.– Luteal phase15Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company5.

• Sáng kiến kinh nghiệm
• Mosby's paramedic
• Mosby's paramedic textbook
• Medical terminology
• EMS systems
• Acute interventions
• Home care
• EMS system development
• Current health care reform
• Prehospital patient care repor
• Patient care report
• Emergency medical services
• Narrative section
• Hazardous materials awareness
• Scope of hazardous materials
• Paramedic’s practice
• Claim of negligence
• Well‐being of the paramedic
• Physical fitness
• Components of wellness