Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 8 Female Reproductive System

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-2 Female Reproductive Organs

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-3 Female Reproductive Organs

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-4 Clicker Question The combining form meaning vagina is a) colp/o b) culd/o c) metr/o d) mast/o

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-5 Endometriosis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-6 Clicker Question The term which means rapid flow of blood at menstruation is a) menorrhagia b) metrorrhagia c) menorrhea d) menometrorrhagia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-7 Types of Surgeries Involving the Uterus, Ovaries, and Uterine Tubes

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-8 Laparoscopic Tubal Sterilization

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-9 Clicker Question The abbreviation for inflammation of the female pelvic organs is a) PMS b) TSS c) TVS d) PID

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.8-10 Interact with Medical Records Exercise 40B HISTORY: This 37-year-old gravida 2 para 2 African-American woman was referred by her primary care provider. She complains of fullness in the pelvic region and menometrorrhagia. She admits to frequency and urgency of urination. Also, she complains of fatigue. The patient’s last menstrual period was two weeks ago. Her mother was treated for ovarian cancer. PHYSICAL EXAMINATION: Upon bimanual pelvic examination, an ill-defined mass was palpable on left lateral portion of the uterus. DIAGNOSTIC STUDIES: Pap smear results showed normal cytology. CA- 125 results were normal. Transvaginal sonography confirmed the presence of a pedunculated fibroid tumor. The uterine tubes and ovaries were normal. IMPRESSION: Uterine fibroids. RECOMMENDATION: We discussed the benefits of having a vaginal hysterectomy with bilateral salpingo-oophorectomy in view of her mother’s history of ovarian cancer. The patient declined this approach because of the desire to have another child. A laparoscopic myomectomy is therefore recommended.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Obstetrics and Neonatology

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-12 Obstetrics and Neonatology  obstetrics: branch of medicine that deals with childbirth and the care of the mother before and after birth  neonatology: branch of medicine that deals with the diagnosis and treatment of disorders of the newborn

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-13 Ovulation, Fertilization, and Implantation

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-14 Development of the Fetus

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-15 Word Parts with Similar Meanings Word PartMeaning nat/obirth par/o, part/obear, give birth to, labor, childbirth puerper/ochildbirth -partumchildbirth, labor -tociabirth, labor

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-16 Four “-rrh” Suffixes Suffix MeaningChapter -rrhea flow, discharge 4 -rrhagia rapid flow of blood 5 -rrhaphy suturing, repairing 6 -rrhexis rupture 9

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-17 Clicker Question Which two of the following word parts mean pregnancy? a) gravid/o and -cyesis b) part/o and -partum

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-18 Ectopic Pregnancy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-19 Esophageal Atresia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-20 Read Medical Terms in Use Jane Anne is a 34-year-old gravida 2 para 1 woman. Her LMP was April 20, 20xx. The EDD is January 2, 20xx. The obstetrician prescribed folic acid to prevent spina bifida. The patient’s first pregnancy was complicated by preeclampsia and a breech presentation, which required a cesarean section. Pelvic sonography showed a single female fetus with normal development. She went on to deliver a healthy baby 3 days before her expected delivery date.