Health Final
Terms
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- Intimacy
- emotional component that involves feelings of closeness
- Passionate love
- state of high arousal filled with the ecstasy of being loved and the agony of being rejected. Tends to be preoccupied with her partner and to perceive the love object as perfect. Occurs if 1. culture in which concept of falling in love is idealized; 2. a suitable love object must be present; 3. some type of physiological arousal that occurs when in presence (sexual excitement)
- increase heart rate (factors)
- 1. body temp; 2. anxiety; 3. pain; 4. exercise; 5. hyperthyroidism; 6. anemia; 7. medications
- Difficulties that hinder sexual functioning
- impotence, premature ejaculation, sexual performance anxiety, dyspareunia, vaginismus, rohypnol
- Primary aggression
- goal-directed, hostile self-assertion that is destructive in nature
- Bisexual
- experiencing attraction to and preference for sexual activity with people of both sexes
- Heart S4
- low-pitched, occurs when either right or left ventricle is stiff and resistant to incoming flow of blood
- Acute battering in cycle of violence
- Can't control or predict abuse, pleasing the man doesn't help; he is trying to "teach her a lesson"
- predictability
- predict partner's behavior
- Lunelle and Norplant
- currently off the market
- Lung Palpitation
- doctor will place hand on patient's back, feeling to make sure the diaphragm is not paralyzed, to make sure there are no broken ribs, to hear the fremitus
- Remorse/ reconciliation
- the batterer may be kind, loving, apologetic, violence may stop for several weeks/months, woman may question if she overreacted
- split S1 or S2
- if one of valves opens or closes early or late
- Gender identity
- personal sense or awareness of being masculine or feminine, or male or female
- faith
- feel certain about your partner's intentions and behavior
- Indirect Inguinal Hernia
- lie up inside the inguinal canal- doctors insert finger into path of inguinal canal, patient asked to turn his head and cough- hernias felt as a mass of tissue meeting the finger then withdrawing
- Marital rape
- any unwanted intercourse obtained by force, threat of force, or when the wife is unable to consent- prevalent form of sexual violence
- Families: 7 types
- single-parent families, communal families (unrelated people living together), and extended families
- social history
- patient's profession, marital status, living arrangements, smoking and drinking habits, whether they drink coffee, drug habits, risk factors for diseases like Hepatitis, HIV, STDS
- Exam for Prostate Cancer
- weak or interrupted urine flow, inability to urinate, blood in urine; persistant lower back pain or pain in upper thighs or pelvis
- discrimination
- actions often based on bias and prejudice that deny equal treatments of opportunities to a group
- Heart S3
- low-pitched sound, heard in young adults when there is a fluid overload on either side of the heart
- Male attitudes
- a greater tolerance of rape among men who accept the myth that rape is something women secretly desire
- Purpose of a Gynecological exam
- focus on the evaluation of a woman's reproductive organs, also to detect cancer
- trust
- degree of confidence partners feel in a relationship
- Aggravated rape
- rape that involves multiple attackers, strangers, weapons, or physical beating
- history of present illness
- chronological order of patient's symptoms and complaints
- Heart Snap
- can be heard in the resting part of the heart cycle, and are usually due to the opening of an abnormal mitral valve
- labia minora and majora
- inner and outer folds
- Impotence
- difficulty in achieving or maintaining a penile erection sufficient for intercourse
- simple rape
- rape by one person usually known to the victim that doesn't involve physical beating or weapon
- Your sexual identity
- acknowledgment of oneself as a sexual being, a composite of biological sex, gender roles, gender identity, and sexual orientation
- Options for sexual expression
- celibacy, masturbation, cunnilingus, fellatio, autoerotic behaviors
- pupils move
- get larger and smaller in order to control the amount of light entering the eye
- in Doctor's bag:
- opthalmoscope, otoscope, stethoscope, reflex hammer, blood pressure cuff, thermometer, tongue depressor, tuning fork
- blood pressure cuff
- used along with stethoscope to measure patient's blood pressure (allows doctor to hear blood passing through arteries)
- Men as victims
- 12% men reported that wives hurt them in past year- almnost same # as women; but, women are injured 2 to 3 times more than men and injuries more severe; also, women generally intimidated by men, men not afraid of wives
- Socialization processes that may lead men to engage in sexual harassment
- 1. Male socialization; 2. male attitudes; 3. male sexual history; 4. male misperceptions; 5. situational factors
- veins in the neck
- neck veins drain blood from brain to right side of heart, and are normally collapsed- but when heart is strained, the nect veins pop out- the doctor will make the patient sit and lay in various positions to estimate the pressure in the right side of the heart (jugular venous pressure) to determine if the right side of the heart is weak
- Abdominal Palpation
- feeling-- one hand on top of the other or one hand in front, one hand in back of patient; one-handed method most widely used, good for examining stomach, liver, spleen, intestines; 2 handed method is good for deep organs like kidneys
- Differences in communication styles
- women are more expressive, relationship oriented, concerned with creating/maintaining intimacy; men are more instrumental, task oriented, concerned with gathering info or establishing and maintaining social status or power
- External female genitals
- Mons pubis, labia minora and majora, clitoris, urethral opening, hymen, perineum
- dependability
- rely on partner to give support
- average menstrual cycle
- 28 days, consists of menstrual phase and luteal phase
- Grief work
- process of accepting the reality of a person's death and coping with the memories of the deceased
- Need fulfillment
- we fulfill our needs for intimacy, social integration, being nurturing, assistance, and affirmation
- opthalmoscope
- an instrument made up of a system of lenses and mirrors used to look inside the eyes
- androgyny
- combination of traditional masculine and feminine traits in a single person
- Pubic lice
- treat by washing clothing, furniture, linens that may harbor eggs
- Fremitus:
- the vibration of the patient's voice, which can be felt through their back- a decreased resonance can mean disease or fluid-filled lungs
- HIV/AIDS
- causes: exchanging body fluids, injecting drugs; symptoms: may experience a large number of infections, colds, sore throats, fever, tiredness, nausea, night sweats, and other generally non-life threatening conditions; treatments: AZT- longer survival for people with HIV- no cure
- Rinne test
- place base of tuning fork against mastoid bone of the patient's ear; once vibration stops, the sound should still be heard when the vibrating ends are placed 1-2 inches away from the head
- Death
- permanent ending of all vital functions
- Conductive loss
- Problems with conducting sound through the outer and middle ear into the inner ear where the nerve endings are located; most common in people below the age of 40
- autoerotic behaviors
- involve sexual self-stimulations: sexual fantasy and masturbation
- Resolution phase
- muscle tension and congested blood subside as the genital organs return to their pre-arousal states; feelings of well-being and profound relaxations; men experience a refractory period: their systems are incapable of subsequent arousal
- Physical part of gynecological exam
- exam of breasts, mammogram, external pelvic exam, internal pelvic exam, pap test, bimanual exam, rectovaginal exam
- sexual orientation
- a person's enduring emotional, romantic, sexual, or affectionate attraction to others
- physical exam is important because
- doctor examines patient and can easily tell how sick a patient is, what is normal, abnormal, detailed and systematic
- Male sexual history and hostility
- Most rapists don't look abnormal or appear to be psychologically disturbed; many feel hostility toward women
- What to do if rape occurs
- Call 911, do not bathe, clean up, or touch anything the attacker may have touched, do not throw away or clean the clothes you were wearing- evidence, bring a clean change of clothes to the hospital or clinic, contact the rape assistance hotline, ask for advice on therapists if you need additional help
- optic disc and cup
- located at the center of the retina in the back of the eye; where the optic nerve (the main nerve for vision) comes into the back of the eyeball; disc is a circle of reddish-brown and the cup is a smaller circle inside the disc, usually yellowish and pink; if the cup is larger than the disk, signifies glaucoma
- Mourning
- culturally prescribed behavior patterns for expression of grief
- Sexually transmitted infections
- more than 20 known types; if left untreated, some can have grave consequences, like sterility, blindness, central nervous system destruction, disfigurement, death
- Mouth and throat exams
- open mouth and say ah to give clear view to back of throat and tonsils; examined with tongue depressor, light, possibly fingers- examines tongue, teeth, gums, roof, floor of mouth, then tonsils and throat
- hymen
- thin membrane covering vaginal opening
- Things to do to reduce anxiety and harm about terrorist attacks
- 1. be aware of reactions to stress, anxiety, fear; 2. be conscious of surroundings; 3. stay informed; 4. seek understanding/info; 5. Know what to do in an emergency
- clitoris
- located at the top of labia minora; only for sexual pleasure
- characteristics that make a good friendship
- enjoyment, acceptance, mutual trust, respect, mutual assistance, confiding, understanding, spontaneity
- Movements of the eyes
- eyeballs move around to allow people to look at different things without moving heads
- Imprinting
- our evolutionary patterns, genetic pre-dispositions, past experiences trigger romantic reactions
- reflex hammer
- used to gently strike various points on the body in order to examine the nervous system
- Vital signs
- heart rate (pulse), rate of breathing (respiration), blood pressure, and body temperature- important because indicate whether or not a patient is stable or needs immediate life-saving care, shows how ill someone is
- right side of the heart
- receives blood and pumps it to the lungs to be oxygenated before it is returned to the heart
- Chief complaint
- main concern that is troubling a patient
- ethnoviolence
- violence directed randomly at persons affiliated with a particular group
- Companionate love
- a secure, trusting attachment, similar to what we may feel for family members or close friends; two people are attracted, have much in common, care about each others' well-being, express reciprocal liking and respect
- Snellen Eye Chart
- top number is distance you are from the chart, bottom number is distance at which the normal eye is able to read the letters on a given line in the chart
- Bimanual exam
- doctor uses both hands to examine the cervix, uterus, ovaries, fallopian tubes, bladder- entire region felt for masses and tenderness
- Rubs
- Heard when the 2 surfaces of the lung are inflamed and rub against one another
- Behavioral interdependence
- the mutual impact that people have on each other as their lives and daily activities intertwine- what one person does influences what the other person wants to and can do
- mammography
- use of x-rays to examine the breasts- can detect tumor before any clinical signs or symptoms arise- after age of 40
- Genital HPV
- many people have no symptoms, but some are a series of itchy bumps on genitals that range in size; if precancerous cases are left untreated, 70% will result in cancer; treated with topical meds
- Tonsils red with yellow spots
- strep or mono
- estrogen
- increased estrogen levels assist in the development of female secondary sex characteristics and it regulates the menstrual cycle
- prostate gland
- gland that secretes nutrients and neutralizing fluids into the semen
- Sores in throat
- can be canker sores, herpes, cancer
- Cowper's glands
- glands that secrete a fluid that lubricates the urethra and reutralizes any acid remaining in the urethra after urination
- scrotum
- sac of tissue behind the penis that encloses the testes
- Human sexual responses
- 1. excitement/arousal; 2. plateau phase; 3. orgasmic phase; 4. resolution phase
- Intestate
- not having made a will
- coital standard
- penile/vaginal intercourse is viewed as the ultimate sex act
- in order for us to stay alive,
- oxygen and carbon dioxide must be exchanged every minute
- Child abuse
- systematic harm of a child by a caregiver, generally a parent; increases likelihood of arrest as a juvenile by 53% and of a arrest for a violent crime as an adult by 38%
- Stridor
- high pitched sound that comes from the throat when air is being drawn into the lungs without the vocal chords being fully open; happens when tissues of the throat are swollen, indicating respiratory failure
- diseases diagnosed by ear exam
- swimmer's ear (otitis externa), otitis media, mastoiditis, an effusion (extraneous fliuid)
- Internal Pelvic Exam
- speculum used to spread the walls of the vagina, then the cervix (entrance to vagina) is inspected for ulcerations, cysts, bleeding, enlargements, menstrual discharge
- Taking a pulse
- can take pulse on wrist, temples, nexk, under arm, in groin, behind elbow or knee, on top of feet, inside of ankle- press with pads of index and middle fingers, count number of beats in one minute
- Palpation (feeling)
- especially used in examining head, neck, heart, chest, lungs, abdomen, arms, legs, sex organs, mouth, rectum; can feel for consistency of abnormal looking items, i.e. tumors; check whether it is soft, firm, or very hard, solid, fluid-filled, hollow, attached, free-moving
- Trivialization
- Sexual assault is still viewed as a jocular matter
- Egophony
- term describing change in sound that happens when lung tissue is no longer filled with air, but with fluid- doctor will ask patient to make the sound "eee" which, when the lungs are filled with fluid, will sound like "aaa"
- a complete evaluation of the heartq
- taking detailed history, physical exam, chest x-ray, electrocardiogram
- testes
- manufacture sperm and produce hormonesq
- parts of gynecological exam
- two main parts: history and physical exam
- Exam for Testicular Cancer
- self-exams once a month; best right after warm shower or bath so scrotal skin relaxed; gently roll each testicle between thumb and fingers to detect any lumps or changes from previous exams
- Single most important interaction between doctor and patient
- taking a history
- Vaginusmus
- involuntary contraction of the vaginal muscles, which makes penile insertion painful or impossible
- the Ramstad Act
- gives victims the right to call in off-campus authorities to investigate serious campus crimes; Universities must set up educational programs and notify students of available counseling
- Sexual harassment
- un-welcomed sexual advances, requests for sexual favors, and other verbal or physical contact of a sexual nature; any form of unwanted sexual attention
- Black eye
- the soft tissues (eyelids) around the eye become damaged- small blodd vessels break and cause a brown appearance on the eye
- left side of the heart
- pumps blood to most of the body under high pressure
- Weber test
- place base of tuning fork in middle of patient's head; the sound should be equal in both ears
- allergies
- drug allergies, food allergies, previous drug reactions
- Endometrium
- inner lining of uterus
- medications
- list of medicines being taken at present and over past six months
- Male external genitals
- penis, scrotum
- Auscultation (listening)
- use of stethoscope to listen to breathing, heart, etc, to find out if internal organs are functioning properly
- Grief
- state of mental distress that occurs in reactions to significant loss, including one's own impending death, death of a loved one, or a quasi-death experience
- orgasmic standard
- all sexual interaction should lead to orgasm
- lub-dupp lub-dupp
- valves closing and opening- known as S1 and S2
- Premature ejaculation
- ejaculation that occurs prior to or almost immediately following penile penetration of the vagina
- Women don't leave partners because
- financially dependent, fear retaliations against themselves or children, think situation will change, cultural/religious beliefs forbid divorce, still love partner
- Hernias- defects in the abdominal wall
- cal be either present at birth (congenital) or developed later (as a result of abdominal surgery) usually benign
- Rales
- course sounds heard on expiration, to to fluid in the airways
- Menarche
- the normal range for the 1st period is 9-17
- urethral opening
- urine is expelled
- importance of palpation in detecting hernias
- sometimes intestines can bulge into hernia and get blocked off, so doctor's prefer to repair hernias on an elective basis- easiest to detect hernias through palpation
- tuning fork
- instrument used to play a note, test hearing
- Importance of treating strep throat
- if not treated completely, it can lead to rheumatic fever, which can destroy valves of the heart
- Depo provera
- an injectable method of birth control that lasts for 3 months
- Excitement/arousal
- vasocongestion, increased blood flow in the genital region, stimulates male and female genital responses
- Male internal genitals
- testes, epididymis, vas deferens, ejaculatory ducts, urethra, seminal vesicles, prostate gland, cowper's glands
- acquaintance or date rape
- occur as the result of incidental contact at a party- crimes of opportunity
- Emotional attachment
- share feelings or spiritual beliefs and meanings, and are intimate friends
- Peritonitis
- inflammation of the peritoneum; organs inside the abdominal cavity are surrounded by the visceral peritoneum, while the abdominal wall itself is surrounded by the parietal peritoneum; sometimes an abnormal amt of fluid collects in the potential space and is called ascites; irritation of these membranes is painful and leads to inflammations- wherever peritonitis occurs, bowels stop moving completely and any movement or stretching of the membranes causes extreme pain- abdominal muscles contract involuntarily and the abdomen becomes rigid
- Characteristics of healthy relationships
- characteristics related to family, close friends, romantic partners: behavioral interdependence, need fulfillment, emotional attachment, emotional availability
- Child abusers
- tend to have a history of abuse as a child, poor self-image, feelings of isolation, extreme frustration with life, higher stress or anxiety than normal, abuse drugs and alcohol, unrealistic expectations of child
- Causes of jealousy
- overdependence on the relationship, high value on sexual exclusivity, severity of the threat, low self-esteem, fear of losing control
- homosexual
- experiencing primary attraction to and preference for sexual activity with people o the same sex
- Ileus
- normal waves of peristalsis (muscular contractions) have stopped altogether
- The middle ear
- small, air-filled cavity right behind the eardrum, then a mass of spongy bone called the mastoid; also, three small bones which connect the eardrum to the inner ear and the eustachian tube which connects it to the throat; examination: an otoscope allows physician to see eardrum
- high risk for violence
- Children, women, black males, elderly
- Internal female genitals
- vagina, uterus, endometrium, cervix, ovaries, fallopian tubes
- other birth control
- sterilization, intrauterine devices, withdrawal, emergency contraceptive pills, and abstinence
- Hate crimes
- 30% of all hate crimes are against property, 70% against person; brutal, randomly to total strangers, multiple offenders; motivated by thrill, defensive feelings, hate-mongering mission
- Triangular theory of love: robert sternberg
- 1. intimacy, 2. passion, 3. decision/commitment
- taking a history
- chief complaint, history of present illness, past medical and surgical history, medications, allergies, social history
- heart click
- occurs due to the opening of abnormally stiff aortic and pulmonic valves, or due to the closing sound of an abnormal mitral valve
- romantic standard
- sex should be related to love
- Staying single
- more than 10% of people say they would never marry
- Sexual performance anxiety
- a condition of sexual difficulties caused by anticipating some sort of a problem with the sex act
- 2 types of hearing loss
- 1. Conductive loss and 2. Sensorineural loss
- orgasmic phase
- vasocongestion and muscle tensions reach their peak, and rhythmic contractions occur through the genital regions
- safer sex standard
- if we choose to be sexually active, we should act to prevent unintended pregnancy or disease transmission
- Bruits- abdominal
- Rushing sounds made by abdominal blood flow
- Rape
- sexual penetration without the victim's consent; most extreme form of sexual assault
- Sexual behavior standards
- heterosexual standard, coital standard, orgasmic standard, two-person standard, romantic standard, safer sex standard
- Societal causes of violence
- Poverty, unemployment, parental influence, cultural beliefs, the media, stress, alcohol, discrimination, oppression, religious differences, political differences, breakdowns in criminal justice system
- Dying
- process of decline in body functions, resulting in death of an organism
- Elements of healthy relationships
- Trust, predictability, dependability, faith
- PID
- term used to describe various infections of the female reproductive tract; symptoms: inflammation of the pelvic cavity, severe pain in the lower abdomen, menstrual irregularities, fever, nausea, painful intercourse, ectopic pregnancies, severe depression; early treatment reduces risk
- retina
- located along the back of the eye- only place in the body where one can see small arteries, veins, and nerves directly; when inspecting the retina, the ophthalmologist usually looks at the vessels, the optic disc and cup, the surface or the retina, and the macula
- Test ability to see
- a test of "visual acuity" where each eye is tested separately, reading a chart from a distance of 20 ft
- Puberty
- period of sexual maturation
- Anger
- a spontaneous, usually temporary, biological feeling or emotional state that occurs during frustration- can be biological or socio-cultural or because of family background( greatest predecessor of future violence)
- Theory of attraction and falling in love: fisher: predictable pattern
- 1. Imprinting; 2. attraction; 3. attachment; 4. production of a cuddle chemical (oxytocin)
- Blood pressure
- measures pressure in the high pressure circuit of pumping blood- recorded as 2 numbers- systolic (top number, typically over 100, during peak heart cntraction); and diastolic (bottom number, typically below 100, while heart is resting) ; Typical adult blood pressure: 120/80
- Inflammation
- a complex set of chemical reactions and changes that tissues undergo in response to bacterial invasion or diseases; indicated by the 4 hallmarks of inflammation
- homophobia
- irrational hatred of fear of homosexuals
- options for sexual expression
- kissing, erotic touching, oral, genital stimulation, vaginal intercourse, anal intercourse
- Rectovaginal exam
- index finger in vagina, middle finger in rectum, so doctor can feel posterior surface of the uterus, cervical ligaments, ovaries, and side walls of pelvis
- Rohypnol
- a drug sometimes used in combination with alcohol to facilitate date rape by making a woman unaware of what is happening to her
- passion
- motivational component that reflects romantic, sexual attraction
- Peristalsis
- muscular contractions
- Sexual harassment
- any form of unwanted sexual attention
- Social contributors to sexual assault
- minimization, trivialization, blaming the victim, "boys will be boys"
- heart inspection
- looking- physician examines skin for discoloration (blue means not enough oxygenated blood is being received) or deposits of cholesterol under the skin (which show too much blood cholesterol) ; can also examine fingernails for short rounded nails (not enough oxygen), swelling of the ankles and shortness of breath (heart doesn't work well enough)- final inspection is of the veins in the neck
- Male socialization
- exposed to social norms that objectify women and make them appear as objects that can be used; men are told to act tough and unemotional, to strive for power, status, and control and to be aggressive
- Six muscles in eye
- control movements- must be in perfect synchronization or the person will see double- the eyes must remain coordinated with movements of the body, so that objects can remain in focus while a person walks
- sexual abuse of children
- sexual interaction between a child and an adult or older child; includes sexually suggestive conversations, inappropriate kissing,touching, petting, and oral, anal, or vaginal intercourse
- Five stages of dying patients: Dr. Kubler-ross
- Denial, anger, bargaining, depression, acceptance
- Trichomoniasis
- caused by a protozoan; symptoms: foamy, yellowish, unpleasant-smelling discharge accompanied by a burning sensation, itching, painful urination; transmitted by toilet seats, wet towels, sexual contact, other items with discharged fluids on them; treated by oral metronidazole
- uterus
- the womb
- two-person standard
- sex is an activity to be experienced by 2
- methods of observation
- Inspection (looking), Auscultation (listening), Palpation (feeling), Percussion (tapping)
- Abdominal Auscultations
- listening- doctors feel this step should be conducted first (before disturbing the organs during palpation) ; abnormal bowel sounds include too many or too few of the normal bowel sounds (gurglings heard several times per minute); no sounds indicate ileus and hyperactive sounds can occur because of diarrhea and are normally higher pitched that regular bowel sounds
- transsexuality
- condition in which a person is psychologically of one sex by physically of the other; gender dysphoria
- Normal grief
- periodic waves of physical distress lasting from 20 minutes to an hour; feeling of tightness in the throat; choking and shortness of breath; frequent need to sigh; feelings of emptiness and muscular weakness; intense anxiety that is actually painful
- Mons pubis
- fatty tissue covering the pubic bone
- decision/commitment
- cognitive component that includes the decisions you make about being in love and the degree of commitment to your partner
- if unable to eliminate enough carbon dioxide from lungs
- over a period of hours or days, kidneys would retain more basic levels, so the acid levels would stabilize
- Prevent a rape
- Be vigilant, use campus escorts, demand a well-lit campus, don't use same route all the time, don't leave alone or with a stranger, let friends and family know where you are, when you'll be back, keep close to others, keep windows and doors locked
- gonorrhea
- symptoms male: white milky discharge from penis with painful, burning urination 2-9 days after contact; 20% have no symptoms; few develop sensation upon urinating; treated with antibiotics
- Meningitis
- if someone with a serious headache can't lower their head to touch their chest, it could be meningitis, see doctor immediately
- Progestin-only fills
- for women who don't want to use estrogen pills
- heterosexual standard
- sexual attraction should be limited to members of the other sex
- Symptoms of Peritonitis
- Absent bowel sound, guarding: the patient has so much pain from the irritation of the peritoneal membranes that their abdominal muscles are contracted and it is difficult to feel any other abdominal structures on examination, and rebound tenderness: movement or stretching causes extreme pain
- Atherosclerosis
- disease affecting arterial blood vessels- chronic inflammatory response in walls of arteries and is commonly referred to as a hardening or furring of the arteries; caused by the formulation of multiple plaques w/i the arteries
- Dyspareunia
- pain experienced by women during intercourse
- heart auscultation
- doctor will listen to see if fluid is backed up in the lungs- backed up fluid will make a crackling sound, means that left side of heart is failing; doctor then listens to heart valves
- Examining the Anus, rectum, prostate
- visually inspected for lumps, rashes, inflammation, skin lesions, warts, and external hemorrhoids
- Major organs in the lower right quadrant of the abdomen
- descending colon
- PMI
- Point of maximum intensity
- Pap smears
- good for detecing early signs of cervical cancer- cells are gently scraped from the cervix and vagina with a swab and examined to detect cancerous cells
- vagina
- passageway from uterus to outside of body
- herpes
- mildly uncomfortable to extremely serious; burning sensation and redness at the site of infection; prescriptions keep disease from spreading
- Passive euthanasia
- intentional withholding of a treatment that would prolong life
- Progesterone
- helps keep the endometrium developing in order to nourish a fertilized egg- helps maintain pregnancy
- secondary sex characteristics
- characteristics associated with gender but not directly related to reproduction, such as vocal pitch, degree of body hair, and location of fat deposits
- Dyathanasia
- passive form of mercy killing- prolonged life treatments not offered, interventions not offered or are withheld- allows a terminally ill person to die naturally
- seminal vesicles
- storage areas for sperm where nutrients and other fluids are added to them
- Lung Auscultation
- doctor uses stethoscope to determine the normality of breathing
- Social death
- a seemingly irreversible situation in which a person is not treated like an active member of society
- Plateau phase
- initial responses intensify, voluntary/involuntary muscle tensions increase
- Lung inspection
- doctor will see how quickly patient breathing (normal for adults is 12-20 times/minute); look to see how many muscles have to use in order to breath (if neck muscles can expand or not); ill observe symmetry in both sides of lungs
- Hospice care: positive alternatives
- hospice is concept of care for terminally ill patients designed to maximize quality of life- alternative to dying at hospital
- Attraction
- neurochemicals produce feelings of euphoria and elation
- Brain death
- irreversible cessation of all functions of the entire brain stem
- Heart Palpitation
- doctor will feel pule, liver (liver will be swollen if right side of heart has failed), and the heart- in feeling heart, doctor looks for point where heart can be felt most intensely (PMI: point of maximum intensity), and for a movement next to the breastbone (if the right side of the heart is too large, pushes up against breastbone)
- vas deferens
- tube that transports sperm toward the penis
- Causes of domestic violence
- alcohol abuse, communication patterns, personality disorders, dynamics that partners bring to relationship
- epididyjmis
- on the back of the testis where sperm mature
- Minimization
- rape is the most underreported of all serious crimes- nearly 25% of women in the US have been raped
- Percussion (tapping)
- tapping with hands on or over organs can determine similarity of organ or tissue to that of healthy patients- most useful during live and spleen exams
- stethoscope
- used to listen to sounds inside body- heart, lungs, bowels
- Barrier methods
- male and female condoms, jellies, creams, foams, suppositories, diaphragm
- tongue depressor
- used to hold tongue down while patient says "ah" so doctor can see tonsils and back of throat
- Self-defense against rape
- Speak in a strong voice, maintain eye contact with the would-be attacker, stand up straight, act confident, remain alert
- "Boys will be boys"
- men can't control themselves once they become aroused
- otoscope
- instrument used to examine ear canal and ear drum
- cerxiv
- lower end of the uterus that extends down into the vagina
- terrorism
- use of unlawful force or violence against person or property to intimidate or coerce a gov't, the civilian pop, etc, in furtherance of political or social objectives
- Heart Bruit
- sound of blood moving past a blockage in an artery
- Body temperature
- normal temperature: 98.6 degrees F; can be measured in mouth, under arm, in ear, recotally; rectal is most accurate; thermometer (mercury or electric) is placed in close contact with body for several moments; fevers can be caused by infections, tumors, connective tissue diseases (arthritis, etc) and drugs; temps higher than 104 degrees= extremely dangerous
- Holographic will
- will written in testator's own handwriting, unwitnessed
- Heart Percussion
- rarely used to assess size of heart- doctor will tap fingers from one side of chest to another, but mostly replaced by chest x-rays
- Emotional availability
- ability to give up and receive from others emotionally without fear of being hurt or rejected
- Violence
- A set of behaviors that produce injuries, as well as the outcomes of these behaviors (the injuries themselves)- unintentional and intentional
- Abdomen inspections (4)
- Inspection, auscultation, palpitation, percussion
- 4 techniques for inspecting lungs
- inspection, auscultation, palpitation, and percussion
- ovaries
- house developing eggs and produce hormones
- eye exam
- can reveal presence of diabetes, high blood pressure; if the cup (head of optic nerve) is enlarged, may signal glaucoma (where pressure builds up in eyeball, causing blindness); unusually small blood vessels in retina could indicate high blood pressure, numerous/quickly forming blood vessels indicate diabetes, broken blood vessels signify high blood pressure, diabetes, leukemia, severe bleeding disorder
- Sexual assault
- any act in which one person is sexually intimate with another without that other's consent
- gender-role stereotypes
- generalizations about how males and females should express themselves and the characteristics each possesses
- Ortho-evra patch
- worn for 3 weeks at a time that releases hormones
- 4 hallmarks of inflammation
- redness, pain, swelling, increased temperature
- examining the vas deferens
- long thin ducts that come away from each testicle and travel up through the scrotum inside the spermatic cord and up into the abdomen through the inguinal canal- should feel smooth, moveable cords and not beaded or bumpy
- Abdominal distension
- clue to the presence of some sort of obstruction; obstructed bowels increase in diameter, which causes the abdomen to distend; can also be caused by fluid collection in the abdominal cavity (usually associated with heart disease and some liver or kidney diseases)
- Heart rate and rhythm
- primary concerns are the rate at which the heart is beating and the rhythm it beats at; Normal rate for an adult is 72-80 beats per minute; maximum safety heart rate: 220
- Being self-nurturant
- developing individual potential through a balanced and realistic appreciation of self-worth and ability
- Exam of breasts
- appearance and texture evaluated; makes notes of bumps, flattenings, unequal shapes; then nipples; changes from previous exam; lumps. areas of thickening, areas of tenderness all discovered; nipples squeezed, checked for discharge
- bereavement
- loss experienced by a survivor when a loved one dies
- Appendicitis
- pain in lower right abdomen
- Heart Murmur
- occurs when valves of the heart are stuck and don't open or close all the way; 3 causes: leaking valve, or regurgitation; the damage or scarring of a valve, causing a narrowing of the valve, or stenosis; or a hole between two of the heart's chambers
- PEA and divorce rates
- PEA levels drop significantly over a 3-4 year period, which leads to divorce
- Blaming the victim
- the woman did something to provoke the attack, like dressing revealingly or flirting a lot
- past medical and surgical history
- all significant medical history and any surgery /complications with surgery
- Intersexuality
- not exhibiting exclusively male or female secondary sex characteristics
- Lung Percussion
- doctor will tap across chest wall- if sound over one side of chest is high pitched and other normal or hollow, it would mean that one lung has collapsed; fluid collections can also cause the tapped area to sound dull, commonly signifying pneumonia
- macula
- area at the middle of the retina- to see it, the patient has to look directly into the ophthmaloscope- macula has no vessels crossing it
- outer ear
- visible from outside body- composed of cartilage and also includes tube that leads to the eardrum, which is a thin membrane that transmits sound waves to the bones in the middle ear; Examination: examine outer ear for small bumps called sebaceous cysts (similar to acne), which are found in people with gout; also check for swollen lymph nodes which are lumps in front of or behind ear that signal infection
- Jealousy in relationships
- often indicates underlying problems that may prove to be a significant barrier to a healthy intimate relationship
- perineum
- tissue between vulva and anus
- Major organs in the upper right quadrant of the abdomen
- stomach, spleen, left kidney
- Breathing rate
- to take, watch breathing and count times that chest rises during a minute- normal adults breath 12-20 times.minute
- Violence in the US
- Since 1985 the US public health service identified violence as the leading public health problem that contributed significantly to death and disability rates- according the the CDC violence is a pervasive chronic disease
- Women as victims
- 6 out of 10 women in US will be assaulted at some time in their lives by someone they know; 12% of married women are victims by husbands; Domestic violence is greatest cause of injury to women
- Sensorineural loss
- Occurs when sensory cells and nerves are not transmitting sound effectively to the brain, or when the brain has difficulty receiving them; most common in adults over 40
- Production of a cuddle chemical
- brain secretes chemical oxytocin, which stimulates sensations during lovemaking and eliciting feelings of satisfaction and attachment
- Examining the penis
- observe for discharge, lumps/knots, wounds/lesions, and inflammation/swelling; Palpation is done to check for plaque-like structures lodged inside the shaft of the penis's spongy tissue responsible for erections
- Chlamydia
- usually no symptoms- but early symptoms can be painful and difficult urination, frequent urination, watery, pus-like discharge from the penis; females might have yellowish discharge, spotting b/w periods, spotting after intercourse; easily treatable with anti-biotics
- Abdomen inspection
- several abnormalities can be detected by looking alone: obesity, abdominal distension, defects in the abdominal wall, pulsations of the aorta as it courses through the abdomen, large tumors
- Penis
- male sexual organ
- Inspection (looking)
- carefully examine entire body, especially hair, skin, nails, and openings to body (mouth, ears, anus)
- 4 ways to examine heart
- inspection, auscultation, palpitation, percussion
- Heart rhythm
- can be: normal (same amt of time b/w beats); irregularly irregular (usually- not normal, but there is a pattern); or irregularly irregular (no pattern at all)
- Situational factors
- dates in which the male makes all the decisions, pays, drives, and controls what happens are more likely to end in aggression; alcohol and drug use and length of relationship increase risks of severity of assault
- Benefits of being medically literate
- can determine physical problems, can help you defend against illness through understanding/being sensitive to bodily changes, can enable easier conversation with doctors, can make quick care of injuries possible
- Genderlects
- the dialect, or individual speech pattern and communication style of each gender
- sinuses
- to test for sinus infections you tap over sinuses to see if they are infected- sharp pain may indicate sinus infection
- peripheral vision
- important to test, because loss of peripheral vision signifies certain dieases
- sexual assault
- any act in which on person is sexually intimate with the other without consent
- Direct inguinal hernia
- produce a bulge the doctor can feel- doctor examines for these by placing 2 fingers over each external ring and instructing patient to bear down as if having a bowel movement
- major organs in the upper left quadrant of the abomen
- liver, gallbladder, right kidney
- fallopian tubes
- where spern and egg meet and fertilization takes place
- Socialization
- process by which a society communicates behavioral expectations to its individual members
- Reactive aggression
- more often part of an emotional reaction brought about by frustration and life experiences
- Examining the scrotum
- inspected generally for size, appearance, and symmetry; generally scrotum is darker than the rest of skin, typical for the left testicle to hang lower than the right testicle; palpation includes spreading out wrinkled surface of scrotal sac to allow for visual inspection for any possible growths or unusual thickening of scrotum
- Variant sexual behavior
- sexual activities that are not engaged in by most people: group sex, transvestism, fetishism, exhibitionism, voyeurism, sadamasochism, pedophilia, autoerotic asphysiation
- Active euthanasia
- mercy killing in which person knowingly acts to hasten death of a terminally ill person
- Male misperceptions
- men who are convince that women really want sex even if they say they don't are more likely to perpetrate sexual assaults; misinterpret a woman's words and behavior
- thermometer
- measures patient's body temperature (orally, rectally, under arm, in ear)
- PEA
- chemical cousin of amphetamines and causes a natural high
- Wheezes
- high pitched whistling sounds heard on expiration, indicating that the airways has narrowed; can be heard in asthma, chronic obstructive pulmonary disease, and in some allergic reactions
- Major organs in the lower left quadrant of the abdomen
- appendix
- oral contraceptives
- pills taken daily for 3 weeks of the menstrual cycle that prevent ovulation by regulating hormones
- Tension Building in cycle of violence
- minor battering occurs, women may become more nurturing, pleasing, and more intent on anticipating the spouse's needs; assumes guilt for doing something to provoke violence
- Cycle of Violence: Lenore Walker
- 1. tension building; 2. acute battering; 3. remorse/reconciliation
- Sexual assault on campus
- 25-60% of college men have engaged in some form of sexually coercive behavior
- Nuva ring
- soft, flexible ring inserted into the vagina that releases hormones that prevent pregnancy; left in place for 3 weeks and removed for 1 weeks for a menstrual period
- Domestic violence
- use of force to control and maintain power over another person in their home environment
- Abdominal Percussion
- tapping- done primarily to decide size of liver and spleen, to determine if an abnormal collection of fluid exists in the abdominal cavity; generally, doctors palpate in all 4 quadrants to see if any organs can be identified
- Inguinal Hernias
- conditions in which the inguinal canals serve as passageways for the intestines to protrude through the inguinal canal and into the scrotum
- Heart Rub
- occurs when the sac surrounding the heart either becomes inflamed or filled with large amounts of fluid, causing it to rub up against the heart
- prejudice
- set of negative attitudes and beliefs or an emotional reaction or way of thinking about a group of people
- brains control
- the rate at which we breath- dictated by the level of carbon dioxide in our blood- if carbon dioxide increases, blood more acidic, breathe faster
- Puberty and menstrual cycle
- around 9.5 and 11.5 years old, hypothalamus receives the message to begin secreting gonadotropin-releasing hormone; signals the pituitary gland to release hormones called gonadotropins (follicle-stimulating hormone- FSH and luteinizing hormone- LH); signal the ovaries to produce estrogens and progesterone
- Pink eye
- when bacteria or viruses infect the hair follicles on the eyelid, causing inflammation, pain, redness, and increased temperature
- brain injury
- if one pupil is larger than another, could be serious brain injury and person must go to hospital
- Eardrum
- normally pinkish-gray, shaped like a round tent; doctor can see movement of eardrum by pumping air into ear canal (called pneumatic otoscopy); normal ear moves in an out as pressure increases and decreases
- Sexual victimization
- sexual battering is the single greatest cause of injury to women in the US
- heterosexual
- primary attraction to and preference for sexual activity with people of the other sex
- Timing for gynecological exam
- one exam a year starting at age 18
- Examining the epididymis
- a maze of tubes that adheres to the back and upper surface of each testicle- assessed for size, shape, consistency, tenderness,