Incompetent Cervix • Condition: insufficient cervix with leads to pregnancy complications • Cause: trauma, uterine abnormalities, history of cervical biopsy, previous premature rupture of membranes, diethylstilbestrol • Risk factors: previous diagnosis of cervical incompetence, congenital conditions, cervic trauma, past D&C • Signs and symptoms: backache, mild abdominal cramps, vaginal discharge change, light vaginal bleeding, and a sensation of pelvic pressure • Labs to monitor: amniocentesis and transvaginal ultrasound • Treatments: progesterone supplements, cervical cerclage, cervical pessary, steroids • Interventions: 1. Caution pt from strenuous activity 2. Advise pt on restricting sexual activity 3. Advise pt on regular follow ups 4. Evaluate
Due to abnormal Pap smear, having a cone biopsy or loop electrosurgical excision procedure on the cervix
some few days and don’t require any medical attention. It is crucial to inspect Ovidrel before injecting it; if the injectable solution seems to have particles or if it is not clear, don’t use it.
Any bleeding, rashes, changes in the surrounding skin or stoma color (darkening, grey, purple, black)
A 54 year old black female presents with dyspnea and chest discomfort on exertion, postural lightheadedness, palpitations and a functional limitation of less than one flight of stairs. She denies fever or chills. Further questioning reveals she has been experiencing worsening shortness of breath for one week. Past medical history includes hypertension, Epstein Barr virus and osteoporosis. Surgical history included hysterectomy. She is a 1 ppd smoker and admits to drinking 3-5 alcoholic drinks per week for 10 years. Medications include candesartan, multivitamin, and calcium
Sometimes these lesions can be hard to see, so an examination may be needed. These warts can sometimes lead to the development of certain forms of cancer. Other symptoms can include irregular menstrual bleeding, vaginal pain, foul smelling discharge, and possible back and pelvic pain (WHO, 2016).
According to C. Nordqvist the following are signs and symptoms of PID: pain generally in the lower abdomen/pelvis region (can be excruciating), fever, fatigue, irregular menses, pain during intercourse and vaginal exude. PID is diagnosed in “750,000 cases each year in the U.S.” (Nordqvist,
These signs can last from two to three weeks. The early symptoms can include an itching or burning sensation; pain in the legs, buttocks, or genital area; vaginal discharge; or a feeling of pressure in the abdominal region.
Abnormal bleeding between periods or excessively heavy menstrual flow is the most common symptoms for patients. Patients may also experience pain, in the lower back, pelvic or abdomen area. Weight gain may be noticed, along with abnormal increase in abdomen size. Finally, painful intercourse may be one of the symptoms.
The tracer patient identified in this summary was infected, possibly after the first surgery with the open hysterectomy. The infection process could have started from the operating room or any time thereafter with the care of the wound. The patient should have been treated prior to surgery with an Intravenous antibiotic and sent home with continuous oral antibiotic. The patient should have been kept in the hospital for observation at least two days and then discharged home with Home Health nursing for monitoring/ caring of wound. Teaching of wound care and maintenance should have been part of this patient’s care while in the hospital.
afterword, moderate flow of bright red blood, no clots; mild increase in appetite 2-3 days prior to periods, no other PMS symptoms; no history of dysmenorrhea or abnormal bleeding; no menopausal symptoms
Mosby’s dictionary defines incompetent cervix as a condition characterized by painless dilation of the cervical OS of the uterus before term without labor or contractions of the uterus. Miscarriage or premature delivery may result.
Chlamydia often affects women’s internal reproductive organs (Woods, 2003). Because chlamydia often has no symptoms time is given to the bacteria to spread. It often can result in pelvic inflammatory disease (PID). In fact 50% of women with untreated chlamydia will develop PID (Dougherty, 2010). “PID is a leading cause of chronic pelvic pain, internal abscess formation, and infertility in women” (Kolesnikow, 2004). Some symptoms of PID may include lower abdominal pain, fever, vaginal discharge, painful urination, painful intercourse, and bleeding in between menstrual cycles (Breguet, 2007). These are very real and potentially severe consequences for something that a young woman may not know she even has.
Mostly all ladies unit troubled with discharge pain monthly. expelling cramps (also noted as dysmenorrheal) unit pains that occur among the abdominal and girdle areas as a results of a woman's discharge quantity. The pain can vary significantly from woman to woman, with some cramps being relatively light to others that unit terribly severe. Monthly once the feminine internal organ lining sheds as flow, the feminine internal organ ought to contract. In ladies with pain the contractions unit really painful. the feminine internal organ would possibly even spasm. Pain could also be localized to the lower abdomen; but it can also be among the lower back, among the fanny, additionally as divergent down the thighs. This wave like pain is sometimes amid headache, dizziness, nausea, vomiting, and symptom. there's a unit unnumbered ways in which to alleviate discharge cramps but selecting natural remedies for discharge cramps is usually the upper selection.
Cervical cancer is one of the leading causes of cancer related mortality in countries such as India accounting for more than 17% of all cancer deaths in women aged 30-69. [3] Cervical cancer is one such type of cancer in which screening plays a significant role. Clinical trials done in below poverty level populations do encounter ethical issues to a certain extent with regards to informed consent as most or all of these patients are illiterate. However informed consent is extremely important when justifying data for such clinical trials. Countries such as US have implemented Pap smear screening as one of the most important cervical cancer screening methods. In countries as densely populated as India where proper healthcare facilities does not reach slums and extremely poverty stricken societies, alternatives for screening are indicated- VIA or Visual inspection with acetic acid
This case study is about nursing a female patient, 31 years old, Madam X with a condition of cervical incompetence.