o Risks for Cervical Cancer Early age at first intercourse Multiple sex

O risks for cervical cancer early age at first

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o Risks for Cervical Cancer Early age at first intercourse Multiple sex partners High parity Lower socio- economic status Advanced age Compromised immune system: HIV infection Male partner with history of multiple partners or STIs History of STI especially HPV Cervical dysplasia: risk for carcinoma is 100 times greater in women with dysplasia than in those with normal cervix o Bethesda System: the most current classification system used to interpret cytologic findings. Skin cancer o Risk Factors for Skin Cancer: Fair complexion Advanced age with sun damaged skin
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A history of severe sun burn History of spending long time outdoors Having a history of xray procedures for skin conditions Genetic susceptibility o ABCDEs of Skin Cancer Asymmetry- shape of the mark should be noted. Border- Look carefully at the border of the mark. If ragged, notched, not smooth Color- note color of the moles, note any change in size, if it changes in color, or if it has several colors (brown, black, tan , red Diameter: Measure the size of the mark and document, if it is greater than 6 mm Elevation: Note elevation of lesion, change in size, and any evolving changes in lesion #77 Amenorrhea Primary amenorrhea is the absence of menarche by the age of 16. o Teens experiencing primary amenorrhea should be referred and evaluation for chromosomal defects, anatomic anomalies, hormonal imbalances, tumor, and trauma. o Primary amenorrhea could be due to a dysfunction in the hypothalamus, pituitary gland, ovaries (HPO axis), or vagina. o Signs and symptoms Absence of menarche Absence of secondary sex characteristic Abnormal growth and development o Diagnostic test Pregnancy Test Refer to Endocrinologist Secondary amenorrhea is the cessation of menstrual flow after the establishment of normal menstrual cycling. o Pregnancy is the most common cause of secondary amenorrhea. o Signs and symptoms Absence of expected menses with a history of regular cycles o Diagnostic test Pregnancy test Refer to other studies Question 1. The most likely cause of amenorrhea is: a. an anatomical deviation b. a genetic factor c. an endocrine abnormality d. pregnancy
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