3 Grace

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BREAST

HISTORY
1. Breast tenderness

    = common symptoms:

• breast lumps
• breast pain
• nipple discharge
2. Breast Lumps

 2.1. Fibrocystic breast changes/midcycle


tenderness
    = hormonal shifts

 2.2. Breast cancer/ malignant breast


neoplasm
3. Breast Pain

• also called as mastodynia, mastalgia, and


mammalgia

• types:
       3.1. Cyclical = related to menstrual cycle
       3.2.. Nonclical = caused by trauma
4. Nipple Discharge
• Abnormal release of fluid

• Types:
 cloudy white = galactorrhea
 clear or light white = pregnancy
 red= breast infection/ breast cancer
 whitish- yellow, yellow, or green = infection
5. Mastitis
• common breastfeeding
problems
 GYNECOLOGIC
HISTORY
Aim
   todevelop a diagnosis or
a differential diagnosis
1. Age Of Menarche (first menstrual period)

 Interval
 Duration
 amount of menstrual flow
 any discomfort - severe dysmenorrhea

2. Monthly Perineum Self-Examination


 to evaluate here interest in self-care
3. Past Surgery On The Reproductive
Tract

examples :

 tubal surgery - ectopic pregnancy

 uterine surgery - ceasarean birth


- dilatation and curettage
4. Reproductive Planning Methods
examples:
 intrauterine device (IUD)
 oral contraceptive

5. Sexual History
 number of sexual partners
 use of safer sex practices
6. Stress Incontinence
 incontinence of urine on laughing,
coughing, deep inspiration, jogging or
running

 to relieve this by strengthening the


perineal muscles with the use of Kegel
exercises

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