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    History Examination of The Gynae Patient

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    ivanmsuya83
    History examination

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    History Examination of The Gynae Patient

    Uploaded by

    ivanmsuya83
    4 views7 pages
    History examination

    Original Title

    1. History examination of the gynae patient

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    © © All Rights Reserved

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    History examination

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    4 views7 pages

    History Examination of The Gynae Patient

    Uploaded by

    ivanmsuya83
    History examination

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 7

    HISTORY AND EXAMINATION

    OF AN GYNAECOLOGICAL
    PATIENT

    Kayungi MD
    1. Background Information

    • Name, age,
    • Parity: no. of deliveries & abortions

    2. Chief complaints - duration


    3. HPI
    • Expand the cc
    • Onset – mode ?spontaneous
    • Rate of progression- slow/rapid
    • Severity
    • Aggravating and relieving factors,
    • E.g.
    • Abnormal vaginal bleeding
    • Fresh, clots or flooding
    • Pattern of menstruation
    • Pattern of bleeding – regular/irregular
    • Cycles,
    • Amount of blood loss – excessive/less ? Quantify
    Cont. HPI
    • Abnormal vaginal discharge
    • Amount, colour, ordour, presence of blood
    • Pelvic pain
    • Site of pain, nature and relation to periods

    • Explore the cause and R/O other causes


    • e.g. Contraceptives use
    • Treatment used & diagnostic investigations done/planned
    4. Review of Other Systems
    5. Past Medical History(PMH)
    • Any serious illnesses including operations and dates

    6. Gynaecological and contraceptive history


    • Periods - duration ,
    • Cycles: duration, regularity,
    • ?Dysmenorrheoa,
    • Contraceptive use
    5. Obstetric history
    • No. of deliveries, abortions – (spontaneous & induced
    • History of evacuations

    7. Sociofamily History (SFH)


    Explore history of smoking , alcohol intake, similar familial illnesses
    EXAMINATION

    • General & systemic examination


    • Abdominal & pelvis exam

    •Empty bladder,
    •Adnexae,
    •Uterus,
    •Speculum examination

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