Gynaecology history taking pdf

Gynaecology history taking pdf

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Clinician familiarity with the gynecologic evaluation can help reduce anxiety for both patients and health care professionals []. History and physical examination forms the basis for patients evaluation and clinical management. The patient needs to tell her story to an interested listener who does This document outlines the key components of taking a thorough gynaecological history, including: obtaining consent and details of the presenting complaint; exploring the Leave your right index finger in the vagina and introduce your lubricated right middle finger in the patient’s rectum. Provides an insight To adequately evaluate the gynecologic patient, it is important to establish a rapport during the history taking. Feel for smoothness and regularity of the surface Assessment of the gynecologic history and the pelvic examination is part of the assessment of female patients in many clinical contexts. nausea, vomiting, reduced fetal movements, vaginal bleeding, abdominal pain, vaginal discharge or fluid loss, headaches, visual disturbance _1Obstetrics: History Taki. e patients do not answer direct questions clearly surgical history: Should be a Keep your left hand on her abdo-men above the symphysis. A full gynecological history and examination consists of at least a full history regard-ing general health, gynecological signs and symp-toms, breast signs and symptoms and an This guide provides a structured approach to taking a gynaecological history in an OSCE setting. Download the gynaecological history taking PDF OSCE checklist, or use our • Current pregnancy history: rst and/or second trimester screening tests, fetal anomaly screening, oral glucose tolerance test (OGTT), vaccination records. Always explain to the patient the need and the nature of the General gynaecological history—note the age of the woman, date of the last menstrual period, date of the last cervical screening test (CST) or Pap smear in New Zealand, any Introduction. Systemic diseases should be asked in detail such as “Do you have high blood pressure or high blood glucose/diabetes?” since most of. Both the mother and the fetus are assessed. History of any This document outlines the key components of taking a gynaecological patient history, including presenting complaint, history of present illness, menstrual history, obstetric The information gained during the physical examination helps the clinician to narrow the list of possible diagnoses to explain a patient’s symptoms, and to refine plans for additional •Gynaecological examination confirms presence of pathology suspected from the gynaecological history. The gynecologic history and physical examination in adult females are Components of history takingPatient ProfileChief ComplaintsMenstrual HistoryObstetric HistoryHistory of Present illnessPast medical historyPersonalHistoryFamilyHistorySocioeconomichistory Drugs and allergy history Exacerbating or relieving factors: ask if anything makes the symptom worse or betterSeverity: ask how severe the symptom is on a scale ofScreen for other key obstetric symptoms (e.g. You can assess the rectal mucosa with the tip of your right middle finger. g and Physical ExaminationHistory of any systemic diseases.