Gyna. History Flashcards

1
Q

Enumerate gyn. History!!

A
  1. personal
  2. Chief complaint
  3. Menstrual
  4. sexual history
  5. Relevant history( bowel&micturation)
  6. past obst. History
  7. past Gyn. History
  8. allergies and drugs
  9. Family
  10. Social
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2
Q

When partner details are relavant?

A

In Sub fertility patients

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3
Q

Current complaint?!!!

A

P. 4

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4
Q

Enumerqte menstrual history????

A
  1. Age of menarche/menopause
    2.1st day of LMP
  2. menstrual pattern
    4.recent changes? In amount/ ch ch such flooding or clots
    5.
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5
Q

Enumerqte menstrual history????

A
  1. Age of menarche/menopause
  2. 1st day of LMP
  3. menstrual pattern
  4. recent changes? In amount/ ch ch such flooding or clots
  5. Associated Pain& patterns (dysmenorrhoea)
  6. Pain ( dysparunia)
  7. Peri menopausal
  8. Peri menstrual
  9. Current contraception
  10. Plane of pregnancy 🤰
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6
Q

Define menstrual pattern??

A
Period length ( N of  days of bleeding)
Cycle length ( N of days btw periods)
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7
Q

How to estimate the amount of menstrual flow???

A
  1. Ask
    How many pads used during the heavy days
  2. Are they socked or soiled
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8
Q

Its normal for women to pass clots during menstrual periode but shouldnt be larger than the size of……..

A

DIME

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9
Q

Define menopause??

Perimenopause!!!!

A

Cessation of menses more than one yr

Transition of from menst. To non menstrual life when ovarian func. Begin to wane. Lasting 1 to 2 yrs

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10
Q

Symp. Of Perimenopause?!!

A
⬆️ Menst. Irregular
Hot flushes
Nervous
Mood change
⬇️⬇️⬇️VAGINAL LUBRICANT
SEX ACTIVITY
ALTERED LIBIDO
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11
Q

How to ask about associateed pain!!! (dysmenorrhoea???

A

Duration
Quality
Radiation of pain

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12
Q

Peri menstrual symp!!!!!!!

A
Anxity
Mood fluctuation
Fluid retention
Food cravibgs
⬇️⬇️Sleep
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13
Q

Past obs. History!!!

A
  1. All pregnancies should recorded

2. outcomes, current heakth of child 🧒, wieght, mode and complications of delivery

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14
Q

Past Gyn. History!!

A
  1. Other gyn. Problems

2. Surgeries

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15
Q

Sexual history?????

A
  1. Dysparunia
  2. Vaginal discharge
  3. STI
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16
Q

Key things to achieve in Gyn. History?????

A
  1. ✅ Or ✖️ pregnancy + offer contraceptive

2. high risk of malegnancy

17
Q

What are Red flag 🚩 symp. Warranating examination and investigation!!!

A

PMB
PCB
IMB

18
Q

Sybtle symptoms of gyn. Malignancy???

The what required!!!

A
Change urinary & bowel habits
Persistant bloating
Upper GI dyspepsia
Non- spc.  Discomfort
..........
Invistigation for women >50 yrs
19
Q

Family history in Gyn.????

A
  1. DM, HPT, HEART, THROMBOEMBOLISM

2. FAMILIAL CANCERS

20
Q

Social history in GYN.?????

A
  1. Occupation
  2. Nutrition & caffiene intake
  3. Alcohol, smoking, recreational drugs
  4. domestic violence