Mens And Womens Health

Question 1

Need to know health Clinical pathways for prenatal, perinatal, guideline
Know how to counsel sexual health- Reproductive health,

Question 2

Why men may present to practice?

Answer 2

Think ethnicity, veterans, LGBTQi, ATSI etc

Question 3

What are issues with LGBTQI

Question 4

Men Vs womens health

Answer 4

Question 5

Why don’t men go to the doctor

Answer 5

Women have more reasons to go eg.

Question 6

Know how to take a good sexual history

Question 7

Answer 7

Question 8

Answer 8

DDX: Torsion, EO orchitis,

Question 9

What do you need to on examination?

Answer 9

Explain step by step- fully covered, chaperone, needed, only expose the bits you need to expose

Question 10

Know How to explain thoroughly- Rectal exam- be able to explain out loud.

E.g stop me at any time if you have pain

Answer 10

E.g Haemorroids, BPH,

Question 11

If torsion is suspected the slightest always send to ED - Tender Testicle

Answer 11

Possible

Question 12

Hx on examination

Answer 12

Question 13

When he returns for his results at the GP 3 days later

Answer 13

Question 14

What do we need to discuss

Answer 14

Give Results
Take Sexual history
Review of Urine in 3 months
Contacts Tracing- Patients responsibility

Question 15

Answer 15

Question 16

Last on this case

Question 17

Case 2 Rebecca

Answer 17

Question 18

What do we need to do/Know?

Answer 18

Question 19

What questions for the father?

Answer 19

Question 20

How do we describe amenorrhea?

Answer 20

Secondary causes most common:

1) Pregnancy
2) PCOS
3) Medications

Question 21

What examamination and investigations are needed?

Answer 21

Encourage her to get Hubby to speak to his GP regarding male factors

Question 22

What else do you need to ask?

Answer 22

Question 23

What else is important to address? E.g Antenatal

Answer 23

Antenatal serology- wait two months at least due to congenital rubella syndrome (tetragenic)

Question 24

Her blood group is 0-

Rhesus - think RHesus sensitisation
Vaginal bleeding - because of the need for Anti - D

Question 25

Answer 25

What other tests should be done before seeing the GYNAE

- Pelvic USS

Question 26

How do you manage her STI

Look at at health pregnancy

Answer 26

Question 27

What do we need to do on the first

Question 28

Post natal check up?

Answer 28

Health pathways

Question 29

Question 30

What do we need to do on the firs visit?

Answer 30