Gyna. History

Question 1

Enumerate gyn. History!!

Answer 1

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

Question 2

When partner details are relavant?

Answer 2

In Sub fertility patients

Question 3

Current complaint?!!!

Answer 3

P. 4

Question 4

Enumerqte menstrual history????

Answer 4

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.

Question 5

Enumerqte menstrual history????

Answer 5

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 🤰

Question 6

Define menstrual pattern??

Answer 6

Period length ( N of  days of bleeding)
Cycle length ( N of days btw periods)

Question 7

How to estimate the amount of menstrual flow???

Answer 7

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

Question 8

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

Answer 8

DIME

Question 9

Define menopause??

Perimenopause!!!!

Answer 9

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

Question 10

Symp. Of Perimenopause?!!

Answer 10

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

Question 11

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

Answer 11

Duration
Quality
Radiation of pain

Question 12

Peri menstrual symp!!!!!!!

Answer 12

Anxity
Mood fluctuation
Fluid retention
Food cravibgs
⬇️⬇️Sleep

Question 13

Past obs. History!!!

Answer 13

1. All pregnancies should recorded

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

Question 14

Past Gyn. History!!

Answer 14

1. Other gyn. Problems

2. Surgeries

Question 15

Sexual history?????

Answer 15

1. Dysparunia
2. Vaginal discharge
3. STI

Question 16

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

Answer 16

1. ✅ Or ✖️ pregnancy + offer contraceptive

2. high risk of malegnancy

Question 17

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

Answer 17

PMB
PCB
IMB

Question 18

Sybtle symptoms of gyn. Malignancy???

The what required!!!

Answer 18

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

Question 19

Family history in Gyn.????

Answer 19

1. DM, HPT, HEART, THROMBOEMBOLISM

2. FAMILIAL CANCERS

Question 20

Social history in GYN.?????

Answer 20

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