Sexual History, Syphilis Diagnosis, Mgx Flashcards Preview

OSCE > Sexual History, Syphilis Diagnosis, Mgx > Flashcards

Flashcards in Sexual History, Syphilis Diagnosis, Mgx Deck (10):
1

You are the GP
A 27-year-old female comes in complaining of vaginal discharge

Take a structured focused
Menstrual History
Hint periods

Last Period?
Regular periods?
Length of Period?
Abnormal Pain or Bleeding during periods?
Post Sex Bleeding?
Bleeding between periods?

2

You are the GP
A 18 year old female comes in complaining of vaginal discharge

Ask about relevant Associated Vaginal Symptoms

under the headings of
Wee

Vaginal Appearance

Systems Review

Dysuria
Frequency
Itching

Blisters
Spots
Rashes

Dyspareunia

Joint Pain
Eye Pain
Rashes on body

3

You are the GP
A 24 year old female comes in complaining of vaginal discharge

Take a focused gynae history

Cervical Screening?

4

You are the GP
A 29 year old female comes in complaining of vaginal discharge

Take a focused obstetric history

Contraception?

5

You are the GP
A 34 year old female comes in complaining of vaginal discharge

Take a focused sexual history

Last Sexual contact

Consensual

Sex of partner

Type of sex

Contraception

Other partners last three months

6

You are the GP
A 25 year old female comes in complaining of vaginal discharge

take a focused PMHx

Previous STI / STD
Hepatitis
HIV
Conditions

7

You are the GP
A 21-year-old female comes in complaining of vaginal discharge

take a focused DHx

Drug Names
Frequency
Dose
Allergies

8

You are the GP
A 20-year-old female comes in complaining of Vaginal Discharge

take a focused SHx

Smoking
Alcohol
Drugs

9

You are the GP
A 23-year-old female comes in complaining of Vaginal DIscharge

Give a brief summary of what you should have covered

positive symptoms
vaginal discharge
offensive smeling

negative symptoms
no itching
no vaginal skin changes
normal or abnormal menstrual history
contraception status
sexual history

relevant PMHx
relevant DHx
relevant SHx

10

You are the GP
A 22-year-old female comes in complaining of Vaginal Discharge

Close the consultation
i.e. what should you always close the consultation with?

Summary
Do you have any questions?
Have I addressed your main concerns?

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