General history and examination Flashcards
1
Q
What to ask about in a gynae history
A
- cycle length
- contraception
- sex
- smears
- urine
- bowels
- heavy bleeding
2
Q
What obstetric details to ask in a gynae patient
A
- How many pregnancies
- Were they until full term
- Mode of delivery (doesn’t matter if they were induced)
- Weight of babies
3
Q
What to ask about in current obstetric history
A
- Gestation from dating USS (to find out estimated DOD)
- Gravidity & parity
- Any problems
- Any tests done, including scans & why
- Antepartum haemorrhage
- Pre-eclampsia
- Abdo pain (common after 24 weeks)
- PPROM
4
Q
What to ask about in past obstetric history
A
- Year of birth
- Antenatal problems
- Gestation at delivery
- Induction of labour
- Mode of delivery
- Gender (+name)
- Birth weight + centile
- Postnatal problems
- Pregnancy losses: miscarriage, termination, ectopics
5
Q
What details to ask about pregnancy losses
A
o At how many weeks
o How it was managed (conservative, tablets, theatre)
6
Q
Other details to always ask a pregnant woman
A
- Foetal movements >20 weeks
- Any tightening, contractions, abdominal pain
- Any fluid or blood from vagina
- Urinary complaints
- Bowel complaints
7
Q
What gynae details to ask in an obstetric patient
A
- Contraception esp if unplanned
- Gynae operations
- Smear
- STI
- Fertility problems
- No need to know about period & sex
8
Q
Important PMH to ask in an obstetric history
A
- Diabetes
- Epilepsy
- Asthma
- Thyroid, thromboembolism
- Hypertension
- Mental health
9
Q
What is the gravidity and parity of the following woman
- currently pregnant
- 5 previous pregnancies
- 2 children
- stillbirth at 25 weeks
- ectopic pregnancy at 7 weeks
- miscarriage at 20 weeks
A
G6 P3
P3 = 2 children + stillbirth at 25 weeks
