Gynae history Flashcards

1
Q

What are possible gynae presenting complaints?

A

Menstrual Problems: Menorrhagia / IMB / PCB / PMB / amenorrhoea

Pain

Dysmenorrhoea / pelvic pain / dyspareunia

Urinary / Pelvic floor problems: Prolapse / incontinence / frequency etc

Vaginal Discharge / Pelvic Mass / Infertility etc

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2
Q

What things do you need to ask someone about in a gynae history?

A

History of presenting complaint (eg. SOCRATES, amount of blood, duration of problem etc)

Age

Menstrual cycle and symptoms:
LMP
Cycle: duration of menses (period) and cycle (general cycle)
regular/irregular
heavy/clots/flooding/protection

Associated symptoms: duration/problems

Impact of all of this: social, work, relationships

contraceptive history: sexual active, current contraception, previous contraceptions

Smear history: date of last smear, result
previous smear history (abnormal results, treatment etc.)

Other gynae problems

Vaginal discharge: nature/colour/smell/periodicity/partner

Dyspareunia: superficial/deep

Urinary symptoms:
frequency/ nocturia/ urgency/ dysuria
incontinence/ urge/stress
haematuria

Past obstetric history: 
Parity 
live / stillborn
sex / weight / gestation
mode of delivery
Complications (ante / post natal)

PMH/past gynae and surgical history

drugs and allergies

systems review

FHx: cancer (ovarian/breast)
Inherited diseases
Medical problems: DM/BP

Social history

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3
Q

What questions should you ask a patient about their menstrual cycle?

A

LMP
Cycle: duration of menses and cycle
regular/irregular
heavy/clots/flooding/protection

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4
Q

What questions should you ask a patient about their contraception methods?

A

sexual active

current contraception previous contraceptions

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5
Q

What questions should you ask a patient about their smear history?

A

date of last smear
result
previous smear history

abnormal results, treatment etc.

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6
Q

What questions should you ask a patient about their vaginal discharge?

A

nature/colour/smell/periodicity/partner

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7
Q

What questions should you ask about someone about urinary symptoms?

A

frequency/ nocturia/ urgency/ dysuria

incontinence/ urge/stress
haematuria

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8
Q

What questions should you ask someone about their obstetric history?

A

Parity

live / stillborn

sex / weight / gestation

mode of delivery

Complications (ante / post natal)

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9
Q

What is menorrhagia?

A

Heavy bleeding

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10
Q

what is PCB?

A

post-coital bleeding

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11
Q

What is ICB?

A

Inter-menstrual bleeding

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12
Q

What is dyspareunia?

A

pain after intercourse

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13
Q

What are common menstrual problems that women may experience?

A

Menorrhagia / IMB / PCB / PMB / amenorrhoea

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14
Q

What are common types of gynae-related pain women my experience?

A

Dysmenorrhoea / pelvic pain / dyspareunia

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15
Q

What are common urinary/pelvic floor problems women may experience?

A

Prolapse / incontinence / frequency etc

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16
Q

Other than menstrual problems, pain, urinary/pelvic floor problems, what are common gynae problems women may face?

A

Vaginal discharge
Pelvic mass
Infertility

17
Q

What questions should you ask a woman about their menstrual cycle and symptoms?

A

LMP

Cycle:
Duration of menses and cycle
Regular / irregular
Heavy / clots / flooding / protection

Associated symptoms
Duration / problems

18
Q

What questions should you ask a woman about their contraceptive history?

A

Sexually Active

Current contraception:
Duration / problems

Previous contraception:
Duration / problems

19
Q

What questions should you ask a woman about their smear history?

A

Last smear:
Date / result

Previous smear history:
any abnormal / treatment

20
Q

What should you ask a woman about their past obstetric history?

A

Parity

live / stillborn

sex / weight / gestation

mode of delivery

Complications (ante / post natal)

21
Q

What medical or surgical history might you want to ask about in a gynae history?

A

Previous gynae history (incl. operations)

Past surgery eg. abdo, pelvic, perineal

Medical problems: IHD, DM, BP, Asthma, Epilepsy, Jaundice

Hospital admissions

22
Q

What aspects of the family history would you want to know about in a gynae history?

A

Cancer (ovarian, breast etc.)

Inherited diseases

Medical problems: DM/BP