Gynae history taking Flashcards
1
Q
Opening the consultation?
A
- WIPER
- Confirm last menstrual period, gravity and parity early
2
Q
Screening symptoms for gynae history?
A
- Abdominal pain, pelvic pain
- Post coital bleeding, intermesntrual bleeding, post-menopausal bleeding
- Abnormal vaginal discharge
- Dypareunia
- Vulval skin changes
- Vulval pruritits
- Fatigue, fever, weight loss
3
Q
Menstrual history?
A
- Ask about duration of menstruation
- Ask about the frequency of menstruation
- Ask about the volume of menstruation
- Ask about dysmenorrhea
- Ask the patient when the first day of their last menstrual period was
- Ask the patient how old they were when they started having periods and when they went through menopause
4
Q
Contraception history?
A
- clarify the type of contraception currently used
- Explore the patient’s previous contraception history
5
Q
Reproductive plans?
A
- Ask if the patient is considering having children in the future
6
Q
Past gynaecological history?
A
- Ask if the patient has previously had any gynaecological problems
- Ask if the patient has had any surgery
- Clarify the patients cervical screening history
7
Q
Past medical history?
A
- Ask if any medical conditions
- Ask if the patient has any allergies and if so, clarify what kind of reaction they had to the substance
8
Q
Obstetric history?
A
- Check patients gravity and parity
- gather key details about patients current pregnancy (if relevant)
- Gather key details about past pregnancy (if relevant)
9
Q
Drug history?
A
- Ask if the patient is currently taking any prescribed medication for over-the-counter remedies
10
Q
Family history?
A
- Ask if there is any family history of malignancy, bleeding disorders and blood clots
11
Q
Social history?
A
- explore the patients general social context (accommodation, who they live with, support)
- Take smoking history
- Alcohol history
- Ask about recreational drug use
- Ask about diet, weight and occupation
- Ask about domestic abuse
