Gynaecology Basics

Question 1

What is the presenting complaint made up of ?

Answer 1

PABs
4Ps & ABs 
PV Bleeding 
PV discharge 
Pain
Pregnancy 

ABs: Abnormal Bleeding
IMB
PCB

Question 2

What is the general history for gynaecology ?

Answer 2

PC
HPC: 4Ps & ABs 
IICE + SAS
MOSC
Menstrual, obstetric, sexual, cervical & contraception history 
PMH including gynaecological surgeries or operations.
DH
FH: breast or ovarian cancer 
SH

Question 3

What should you never forget in any history ?

Answer 3

SAS: Signpost, acknowledge & explore & summarise if stuck

Question 4

What are the 4 types of pain in a gynae history?

Answer 4

Pelvic, Abdominal, dysmenorrhea (before and/or during periods) and dyspaenuria ?

Question 5

Mnemonic for any PV Bleeding history

Answer 5

O SOCRATES + 3Ps

Question 6

When taking a systems review for a gynaecological history what must you never forget ?

Answer 6

BU: bowel & urinary symptoms

Question 7

What must you not forget to ask about in a patient with a PV bleed to rule out other causes ?

Answer 7

1) Anaemia: FHB:
Fatigue, fainting episodes, headaches & breathlessness
2) Cancer: weight loss and appetite changed

Question 8

Mnemonic for menstrual history

Answer 8

O’LRUA 
How have your periods been ?
LMP
Irregular or regular: 5/28
U: heavy or light: flooding & clots? Tampons/pads & how often are they changed 
A: age at menarche or menopause

Question 9

Questions to ask in previous obstetric history (5)

Answer 9

Any children ? If yes, for each child 
1. Normal vaginal delivery 
2 any complications 
3. Gestation/ weeks 
4. Birthweight 
5. Miscarriages & terminations

Question 10

Sexual history

Answer 10

Are they sexual active ?
1) If yes: is it a regular or causal partner ? M/F
2. History of STDs/ or STIs
If haven’t already PCB or dyspaenuria

Question 11

Cervical smear questions

Answer 11

Up to date ?

Ever had any abnormal ones: if so any treatment

Question 12

Contraception

Answer 12

1) current & previous ones
2) problems
3) HRT if menopausal

Question 13

How would you approach a SENSITIVE conversation ?

Answer 13

Often people find it difficult/embarrassing to talk about ….. but it is a common issue or something I talk about with people all the time.
As a health care professional, I’m here to help you & everything we talk about will be strictly confidential

Question 14

If a patient presents with a bleed what question must you never forget to ask about the blood ?

Answer 14

How much ?

The colour ?