Gynaecology history Flashcards
1
Q
Gynae history - Presenting complaint
A
Discharge
- Colour.
- Amount.
- Smell.
- Itchiness.
- Duration.
- Rash.
- Any symptoms in a partner.
Pain or discomfort
- Duration, type, alleviating or aggravating factors, radiation.
- Any relation to cycle (mid-cycle or period-related).
- Any possibility of pregnancy (ectopic).
- Bowel problems.
- A feeling of “something coming down below” may be a prolapse.
- Dyspareunia - superficial or deep.
Urinary symptoms
- Leakage.
- Cloudiness.
- Haematuria.
- Hesitancy.
- Dysuria.
- Frequency.
- Stress or urge incontinence
2
Q
Gynae history - History of presenting complaint
A
- Onset
- Periodicity/frequency/duration
- Constant/intermittent
- How does it relate to the menstrual cycle?
- Change over time
- Exacerbating/alleviating factors
- Associated symptoms
- How does this affect her everyday life?
3
Q
Gynae history - Menstrual history
A
- Age of menarche (first menstrual period)
- Date of LMP
- Duration and regularity of periods (cycle)
- Normal menstruation lasts 4–7 days
- Average length of menstrual cycle is 28 days
- Menstrual flow
- Light, normal, or heavy
- Menstrual pain
- Prior to or at the start of bleeding
- Irregular bleeding
- Intermenstrual loss, post-coital bleeding
- Associated symptoms
- Bowel/bladder dysfunction
- Pain
- Hormonal contraception
- Age at menopause
4
Q
Past gynae history
A
- Previous smears
- Date of last smear
- Abnormal smear results
- Treatment
- Previous gynae problems/treatments
- Surgery
- PID
Contraception
- Method
- Duration of use
- Problems?
5
Q
Past obstetric history
A
- Gravidity & parity
- Document specifics of each pregnancy
- Current age of child
- Born at term?
- Birth weight
- Complications of pregnancy
- Miscarriages or terminations
- Note gestation time and complications
6
Q
Finish gynae history
A
- PMH
- DH (including OCP & HRT)
- FHx
- Genital tract cancer
- Breast cancer
- Diabetes
- Smoking and alcohol
- SH
