History

Question 1

Mneumonic CLINCH OUR PAST

Answer 1

Cycle
LMP
INtercourse 
Contraception
HRT

Specific symptoms:

• Ooze - PV discharge
• Urinary symptoms (e.g. incontenence)
• Rectal (e.g. constipation, incontenence)

Past medical history:

• Pregnancies
• Abdo surgery
• Smears up to date?
• Treated by a gynaecologist before

Question 2

Pain - 2 types:

Uterine:

• Where is it felt?
• Character

Ovarian:

• Where?
• Radiation

Dyspareunia:

• What is it?
• Where can it be felt?

Answer 2

Sacrum and groins
Colicky pain
—–

Iliac fossa
Radiates to knee and front of the leg
——
Painful intercourse

Superficial (At opening)
Deep pain

Question 3

Menstrual Hx:

Q’s to ask about cycle? - 3

If someone has a period and cycle of 5 and 28 respectively, how would that be written?

Q’s for bleeding - 5

Why is it important to ask about menarche, menopause and HRT?

Answer 3

LMP
Length
Regularity

5/28

Days 
Amount - how many pads/tampons are you using?
Flooding 
Clots
IMB and PMB 

Oestrogen exposure is important to elicit

Question 4

Sex and Contraception Hx:

5 things to ask?

Answer 4

Bleeding - PCB 
Pain 
Frequency 
STIs
Contraception, current and previous - oestrogen exposure

Question 5

PV discharge:

Q’s to ask

What would be a good q to ask about especially in gynae?

Answer 5

VCC

Smell

Itch

Blood?

Is it cyclical?

Question 6

Urinary and bowel symptoms:

Q’s to ask

Answer 6

Frequency
Nocturia
Dysuria
Incontinence

Question 7

Family history:

Q’s to ask

Answer 7

FH of:

• Breast cancer
• Gynae cancer
• Hysterectomy
• Endometriosis

Question 8

Obstetrics history:

Q’s to ask

Answer 8

How many children

Antenatal problems

Delivery
Gestation
Outcome

Weights

Terminations
Miscarriages

(why/how?)