History taking in OBGYN Flashcards
1
Q
What must never be forgotten in a ObGyn history?
A
Last Menstrual Period Cycle Contraception Sexual Activity Last smear
2
Q
How should Menorrhagia be questioned?
A
Volume Flooding Deviation from normality How is it affecting day to day? Has it always been like this? Anaemia
3
Q
How should early pregnancy bleeding be questioned?
A
Bowels/constipation Last period Previous miscarriage Trauma Regular period Volume Clots
4
Q
What is examined in a vaginal examination?
A
Position of uterus Size of uterus Mobility of uterus Adnexal masses Tenderness
5
Q
How is an obstetric history taken?
A
Parity # - number of births \+# <24wk ending pregnancies Gynae Hx FH/Genetic Hx Other children
6
Q
What must be asked about previous pregnancies?
A
Outcomes Date Type of delivery Live/stillbirth Weight + sex of baby Problems encountered during pregnancy/delivery/postnatally
7
Q
How is fundal height measured?
A
Semi-recumbent mother
Empty bladder
Palpate fundus
Tape measure from top of fundus to top of symphysis pubis
8
Q
What is examined on the pregnant abdomen?
A
Fundal height (gestational normality) Lie of baby Cephalic/breech Head palpable Fetal heart auscultation
