Mens And Womens Health Flashcards
Need to know health Clinical pathways for prenatal, perinatal, guideline
Know how to counsel sexual health- Reproductive health,
Why men may present to practice?
Think ethnicity, veterans, LGBTQi, ATSI etc
What are issues with LGBTQI
Men Vs womens health
Why don’t men go to the doctor
Women have more reasons to go eg.
Know how to take a good sexual history
DDX: Torsion, EO orchitis,
What do you need to on examination?
Explain step by step- fully covered, chaperone, needed, only expose the bits you need to expose
Know How to explain thoroughly- Rectal exam- be able to explain out loud.
E.g stop me at any time if you have pain
E.g Haemorroids, BPH,
If torsion is suspected the slightest always send to ED - Tender Testicle
Possible
Hx on examination
When he returns for his results at the GP 3 days later
What do we need to discuss
Give Results
Take Sexual history
Review of Urine in 3 months
Contacts Tracing- Patients responsibility
Last on this case
Case 2 Rebecca
What do we need to do/Know?
What questions for the father?
How do we describe amenorrhea?
Secondary causes most common:
1) Pregnancy
2) PCOS
3) Medications
What examamination and investigations are needed?
Encourage her to get Hubby to speak to his GP regarding male factors
What else do you need to ask?
What else is important to address? E.g Antenatal
Antenatal serology- wait two months at least due to congenital rubella syndrome (tetragenic)
Her blood group is 0-
Rhesus - think RHesus sensitisation
Vaginal bleeding - because of the need for Anti - D
What other tests should be done before seeing the GYNAE
- Pelvic USS
How do you manage her STI
Look at at health pregnancy
What do we need to do on the first
Post natal check up?
Health pathways
What do we need to do on the firs visit?
