Repro PCP presentations Flashcards
Menstrual history:
Quality
Colour
Clots
Menstrual history:
Severity
Subjective
Number of tampons or pads
Oligomenorrhoea:
Context
!Pregnancy
Change in medication
Stress
Weight loss
Oligomenorrhoea:
Associated features
Pregnancy things
Hyperthyroid things
Menopause symptoms
Dysmenorrhoea
What are “anaemia things”
Pallor
SOBOE
Fatigue
Menorrhagia:
Context
Change in medication
Menorrhagia:
Associated features
Dysmenorrhoea
Hypothyroid things
Anaemia things
Cancer stuff (endometrial neoplasia)
General menstruation:
Associated features
Anaemia things (as a cause or consequence)
Inter-menstrual bleeding
Post-coital bleeding
“Pregnancy things”
Nausea
Changes in breasts
“Hyperthyroid things”
Heat intolerance
Tremor
Palpitations
Weight loss
Menopause symptoms
Hot flushes
Mood changes
“Hypothyroid things”
Cold intolerance
Weight gain
Vaginal discharge:
Quality
Colour
Odour
Consistancy
Vaginal discharge:
Context:
Sexual history
Antibiotics
Vaginal discharge:
Aggravating factors
Change in personal hygiene (douching)
Vaginal discharge:
Associated features
Itch
Dysuria
What sort of discharge indicates candidiasis?
Cottage cheese
What sort of discharge indicates bacterial vaginosis?
White-grey with a fishy smell
What sort of discharge indicates trichomonas?
Yellow or green frothy discharge
Erectile disfunction:
Severity
Degree of rigidity
Able to have penetrative sex
Time to achieve erection
Duration of erection
Erectile disfunction:
Context
Masturbation
Nocturnal or morning erections
Sexual history - does this happen with all partners?
Explore emotional aspect
Erectile disfunction:
Associated features
Change in libido, orgasm or ejaculation
Anxiety during sex
Erectile disfunction:
PHx
Cardiac risk factors
Injury/surgery (pelvic or spinal cord)
Stroke, diabetes
Alcohol/drugs/smoking
Medication
What are the cardiac risk factors:
Hypertension Cholesterol Diabetes Smoking (Family history)
Medication history:
Broad framework
Prescribed medicines (specifically the pill, laxatives and inhalers)
Over the counters
Complementary
Medication history:
Specific questions for each drug
Purpose Duration Frequency/adherence Is it working Adverse reactions
Drug history:
Broad framework
Smoked
Ingested (ecstasy, hallucinogens, over the counter)
Snorted
Injected
Drug history:
Specific questions for each drug
Duration
Amount
Type
Dependence
Context
Quitting
Health effects
