Repro PCP presentations Flashcards

1
Q

Menstrual history:

Quality

A

Colour

Clots

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2
Q

Menstrual history:

Severity

A

Subjective

Number of tampons or pads

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3
Q

Oligomenorrhoea:

Context

A

!Pregnancy
Change in medication
Stress
Weight loss

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4
Q

Oligomenorrhoea:

Associated features

A

Pregnancy things
Hyperthyroid things
Menopause symptoms
Dysmenorrhoea

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5
Q

What are “anaemia things”

A

Pallor
SOBOE
Fatigue

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6
Q

Menorrhagia:

Context

A

Change in medication

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7
Q

Menorrhagia:

Associated features

A

Dysmenorrhoea
Hypothyroid things
Anaemia things
Cancer stuff (endometrial neoplasia)

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8
Q

General menstruation:

Associated features

A

Anaemia things (as a cause or consequence)
Inter-menstrual bleeding
Post-coital bleeding

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9
Q

“Pregnancy things”

A

Nausea

Changes in breasts

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10
Q

“Hyperthyroid things”

A

Heat intolerance
Tremor
Palpitations
Weight loss

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11
Q

Menopause symptoms

A

Hot flushes

Mood changes

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12
Q

“Hypothyroid things”

A

Cold intolerance

Weight gain

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13
Q

Vaginal discharge:

Quality

A

Colour
Odour
Consistancy

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14
Q

Vaginal discharge:

Context:

A

Sexual history

Antibiotics

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15
Q

Vaginal discharge:

Aggravating factors

A

Change in personal hygiene (douching)

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16
Q

Vaginal discharge:

Associated features

A

Itch

Dysuria

17
Q

What sort of discharge indicates candidiasis?

A

Cottage cheese

18
Q

What sort of discharge indicates bacterial vaginosis?

A

White-grey with a fishy smell

19
Q

What sort of discharge indicates trichomonas?

A

Yellow or green frothy discharge

20
Q

Erectile disfunction:

Severity

A

Degree of rigidity
Able to have penetrative sex
Time to achieve erection
Duration of erection

21
Q

Erectile disfunction:

Context

A

Masturbation
Nocturnal or morning erections
Sexual history - does this happen with all partners?
Explore emotional aspect

22
Q

Erectile disfunction:

Associated features

A

Change in libido, orgasm or ejaculation

Anxiety during sex

23
Q

Erectile disfunction:

PHx

A

Cardiac risk factors
Injury/surgery (pelvic or spinal cord)
Stroke, diabetes

Alcohol/drugs/smoking
Medication

24
Q

What are the cardiac risk factors:

A
Hypertension
Cholesterol
Diabetes
Smoking
(Family history)
25
Medication history: | Broad framework
Prescribed medicines (specifically the pill, laxatives and inhalers) Over the counters Complementary
26
Medication history: | Specific questions for each drug
``` Purpose Duration Frequency/adherence Is it working Adverse reactions ```
27
Drug history: | Broad framework
Smoked Ingested (ecstasy, hallucinogens, over the counter) Snorted Injected
28
Drug history: | Specific questions for each drug
Duration Amount Type Dependence Context Quitting Health effects