Sexual History, Syphilis Diagnosis, Mgx

Question 1

You are the GP
A 27-year-old female comes in complaining of vaginal discharge

Take a structured focused
Menstrual History
Hint periods

Answer 1

Last Period?
Regular periods?
Length of Period?
Abnormal Pain or Bleeding during periods?
Post Sex Bleeding?
Bleeding between periods?

Question 2

You are the GP
A 18 year old female comes in complaining of vaginal discharge

Ask about relevant Associated Vaginal Symptoms

under the headings of
Wee

Vaginal Appearance

Systems Review

Answer 2

Dysuria
Frequency
Itching

Blisters
Spots
Rashes

Dyspareunia

Joint Pain
Eye Pain
Rashes on body

Question 3

You are the GP
A 24 year old female comes in complaining of vaginal discharge

Take a focused gynae history

Answer 3

Cervical Screening?

Question 4

You are the GP
A 29 year old female comes in complaining of vaginal discharge

Take a focused obstetric history

Answer 4

Contraception?

Question 5

You are the GP
A 34 year old female comes in complaining of vaginal discharge

Take a focused sexual history

Answer 5

Last Sexual contact

Consensual

Sex of partner

Type of sex

Contraception

Other partners last three months

Question 6

You are the GP
A 25 year old female comes in complaining of vaginal discharge

take a focused PMHx

Answer 6

Previous STI / STD
Hepatitis
HIV
Conditions

Question 7

You are the GP
A 21-year-old female comes in complaining of vaginal discharge

take a focused DHx

Answer 7

Drug Names
Frequency
Dose
Allergies

Question 8

You are the GP
A 20-year-old female comes in complaining of Vaginal Discharge

take a focused SHx

Answer 8

Smoking
Alcohol
Drugs

Question 9

You are the GP
A 23-year-old female comes in complaining of Vaginal DIscharge

Give a brief summary of what you should have covered

Answer 9

positive symptoms
vaginal discharge
offensive smeling

negative symptoms
no itching
no vaginal skin changes
normal or abnormal menstrual history
contraception status
sexual history

relevant PMHx
relevant DHx
relevant SHx

Question 10

You are the GP
A 22-year-old female comes in complaining of Vaginal Discharge

Close the consultation
i.e. what should you always close the consultation with?

Answer 10

Summary
Do you have any questions?
Have I addressed your main concerns?

IF IT GETS WORSE PLEASE COME BACK