The pessary will then be placed into your vagina and moved into. Dec 29, 2015 history taking in gynaecologyoverview. Paediatric history taking introduction obtaining an accurate history is the critical first step in determining the etiology of a patients problem a large percentage of the time, you will actually be able to make a diagnosis based on the history alone the value of the history will depend on your ability to elicit relevant information. Dr naylin appanna is a specialist gynaecologist and advanced laparoscopic surgeon in hamilton in new zealand. General health q good general health q recent weight change q loss of appetite q fatigue q feverchills allergy. However, the clinician cannot shy away from asking clinically relevant questions. Gynaecological history osce station kayleigh gibbs student brief you are a junior in clinic. This is usually fresh red blood and much lighter than a normal period. Genitourinary history and examination female patient. The manner in which the woman answers questions may give a clue to the origin of the complaint. Have you been vaccinated for human papilloma virus hpv gardasil. The history of the patients complaints should be recorded sequentially.
However, semen analysis might reveal pathological findings in the spermiogram see 3a. History personal data presentation symptom main complain history of present disease therapies, medicines allergic diseases vaccination history neonatal history pregnancy history of mother family history previous diseases surgical operations developmental history social environmental history. The doctors agenda, incorporating lists of detailed questions, should not dominate the history taking. It is essential to ensure that the conversation cannot be overheard or interrupted. Preparing for your first rotation university of washington. Gynecological history taking and examination 3 equipment needed think of what you need for your examinations and have your equipment ready before you start. Gynaecology or gynecology see spelling differences is the medical practice dealing with the. Gynecological history taking and examination free download as powerpoint presentation. Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life. Competence is achievable through your knowledge through continuous medical education. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Taking a history is the initial step in the physicianpatient encounter.
This gives an immediate focus to taking the history and avoids the. Weekly joint consultant urogynaecology clinic including continence, prolapse and pelvic floor care in women of all ages. Its also worth noting that before 18 weeks gestation, most obstetric conditions are unlikely and therefore your history should focus more on the gynaecological. For example, a woman with urinary incontinence may be referred to a urologist.
Jan 24, 2017 fsc premedical guide how to fly high unsa athar your 40% needs to be excellent to get into kemu or some other good place. Professor geoffrey chamberlain asked me to assist him with the combining of the original wellestablished separate lecture notes on obstetricsand lecture notes on gynaecology by joining him as editor of this textbook aimed at undergraduate medical, midwifery and nursing students, junior doctors, nurses and midwives. Aug 20, 2014 obstetric history 1general information name, age, gravidity, parity, lmp, edd naegeles rule gravidity no. Intermenstrual bleeding history a 48yearold woman presents with intermenstrual bleeding for 2 months. It is essential for a physician to know the causes of each symptom and the other manifestations of those causes before taking a history. Patient is 21 yo g2p1001 at 32 27 ga determined by serial us admitted for vaginal bleeding. If you do not have any of the problems listed in the section please check none. Please list any operations, including the year, or your age when you had it. We run two separate urogynaecology services at uch. Foundations of physical examination and history taking. The great gifts you can give to the patient are your attention, concern, and respect. History taking and physical examination couplet station. In prolapse, the uterus travel through vagina and in uterus inversion. Major hypotheses in gynaecology 1 major hypotheses in gynaecology 2 major hypotheses in gynaecology 3 components of a gynae history menstrual history menstrual history tips assessing.
Department of obstetrics and gynecology, university of. Urogynecology is a subspecialty of gynecology, and in some countries is also known as female pelvic medicine and reconstructive surgery. Team structure role of the medical student what do you do all day. The purpose of taking history from a patient is to arrive to a certain diagnosis so. Urology involves the genitourinary tract, therefore everything from kidney downwards to the urethra and also the male external genitalia. Obstetrics by ten teachers pdf 19th edition free download. Urological history taking is an important skill that is often assessed in the osce setting. Gynecological examination chair or stretcher with pillow to put under the patients buttocks. The obstetric examination is a type of abdominal examination performed in pregnancy. Hpi first sentence should include age, parity, lmp and present problem details about cc and other relevant information.
Obstetric history 1general information name, age, gravidity, parity, lmp, edd naegeles rule gravidity no. Gynaecological history taking osce guide geeky medics. Gynaecological history 28 previous cervical smears 29 previous gynaecological disease 30 sexually transmitted infections obstetric history 31 gravidity parity 32 details of each pregnancy 33 miscarriages ectopic pregnancies past medical history 34 asks about patients medical conditions 35 asks about patients surgical history drug history 36 prescribed medications. Gynaecological history osce key symptoms and signs.
History taking and examination in obstetrics clinical gate. Birth practices in ancient cultures of the world that did not develop written language and. Above all, you should be honest, straightforward and trustworthy at all times. The most important aspect of taking a sexual history lies in the concept that the patient needs to be reassured that hisher privacy and confidentiality are paramount box 2. Sexual history taking postgraduate medical journal. A comprehensive guide to gynaecological history taking in an osce setting, including menstrual and contraceptive history taking. Indeed, the first successful caesarean section in the british isles was performed by an irish midwife, mary donally, in 1738. Download the pdf to view the article, as well as its associated figures and tables. The urogynaecology and pelvic floor unit and the female pelvic medicine and reconstructive surgery unit.
The aim is to teach the art of gynecologic history taking and conducting a c. Any history in you or your sexual partners of syphilis, sores, gonorrhea, herpes, blisters, trichomonas, warts, pelvis or tubal inflammation pid, or other sexually transmitted diseases. Persatuan obstetrik dan ginekologi usm history taking and clinical examination for obstetric and gynaecology patients adibah ibrahim, m. There are two other outpatient practices that i believe are valuable. Book appointments with expert uro and gynae oncologists based on your medical condition. A urogynecologist manages clinical problems associated with dysfunction of the pelvic floor and bladder. Menstrual history menarche, duration, flow and cycle length of menses, imb intermenstrual bleeding, or contact bleeding, dysmenorrheal, pms, climacteric.
Department of urogynaecology vaginal pessary for prolapse. View doctor phone numbers and consultation timings in clinicshospitals. Gynaecological examination is quite intimate, more so than a routine physical exam. Fertility history journal of clinical gynecology and obstetrics. It is unique in the fact that the clinician is simultaneously trying to assess the health of two individuals the mother and the fetus. Obstetric and gynecological nursing meselech assegid.
Pelvic floor disorders affect the bladder, reproductive organs, and bowels. A gynaecological history is an assessment of the female reproductive system it can be a delicate subject for some women, and it is important to treat any information divulged with sensitivity and respect. Max brinsmead mb bs phd may 2015 to date the pregnancy but ultrasound is more accurate to identify problems requiring pro active care antenatal care is an exercise in screening to establish rapport in order to prepare patients for childbirth and parenthood is difficult unless there is continuity of care pregnancy dating past obstetric history past medical history social and psychological. Patient noticed a mass in her lower abdomen in the midregion, insidious in onset, nonprogressive, not associated with pain. Taking a history from a patient is a skill necessary for examinations and afterwards as a practicing doctor, no matter which area you specialise in.
Jun 23, 2015 gynaecological history and examination should be handled with sensitivity and preservation of dignity for the patient. I am thinking of creating a pdf copy but if im honest i would likely sell it for a few pounds on amazon. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf. It is very difficult to interrupt your examination and get equipment in between. This provides a basis for emphasizing aspects of the subsequent physical examination, and for initial decisions about diagnostic testing and treatment. The mater has a record 120 births booked for november, up from the normal monthly figure of 7080 births. Obstetrician dr kurinji kannan said she had been inundated. I am primarily concentrating on the urinary part of the anatomy and will cover. Practical issues, history taking clinical examination nzbusiness 03 2011 pdf in og. This is a learning in 10 voice annotated presentation vap on how to take gynecological history to learn more about learning in 10 lit, please visit. Gynaecological and obstetric history and examination. Reason being is i can invest that money in some other venture, particularly as a lose out on income from ads if i. Gynaecological history introduction 1 introduces themselves 2 con.
Obstetrics and gynecologygynecological history taking. History taking forms a cornerstone of medical practice as it helps arrive at a diagnosis. They will talk to you about your symptoms and will decide which type of pessary is best for you. Sep 09, 2009 keeping with the generic principles of history taking, i would like to emphasise a bit more on specifics of urological history. Obstetric history taking osce guide osce guide geeky medics. Scope of practice and clinical responsibilities obgyn. Please take a full history and present your findings to the registrar, including ddx, and ix actor brief mrs saunders age 63 1 week history of worsening postmenopausal bleeding. Table 1 summarises the main maleinfertilityassociated factors. Preparing for your first rotation alyssa stephensonfamy whitney hiatt uw department obgyn may 10, 2016. History taking and examination are complementary, there being sometimes little of one and a lot of the other and vice versa. The mater womens townsville maternity hospital is booked out during november, with births up 40 per cent on a normal month. G is a 54yearold hairdresser who reports pressure over her left chest like an. Although there is a general structure for history taking in gynecology, there are small differences in the approach depending on what the presenting complaint is. Gynaecological history and examination should be handled with sensitivity and preservation of dignity for the patient.
Taking a gynaecological history requires asking a lot of questions that are not part of the standard history taking format and therefore its important to understand what information you are expected to gain. While it is essential for hospitals to have printed history sheets to ensure completeness in history taking and allow correct statistical analysis of cases, avoid strict adherence to the method which tends. Ectropion in a common cause of postcoital bleeding. Key points of obstetrics and gynaecological history. She also states that she feels tired during the day and finds herself taking. Its important to have a systematic approach to ensure you dont miss any key information. A statement such as i am sorry to ask you such an embarrassing question may make the patient feel worse, as it suggests that the doctor may also be embarrassed. Many fertility clinics use a standard template for history taking during the first consultation with their patients. First published in 1917 as midwifery, obstetrics by ten teachers is well established as a concise, yet comprehensive, guide within its field. Just recently i emailed my friend and said funny well, not really how many psychologists, doctors, dieticians, support groups, hospitals, and even a hypnotist, i went to over the years that couldnt help me and all it took in the end was a simple site like this, and a supportive partner. After initial introductions i read the referral letter out loud, so the patient then knows what i know about them and can fill in any gaps. It tests both your communication skills as well as your knowledge about what to ask.
Gynaecological history osce station kayleigh gibbs student. Here we try and answer any questions that you might want to ask our resident dr. The urogynaecology department is based in the women and child unit at peterborough city hospital and covers all aspects of female urinary incontinence and vaginal prolapse. Check out the gynaecological history taking mark scheme here. Additional sections cover history taking in psychiatry, obstetrics and gynaecology that are relevant later in the mb chb programme. Menstrual history lnmp, lmp age menarche, menopause cycle length, duration, regularity flow associated symptoms pain, pms abnormal menstrual bleeding intermenstrual, postcoital sexual history age when first sexually active number and sex of partners history of sexual assault or abuse contraceptive history. Gynaecological history osce station kayleigh gibbs. A good history is one which reveals the patients ideas, concerns and expectations as well as any accompanying diagnosis. The history of obstetrics is inextricably linked with the history of midwifery. Cachexia means loss of body fat and mass due to increased bmr in cancer. The guide below provides a framework to take a thorough urological history. Taking a relevant and comprehensive history history taking forms a cornerstone of medical practice as it helps arrive at a diagnosis. Gynecological history taking and examination vagina. They will carry out a vaginal examination, which will give an estimate of the size of pessary needed.
Check out the urological history taking mark scheme here. Menstrual history menarche, duration, flow and cycle length of menses, imb intermenstrual bleeding, or. Dubai health authority dha is pleased to present the scope of practice and clinical responsibilities of obstetrics and gynecology, which represents a milestone towards fulfilling the dha strategic objective to ensure continuous development of health and medical professionals and attract the highly qualified. I greatly enjoyed david thrushs observations on taking a good history practical neurology, 2002, 2, 1116. Doctors must be sensitive to the womans beliefs and feelings, tactful, communicative, courteous, gentle and unhurried.
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