This provides a basis for emphasizing aspects of the subsequent physical examination, and for initial decisions about diagnostic testing and treatment. Cvs, git, hepatobiliary, cns, respiratory, hematology, oncology. Assessment of gynaecological problems should be handled with sensitivity and preservation of dignity for the patient. Cervical cytology, or smear tests, form part of the uk screening programme. They are written by uk doctors and based on research evidence, uk and european guidelines. Taking a multidisciplinary approach including psychological treatment and patient perspectives, all aspects of current rpl prevention and treatment are elucidated. This provides a basis for emphasizing aspects of the subsequent physical examination, and. 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. Proper history taking leads to a good diagnosis and it helps to avoid many complications. Taking a history is the initial step in the physicianpatient encounter. After all, it is the aetiology of a symptom that guides the physicians questioning basic structure of an obstetric history.
The information gained during the physical examination helps the clinician to narrow the list of possible diagnoses to. Pregnancy can be a time of great excitement to the patient, but it can also be a time of danger, and there are certain serious illnesses of pregnancy to be aware of below, we will provide a framework for capturing a basic obstetric history note. Id name age occupation gravidaparity gestational age estimated due date blood types gbs screen cc or reason for referral regular visit gyne visit. 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. Gynaecological history osce key symptoms and signs. Taking an obstetric history requires asking a lot of questions that are not part of the standard history taking format and therefore its important to. When taking any history in medicine it is essential to understand what the presenting complaint means if any and what the possible causes differential diagnosis of the presenting complaint may be. 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 history introduction 1 introduces themselves 2 con. It is vital to learn the associated symptoms, especially red flags such as weight loss as you cannot score highly without asking these. 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. History taking and examination in obstetrics clinical gate. Having been running since 2010, medistudents has a fair bit of experience in delivering unique and valuable medical education resources to students from all over the world. Gynecological history taking and examination free download as powerpoint presentation.
Gynae history taking free download as powerpoint presentation. Clinical cases gynaecology obstetrics n gynaecology. 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. Some of the questions are highly personal and therefore good communication skills and a respectful manner are absolutely essential. Previous gynaecological history previous obstetric history previous medical. 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.
When taking any history in medicine it is essential to understand what the presenting complaint means and what the possible causes differential diagnosis of the presenting complaint may be. Patient was apparently normal 4 months back when she developed increased bleeding during menstruation lasting for 1215 days during 30 day cycle, she changes 56 padsday as against 12 padsday earlier. It can be performed at any time, however it is best if the women is not menstruating. History taking forms a cornerstone of medical practice as it helps arrive at a diagnosis. Gynaecological history taking osce guide geeky medics. In the uk, pregnant women attend a booking appointment with a midwife at between 8 and 12 weeks gestation.
Social history presenting an obstetric case introduction sentence. Taking a smear obstetrics and gynaecology osce skills. History taking and examination are complementary, there being sometimes little of one and a lot of the other and vice versa. It is an intimate investigation to obtain cells from the cervix neck of the womb. The shape, contour and size of the breasts, their height on the chest wall, and the position of the nipples are compared, any nipple retraction being noted. Gynae history taking pptpowerpoint presentation, medical summary and exercise are very important for perfect preparation. Each one of our topics is handwritten and vetted by medical professionals, and feature exclusive photography. Common gynaecological histories remember history taking in gynaecology requires you to ask extra questions on the m enstrual history, o bstetric history, s exual history and c ervicalcontraception history mosc see the gynaecological history. Obstetric history taking osce guide osce guide geeky medics. Key points of obstetrics and gynaecological history. Gynecological history taking and examination vagina. This emphasis is important because, in clinical practice, history and examination alone result in a correct diagnosis in 8090 per cent of patients. You may find one of our health articles more useful. Learn here how to do perfect obstetric examination for your clinical exams.
Displaying medical history taking powerpoint presentations respiratory system focused history taking ppt presentation summary. Gynecological examination chair or stretcher with pillow to put under the patients buttocks. Final year medicine exam important and highyield topics special thanks to tauseef bhai medicine paper a. Gynaecological history osce station kayleigh gibbs. Professional reference articles are designed for health professionals to use. Pregnancies learn about a full obstetric history here. Consequently, the approach to history taking in obstetrics whilst similar to other fields of medicine, includes a number of additional components. Section three covers history taking and examination of the common. It is known that human papillomavirus hpv increases the risk of abnormal smear results, including. You can see some gynae history taking pptpowerpoint presentation, medical sample questions with examples at the bottom of this page. Gynaecology obstetrics ppt lecture notesa complete set. Total marks600 including 60 marks of internal assessment.
It is essential to appreciate that taking a comprehensive history in obstetrics and gynaecology involves eliciting confidential and often very personal information. Chapter 3 history taking for gynaecology patients 21. After all, it is the aetiology of a symptom that guides the physicians questioning. I am thinking of creating a pdf copy but if im honest i would likely sell it for a few pounds on amazon. During that time, students will spend one full day per week in hospital or in general practice. Clinical cases in obstetrics, gynaecology and womens health. A comprehensive guide to gynaecological history taking in an osce setting, including menstrual and contraceptive history taking. The past medical history is an important aspect of gynaecological history taking. Detailed chapters provide realworld illustrative material and cover the setup and management.
To buy the subject wise question bank for mbbs theorypracticalviva exams. Apr 30, 2020 gynae history taking pptpowerpoint presentation, medical notes edurev is made by best teachers of. Usually while taking stress for exams i miss my period for one month and the next month it prolongs for 12 days usually 56 days. The purpose of taking history from a patient is to arrive to a certain diagnosis so. An obstetric history involves asking questions relevant to a patients current and previous pregnancies. Professor geoffrey chamberlain asked me to assist him with the combining of the original wellestablished separate. In that way it is very unique, as when assessing these patients, your actually also assessing another the child. Its also worth noting that before 18 weeks gestation, most obstetric conditions are unlikely and therefore your history should focus more on the gynaecological. The second section covers history and examination of the systems of the body and includes chapters on recognizing the ill patient and how to present a clerking. A gynaecological history involves asking questions relevant to the female reproductive system. Gynecology notes pdf 54p this note covers the following topics such as approach to the patient, differential diagnosis of common gynecological complaints, pelvic relaxation, prolapse, reproductive endocrinology, urinary incontinence, gynecological oncology, endoscopic surgery in gynecology, endometriosis, adenomyosis and gynecological infections. It is very difficult to interrupt your examination and get equipment in between. Gynaecological and obstetric history and examination.
Derma, psychiatry, endo, rheumatology, infectious dis, poisoning, renal. Dysphagia history taking osce station guide and mark scheme dysphagia means dysfunction in the process of swallowing and a dysphagia osce history station sometimes comes up in clinical exams. Gynaecological history osce station kayleigh gibbs student brief you are a junior in clinic. However, the clinician cannot shy away from asking clinically relevant questions. Worse on deep inspiration or cough, if severe, shallow breathing, avoidance of movement, and cough suppression. Number of days from the start of one period to the start. History and clinical examination at a glance 3rd edition pdf. But this time i am havingirregular periods, it came up to 16 days and still continuing. Contents by subject matter antenatal care 5663 antepartum haemorrhage 157161, 182186 breech presentation 190197 cancer of cervix 10 1 04 of endometrium 217221 of ovary 8185 of vulva 4650 cervical cytology 1119,2428 contraception 1119,95100,105109,147151. Obstetrics is the field of medicine which encompasses the care of a woman during pregnancy and childbirth. Obstetrics and gynecologygynecological history taking. With the patient sitting facing the examiner, the breasts are inspected, first with the patients arms at her sides and then with her arms raised above her head.
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