Gynae History Template Form
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People also ask gynaecological history taking pdf
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What should be included in gynaecological history?
Obstetric and gynecologic history are often considered a distinct part of the medical history. This history includes past medical history related to reproductive and overall gynecologic health, including pregnancies, medical conditions, medications, and procedures.
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Which of the following components of a history are essential when taking a gynecologic history?
The history should include a menstrual history, sexual history, urinary tract symptoms or history, and previous or current gynecologic conditions and treatments. Current symptoms are explored using open-ended questions followed by specific questions about the following: Menstrual history includes the following:
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How do you document gynecological history?
Taking a gynecologic history consists of asking patients about any symptoms or concerns that prompted the visit. The history should include a menstrual history, sexual history, urinary tract symptoms or history, and previous or current gynecologic conditions and treatments.
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How to write a menstrual history of a patient?
Menstrual history Last menstrual period (LMP) - date of first day of bleeding. Cycle length and frequency - eg, 5/28, five days of bleeding every 28 days. Heaviness of bleeding. ... Presence or absence of intermenstrual bleeding (IMB). Presence or absence of postcoital bleeding (PCB). Age of menarche/menopause.
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What are some questions a gynecologist asks?
We may also ask questions such as: Do you have irregular periods? How bad are your period cramps? Do you have any uncomfortable itching? Are you having sex? If you are having sex, do you use condoms? Are you using another form of birth control?
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How do you write OBG history?
Begin with a brief summary of the patient's age, parity, date of last menstrual period (LMP), and any current concerns the patient may have. Vaginal bleeding should be evaluated based on the following: Amount (e.g., spotting, heavy flow)
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What are the 4 cardinal questions of OB GYN?
4 Cardinal questions: Contractions: since when, last how long, how often, how painful. ... Vaginal Bleeding: quantify (soaking a pad, with wiping, just spotting etc.), since when, how long, associated with pain, placenta previa?, associated with intercourse/trauma? ... Rupture of Membranes: gush vs.
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What are the questions for gynecological history?
For the gynecologic history, clinicians ask about past and present menstrual periods, past pregnancies, sexual activities, and gynecologic symptoms, disorders, and treatments that a woman has had in the past or is currently experiencing.
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