History and examination

Published on 09/03/2015 by admin

Filed under Obstetrics & Gynecology

Last modified 09/03/2015

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Chapter 1 History and examination

Michael Flynn

History

The gynaecological history and examination are a modification of standardised history taking designed for the efficient elucidation of the presenting problem, concluding with a provisional or differential diagnosis and a plan for further management. This guide to taking a gynaecological history may need to be modified, depending on the presenting complaint:

• name and age
• presenting complaint
• menstrual history

• age of menarche/menopause
• date of last menstrual period
• length of menstruation and cycle
• frequency/regularity of cycles
• menstrual loss, presence of clots or flooding
• duration of dysmenorrhoea and its relationship to periods

• abnormal bleeding

• intermenstrual
• postcoital
• postmenopausal

• abnormal discharge

• colour, pruritus, offensive odour

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