They perform two main types of surgical operations: Finally, palpation is performed to assess for tenderness, organ enlargement, and masses. Patients with the irritable bowel syndrome often report alternating symptoms of constipation and diarrhea, associated with crampy abdominal pain.
States accompanied by low levels of estrogen are associated with atrophy of the mucosae. Mild cyclic pain is common, related to the hormonal changes of the menstrual cycle.
A previous examination that was not a good experience contributes to even more anxiety. Abnormalities of uterine bleeding. The contour of the abdomen and appearance of the skin should be noted. The rectum is assessed for masses. It may be accompanied by an increase in clear vaginal discharge, related to estrogen stimulation of cervical mucus production.
The examiner palpates the vagina, cervix, uterus, adnexa, and surrounding structures by elevating structures with the vaginal hand and palpating in a downward fashion with the abdominal hand.
Women at risk for cervical intraepithelial neoplasia should continue to have annual cervical cytologic screening. Women feel vulnerable and exposed during this examination.
The mode of onset, character, location, radiation, severity, duration, exacerbating and relieving factors, whether there is pain with intercourse dyspareuniaand any associated symptoms should be recorded.
Pain associated with the abdominal wall musculature, fascia, or nerves often increases with activities such as lifting. However, complications that were present before labour or that develop during labour may threaten the life of the mother or of the baby and may require intervention by the attending physician.
The median cycle length is 28 days, but ovulatory cycles have been noted to occur at intervals of 23—39 days. Allergic reactions to medications should be recorded, including the type of reaction experienced. Examination of the abdomen is likewise included in the general gynecologic examination.
Tenderness with lateral movement of the cervix cervical motion tenderness is assessed, as well as the size, mobility, position and contour of the uterus.
The speculum blades can be inserted at an oblique to horizontal angle but should never be inserted vertically so as to avoid the sensitive suburethral area. Past medical, surgical history, family history, social history Gynecological history, obstetrical history Current pregnancy: LMP, planned, confirmation, Rhesus/rubella, breastfeeding, antenatal care, pre-admission events hospital events.
Obstetric and Gynecological History.
last authored: JulyDavid LaPierre last reviewed: SeptJoanna Tang Introduction. A reproductive health assessment should endeavour to gather information as completely as possible at each visit.
HISTORY TAKING. Obstetric Case Overview Taking a history and performing an obstetric examination are quite different from their medical and surgical equivalents.5/5(4). OBGYN HISTORY TAKING AND WRITE UP Introduction Everyone aspires to be a doctor for the express purpose of treating patient.
and preventing illness. Consequently, the approach to history taking in Obstetrics whilst similar to other fields of medicine, includes a number of additional components. The following is a guide to taking an Obstetric History, that will ensure you miss none of the key components.
OB/GYN. Clerkship Handbook. The ability to evaluate a patient in labor including obstetric history and performance of physical o Communicates effectively in writing and orally o Effectively counsels and educates patients and their familie.Obstetrics history writing activities