Professional Documents
Culture Documents
I. GYNECOLOGICAL HISTORY
1. Patients complaint
2. Family history
3. History
4. Menstrual history
a. Age at Onset
An unusually early menarche, maybe indicative
of certain endocrinopathies
b. Interval
Usual menstrual interval is 28 days,
c. Duration
A prolonged flow being usually an excessive
one, and a very short period being scanty,
but a two-to seven day flow represents
normal variation.
d. Amount
Variations in the amount of blood lost at
menstruation
A marked diminution is suggestive of an
endocrine or constitutional abnormality
Menstrual excess is produced by either
functional or structural lesions, often the
latter.
e. Character of menstrual discharge.
Dark venous appearance, and normally is
unclotted.
Menstruation is excessive, however, the
blood may be right red with clots.
f. Menstrual pain.
Pain with menstruation is one of the most common
of gynecological symptoms,
Anatomical or structural character, for often
constitutional, psychogenic, and other general
factors may be concerned.
g. Intermenstrual bleeding.
After coitus or other contact ?
Most characteristic symptom of early cervical
cancer.
h. The date of the last menstrual period.
Find the patients memory very hazy,
Great importance, as in cases of possible early
gestation, intra or extra uterine.
5. Vaginal discharge
Leukorrhea is such a common gynecological
symptoms
The duration of the leukorrhea, the character,
color, possible odor, and possible irritativeness
of the discharge are among the items of inquiry.
6. Obstetrical History
The history of the pregnancies and labors, with
especial reference to their number, character,
and possible complications.
Miscarriages or abortions, either spontaneous or
induced.
7. Urinary Symptoms
Increased frequency, pain, incontinence,
nocturia, and hematuria.
8. Gastrointestinal Symptoms
Anorexia, bloating, belching, and discomfort
gynecological patients
9. Present Illness
History of the present illness, which
symptoms
Palpation
An abnormal mass of any kind is felt, its position and
its relation to any abdominal or pelvic organ its size,
shape, contour, consistency, movability, and
tenderness or lack of tenderness.
Percussion
Ovarian cysts, which must be distinguished from
ascites and bowl adhesion. Sonar is often helpful
4. Pelvic Examination
Preparation and Position of the Patient
The clothing having been removed, the patient lies in
friend
examination.
Inspection
Speculum
Speculum examination of the cervix is performed before
pelvic examination,
Smear should be performed at least annually; in addition
visualization of the cervix may provide certain
information.
The presence of polyps, erosion, eversion, or retention
cysts
The vaginal mucosa.
3. Schiller Test
Application of iodine solution (Gram or Lugol)
opaque
microinvasion
electrocautery
5. Colposcopy
The colposcopy is an instrument by which the
cervix may be visualized in bright under 10 to
40 x magnification.
Detect contour, epithel and vascular pattern
6. Colpomicroscopy
The colpomicroscope gives a higher magnification
than the colposcope
V. LABORATORY EVALUATION
1. A blood count including hematocrit, white cell
count, and platelet count
2. Serum chemistries and liver function testing
3. Coagulation studies.
4. Immunologic test
5. Urine analysis
6. Vaginal secret analysis