AUB.pptx
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This document outlines the components of a gynecological history and physical exam. It includes assessing not otherwise classified conditions, sexual and reproductive history, associated symptoms, current medications, family history, social history, vital signs, physical signs of endocrine disorders or coagulopathies, abdominal and pelvic exam including Pap smear and STI screening if indicated, and monitoring for signs of anemia during the exam.
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1. The document outlines the components of a patient history, including demographics, presenting complaint, history of presenting complaint, review of systems, past medical history, drug and family histories, and physical examination.
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14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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- 2. • Not otherwise classified category include pelvic inflammatory disease, chronic liver disease, and cervicitis. • Arteriovenous malformations (AVMs), myometrial hyperplasia, and endometritis
- 4. Sexual and reproductive history • history, including the number of pregnancies and mode of delivery • Fertility desire and subfertility • Current contraception • History of sexually transmitted infections (STIs) • PAP smear history
- 5. Associated symptoms/Systemic symptoms • WT loss • Pain • Discharge • Bowel or bladder symptoms • Signs/symptoms of anemia • Signs/symptoms or history of a bleeding disorder • Signs/symptoms or history of endocrine disorders
- 6. • Current medications • Family history, including questions concerning coagulopathies, malignancy, endocrine disorders • Social history, including tobacco, alcohol, and drug uses; occupation; the impact of symptoms on quality of life • Surgical history
- 7. physical exam • Vital signs, including blood pressure and body mass index (BMI) • Signs of pallor, such as skin or mucosal pallor • Signs of endocrine disordersExamination of the thyroid for enlargement or tenderness • Excessive or abnormal hair growth patterns, clitoromegaly, acne, potentially indicating hyperandrogenism • Moon facies, abnormal fat distribution, striae that could indicate Cushing syndrome
- 8. • Signs of coagulopathies, such as bruising or petechiae • Abdominal exam to palpate for any pelvic or abdominal masses • Pelvic exam: Speculum and bimanualPap smear, if indicated • STI screening (such as for gonorrhea and chlamydia) and wet prep if indicated • Endometrial biopsy, if indicated
- 10. • Clinicians should observe for pallor, tachycardia, dizziness, and distal perfusion