SlideShare a Scribd company logo
Comprehensive exams in women’s health need to
As with any assessment, the chief complain is often what drives
what our questions are and what clinical pathways we explore.
With women’s health that approach is not any different, as we
need to explore the “what was”, “what is” and “what will be”
for the patient. The comprehensive assessment is one that is
longer in nature and normally saved for the first visit, as if this
patient will be a returning patient a more focused examine
comes during their following appointments. The follow is a
“blanket” comprehensive assessment that can be tweaked for
any patient (Elson, 2008);
Chief complaint (is this a focused complaint or a first meeting
or annual meeting)
History of present illness
Menstrual History
Age at menarche
Last menstrual period
Menstrual characteristics
Length
How long is flow
Amount of flow
Other symptoms? (breast tenderness, pelvic pain, etc)5
Pain?
Intermenstrual bleeding
Perimenopause/menopause
Bleeding pattern
Vasomotor symptoms
Contraception
Current method; is it working?
Previous method; any complications and reason for change
Cervical and vaginal cytology
Results and date of most recent pap
Hx of abnormal paps? Why? Treatment?
Infections
Hx of STD?
Hx of vaginitis (types, frequency and treatment)
Hx of PID
Fertility/infertility
Any desire for future?
Difficulty conceiving? Treatments in past?
Sexual hx
Type
Concerns about libido, orgasm, dyspareunia
Any hx of abuse? Assault?
Obstetric hx
Describe each pregnancy and outcome
Any maternal, fetal or neonatal complications?
Past medical history
Current and past illnesses
Hospital admissions
Surgical hx
GYN and Non-gyn
Medications/allergies
OTC, prescribed, herbal
Allergies to meds, food, environment and reactions?
Family hx
Significant illnesses of family
Hereditary concerns
Social hx
Relationship status
Level of education
Occupation
R.O.S.
Abdomino-pelvic
GYN
GI
GU
Breast
Others
18.Health Maintenance
Smoking, alcohol use, drug use
Diet
Supplement intake
Exercise
Regular screenings (mammo, pap, colonoscopy)
Immunizations and dates
Health maintenance is very important for all ages when related
to women’s health. The following are some ideas of health
maintenance for each age group (Well-Woman
Recommendations, 2018);
Adolescents
If sexually active the patient should have discussion with
provider on sexually transmitted diseases and contraceptive use
Drugs and alcohol use
Peer pressure with sexual situations
Childbearing
Annual blood work to identify challenges in anemia, TSH,
Cholesterol and minerals.
Breast self-awareness
Reproductive health plan
Imitate partner violence
Peri-menopausal
Hormone therapy
Mammograms
Advance directives
Problems with sexual encounters (pain, dry, etc)
Menopausal
Sleep patterns
Changes of the body (hair growth, hormonal changes, sexual
changes)
Breast self-awareness
Geriatric Women
Sexual function
Injury prevention
Neglect/abuse
Elson, N. B. (2008, July).
The Gynecologic History and Examination
. Retrieved from The Global Library of Womens Health:
https://www.glowm.com/section_view/heading/TheGynecologic
HistoryandExamination/item/3#3521
Well-Woman Recommendations
. (2018, January 5). Retrieved from The American College of
Obstetricians and Gynecologists: https://www.acog.org/About-
ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well-
Woman-Recommendations?IsMobileSet=false

More Related Content

Similar to Comprehensive exams in women’s health need toAs with any ass

Paliative Care and Pahrmacist
Paliative Care and PahrmacistPaliative Care and Pahrmacist
Paliative Care and Pahrmacist
sujatno angga
 
adolescent_well_care___dayton_grand_rounds___feb_2011
adolescent_well_care___dayton_grand_rounds___feb_2011adolescent_well_care___dayton_grand_rounds___feb_2011
adolescent_well_care___dayton_grand_rounds___feb_2011
Amanda Ward
 
Key points of obstetrics and gynaecological history
Key points of obstetrics and gynaecological  historyKey points of obstetrics and gynaecological  history
Key points of obstetrics and gynaecological history
Naila Memon
 
Cross hormonetherapyfort lauderdale2014
Cross hormonetherapyfort lauderdale2014Cross hormonetherapyfort lauderdale2014
Cross hormonetherapyfort lauderdale2014
wilungdoc
 
ANC-1.pptx
ANC-1.pptxANC-1.pptx
ANC-1.pptx
Sani191640
 
menstrual manipulation for adolescents with disability
 menstrual manipulation for adolescents with disability menstrual manipulation for adolescents with disability
menstrual manipulation for adolescents with disability
Mini Sood
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
Pinki sah
 
PMS and Sexual Dysfunction
PMS and Sexual DysfunctionPMS and Sexual Dysfunction
Evidence based Infertility Management
Evidence based Infertility ManagementEvidence based Infertility Management
Evidence based Infertility Management
Priya Bhave.
 
NICE Fertility Guideline
NICE Fertility GuidelineNICE Fertility Guideline
NICE Fertility Guideline
Kamrul Hasan (Ranga)
 
Taking history in any medical cases in clenics
Taking history in any medical cases in clenicsTaking history in any medical cases in clenics
Taking history in any medical cases in clenics
z2mtqw4gq9
 
R2 management of menstrual disordersll
R2 management of menstrual disordersllR2 management of menstrual disordersll
R2 management of menstrual disordersll
Amir Mahmoud
 
Gynecological symptoms and management assignment.docx
Gynecological symptoms and management assignment.docxGynecological symptoms and management assignment.docx
Gynecological symptoms and management assignment.docx
sdfghj21
 
URINARY TRACT INFECTIONS RISK FACTORS URINARY TRACT INFECTIONS RISK FACTORS
URINARY TRACT INFECTIONS RISK FACTORS 	 URINARY TRACT INFECTIONS RISK FACTORSURINARY TRACT INFECTIONS RISK FACTORS 	 URINARY TRACT INFECTIONS RISK FACTORS
URINARY TRACT INFECTIONS RISK FACTORS URINARY TRACT INFECTIONS RISK FACTORS
MedicineAndHealth14
 
History taking for nurses
History taking  for nursesHistory taking  for nurses
History taking for nurses
Nazia Alli
 
Deconstructing Modern Illness: Idiopathic or Iatrogenic?
Deconstructing Modern Illness: Idiopathic or Iatrogenic? Deconstructing Modern Illness: Idiopathic or Iatrogenic?
Deconstructing Modern Illness: Idiopathic or Iatrogenic?
Lucine Health Sciences
 
Searching For The Evidence
Searching For The EvidenceSearching For The Evidence
Searching For The Evidence
Billie Anne Gebb
 
communication-skills.ppt
communication-skills.pptcommunication-skills.ppt
communication-skills.ppt
Dr/ mahmoud Dessouki
 
Women Health.pptx
Women Health.pptxWomen Health.pptx
Women Health.pptx
Tamanna Syeda
 
womenhealth-221227190104-58317ee2. Pdf.pdf
womenhealth-221227190104-58317ee2. Pdf.pdfwomenhealth-221227190104-58317ee2. Pdf.pdf
womenhealth-221227190104-58317ee2. Pdf.pdf
JEEJA3
 

Similar to Comprehensive exams in women’s health need toAs with any ass (20)

Paliative Care and Pahrmacist
Paliative Care and PahrmacistPaliative Care and Pahrmacist
Paliative Care and Pahrmacist
 
adolescent_well_care___dayton_grand_rounds___feb_2011
adolescent_well_care___dayton_grand_rounds___feb_2011adolescent_well_care___dayton_grand_rounds___feb_2011
adolescent_well_care___dayton_grand_rounds___feb_2011
 
Key points of obstetrics and gynaecological history
Key points of obstetrics and gynaecological  historyKey points of obstetrics and gynaecological  history
Key points of obstetrics and gynaecological history
 
Cross hormonetherapyfort lauderdale2014
Cross hormonetherapyfort lauderdale2014Cross hormonetherapyfort lauderdale2014
Cross hormonetherapyfort lauderdale2014
 
ANC-1.pptx
ANC-1.pptxANC-1.pptx
ANC-1.pptx
 
menstrual manipulation for adolescents with disability
 menstrual manipulation for adolescents with disability menstrual manipulation for adolescents with disability
menstrual manipulation for adolescents with disability
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
 
PMS and Sexual Dysfunction
PMS and Sexual DysfunctionPMS and Sexual Dysfunction
PMS and Sexual Dysfunction
 
Evidence based Infertility Management
Evidence based Infertility ManagementEvidence based Infertility Management
Evidence based Infertility Management
 
NICE Fertility Guideline
NICE Fertility GuidelineNICE Fertility Guideline
NICE Fertility Guideline
 
Taking history in any medical cases in clenics
Taking history in any medical cases in clenicsTaking history in any medical cases in clenics
Taking history in any medical cases in clenics
 
R2 management of menstrual disordersll
R2 management of menstrual disordersllR2 management of menstrual disordersll
R2 management of menstrual disordersll
 
Gynecological symptoms and management assignment.docx
Gynecological symptoms and management assignment.docxGynecological symptoms and management assignment.docx
Gynecological symptoms and management assignment.docx
 
URINARY TRACT INFECTIONS RISK FACTORS URINARY TRACT INFECTIONS RISK FACTORS
URINARY TRACT INFECTIONS RISK FACTORS 	 URINARY TRACT INFECTIONS RISK FACTORSURINARY TRACT INFECTIONS RISK FACTORS 	 URINARY TRACT INFECTIONS RISK FACTORS
URINARY TRACT INFECTIONS RISK FACTORS URINARY TRACT INFECTIONS RISK FACTORS
 
History taking for nurses
History taking  for nursesHistory taking  for nurses
History taking for nurses
 
Deconstructing Modern Illness: Idiopathic or Iatrogenic?
Deconstructing Modern Illness: Idiopathic or Iatrogenic? Deconstructing Modern Illness: Idiopathic or Iatrogenic?
Deconstructing Modern Illness: Idiopathic or Iatrogenic?
 
Searching For The Evidence
Searching For The EvidenceSearching For The Evidence
Searching For The Evidence
 
communication-skills.ppt
communication-skills.pptcommunication-skills.ppt
communication-skills.ppt
 
Women Health.pptx
Women Health.pptxWomen Health.pptx
Women Health.pptx
 
womenhealth-221227190104-58317ee2. Pdf.pdf
womenhealth-221227190104-58317ee2. Pdf.pdfwomenhealth-221227190104-58317ee2. Pdf.pdf
womenhealth-221227190104-58317ee2. Pdf.pdf
 

More from ChantellPantoja184

Problem 1Problem 2.docx
Problem 1Problem 2.docxProblem 1Problem 2.docx
Problem 1Problem 2.docx
ChantellPantoja184
 
Problem 20-1A Production cost flow and measurement; journal entrie.docx
Problem 20-1A Production cost flow and measurement; journal entrie.docxProblem 20-1A Production cost flow and measurement; journal entrie.docx
Problem 20-1A Production cost flow and measurement; journal entrie.docx
ChantellPantoja184
 
Problem 2 Obtain Io.Let x be the current through j2, ..docx
Problem 2 Obtain Io.Let x be the current through j2, ..docxProblem 2 Obtain Io.Let x be the current through j2, ..docx
Problem 2 Obtain Io.Let x be the current through j2, ..docx
ChantellPantoja184
 
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docxProblem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
ChantellPantoja184
 
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docxProblem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
ChantellPantoja184
 
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docxProblem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
ChantellPantoja184
 
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docxProblem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
ChantellPantoja184
 
Problem 1Preston Recliners manufactures leather recliners and uses.docx
Problem 1Preston Recliners manufactures leather recliners and uses.docxProblem 1Preston Recliners manufactures leather recliners and uses.docx
Problem 1Preston Recliners manufactures leather recliners and uses.docx
ChantellPantoja184
 
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docxProblem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
ChantellPantoja184
 
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docxProblem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
ChantellPantoja184
 
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docxPROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
ChantellPantoja184
 
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docxProblem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
ChantellPantoja184
 
Problem 12-9AYour answer is partially correct.  Try again..docx
Problem 12-9AYour answer is partially correct.  Try again..docxProblem 12-9AYour answer is partially correct.  Try again..docx
Problem 12-9AYour answer is partially correct.  Try again..docx
ChantellPantoja184
 
Problem 1123456Xf122437455763715813910106Name DateTopic.docx
Problem 1123456Xf122437455763715813910106Name DateTopic.docxProblem 1123456Xf122437455763715813910106Name DateTopic.docx
Problem 1123456Xf122437455763715813910106Name DateTopic.docx
ChantellPantoja184
 
Problem 1. For the truss and loading shown below, calculate th.docx
Problem 1. For the truss and loading shown below, calculate th.docxProblem 1. For the truss and loading shown below, calculate th.docx
Problem 1. For the truss and loading shown below, calculate th.docx
ChantellPantoja184
 
Problem 1 (30 marks)Review enough information about .docx
Problem 1 (30 marks)Review enough information about .docxProblem 1 (30 marks)Review enough information about .docx
Problem 1 (30 marks)Review enough information about .docx
ChantellPantoja184
 
Problem 1 (10 points) Note that an eigenvector cannot be zero.docx
Problem 1 (10 points) Note that an eigenvector cannot be zero.docxProblem 1 (10 points) Note that an eigenvector cannot be zero.docx
Problem 1 (10 points) Note that an eigenvector cannot be zero.docx
ChantellPantoja184
 
Probation and Parole 3Running head Probation and Parole.docx
Probation and Parole 3Running head Probation and Parole.docxProbation and Parole 3Running head Probation and Parole.docx
Probation and Parole 3Running head Probation and Parole.docx
ChantellPantoja184
 
Problem 1(a) Complete the following ANOVA table based on 20 obs.docx
Problem 1(a) Complete the following ANOVA table based on 20 obs.docxProblem 1(a) Complete the following ANOVA table based on 20 obs.docx
Problem 1(a) Complete the following ANOVA table based on 20 obs.docx
ChantellPantoja184
 
Probe 140 SPrecipitation in inchesTemperature in F.docx
Probe 140 SPrecipitation in inchesTemperature in F.docxProbe 140 SPrecipitation in inchesTemperature in F.docx
Probe 140 SPrecipitation in inchesTemperature in F.docx
ChantellPantoja184
 

More from ChantellPantoja184 (20)

Problem 1Problem 2.docx
Problem 1Problem 2.docxProblem 1Problem 2.docx
Problem 1Problem 2.docx
 
Problem 20-1A Production cost flow and measurement; journal entrie.docx
Problem 20-1A Production cost flow and measurement; journal entrie.docxProblem 20-1A Production cost flow and measurement; journal entrie.docx
Problem 20-1A Production cost flow and measurement; journal entrie.docx
 
Problem 2 Obtain Io.Let x be the current through j2, ..docx
Problem 2 Obtain Io.Let x be the current through j2, ..docxProblem 2 Obtain Io.Let x be the current through j2, ..docx
Problem 2 Obtain Io.Let x be the current through j2, ..docx
 
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docxProblem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docx
 
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docxProblem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docx
 
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docxProblem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docx
 
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docxProblem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docx
 
Problem 1Preston Recliners manufactures leather recliners and uses.docx
Problem 1Preston Recliners manufactures leather recliners and uses.docxProblem 1Preston Recliners manufactures leather recliners and uses.docx
Problem 1Preston Recliners manufactures leather recliners and uses.docx
 
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docxProblem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docx
 
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docxProblem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docx
 
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docxPROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docx
 
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docxProblem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docx
 
Problem 12-9AYour answer is partially correct.  Try again..docx
Problem 12-9AYour answer is partially correct.  Try again..docxProblem 12-9AYour answer is partially correct.  Try again..docx
Problem 12-9AYour answer is partially correct.  Try again..docx
 
Problem 1123456Xf122437455763715813910106Name DateTopic.docx
Problem 1123456Xf122437455763715813910106Name DateTopic.docxProblem 1123456Xf122437455763715813910106Name DateTopic.docx
Problem 1123456Xf122437455763715813910106Name DateTopic.docx
 
Problem 1. For the truss and loading shown below, calculate th.docx
Problem 1. For the truss and loading shown below, calculate th.docxProblem 1. For the truss and loading shown below, calculate th.docx
Problem 1. For the truss and loading shown below, calculate th.docx
 
Problem 1 (30 marks)Review enough information about .docx
Problem 1 (30 marks)Review enough information about .docxProblem 1 (30 marks)Review enough information about .docx
Problem 1 (30 marks)Review enough information about .docx
 
Problem 1 (10 points) Note that an eigenvector cannot be zero.docx
Problem 1 (10 points) Note that an eigenvector cannot be zero.docxProblem 1 (10 points) Note that an eigenvector cannot be zero.docx
Problem 1 (10 points) Note that an eigenvector cannot be zero.docx
 
Probation and Parole 3Running head Probation and Parole.docx
Probation and Parole 3Running head Probation and Parole.docxProbation and Parole 3Running head Probation and Parole.docx
Probation and Parole 3Running head Probation and Parole.docx
 
Problem 1(a) Complete the following ANOVA table based on 20 obs.docx
Problem 1(a) Complete the following ANOVA table based on 20 obs.docxProblem 1(a) Complete the following ANOVA table based on 20 obs.docx
Problem 1(a) Complete the following ANOVA table based on 20 obs.docx
 
Probe 140 SPrecipitation in inchesTemperature in F.docx
Probe 140 SPrecipitation in inchesTemperature in F.docxProbe 140 SPrecipitation in inchesTemperature in F.docx
Probe 140 SPrecipitation in inchesTemperature in F.docx
 

Recently uploaded

Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.ppt
Level 3 NCEA - NZ: A  Nation In the Making 1872 - 1900 SML.pptLevel 3 NCEA - NZ: A  Nation In the Making 1872 - 1900 SML.ppt
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.ppt
Henry Hollis
 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
RidwanHassanYusuf
 
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptxPengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Fajar Baskoro
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching AptitudeUGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
S. Raj Kumar
 
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
imrankhan141184
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
RamseyBerglund
 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
deepaannamalai16
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
Celine George
 
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptxNEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
iammrhaywood
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
HajraNaeem15
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
Jyoti Chand
 
Temple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation resultsTemple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation results
Krassimira Luka
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
Celine George
 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
deepaannamalai16
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
danielkiash986
 
Stack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 MicroprocessorStack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 Microprocessor
JomonJoseph58
 
A Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdfA Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdf
Jean Carlos Nunes Paixão
 
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDFLifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
Vivekanand Anglo Vedic Academy
 

Recently uploaded (20)

Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.ppt
Level 3 NCEA - NZ: A  Nation In the Making 1872 - 1900 SML.pptLevel 3 NCEA - NZ: A  Nation In the Making 1872 - 1900 SML.ppt
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.ppt
 
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptxBIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
BIOLOGY NATIONAL EXAMINATION COUNCIL (NECO) 2024 PRACTICAL MANUAL.pptx
 
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptxPengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching AptitudeUGC NET Exam Paper 1- Unit 1:Teaching Aptitude
UGC NET Exam Paper 1- Unit 1:Teaching Aptitude
 
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
 
Electric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger HuntElectric Fetus - Record Store Scavenger Hunt
Electric Fetus - Record Store Scavenger Hunt
 
Standardized tool for Intelligence test.
Standardized tool for Intelligence test.Standardized tool for Intelligence test.
Standardized tool for Intelligence test.
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
 
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptxNEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
NEWSPAPERS - QUESTION 1 - REVISION POWERPOINT.pptx
 
How to deliver Powerpoint Presentations.pptx
How to deliver Powerpoint  Presentations.pptxHow to deliver Powerpoint  Presentations.pptx
How to deliver Powerpoint Presentations.pptx
 
Wound healing PPT
Wound healing PPTWound healing PPT
Wound healing PPT
 
Temple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation resultsTemple of Asclepius in Thrace. Excavation results
Temple of Asclepius in Thrace. Excavation results
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
How to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 InventoryHow to Setup Warehouse & Location in Odoo 17 Inventory
How to Setup Warehouse & Location in Odoo 17 Inventory
 
HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.HYPERTENSION - SLIDE SHARE PRESENTATION.
HYPERTENSION - SLIDE SHARE PRESENTATION.
 
Pharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brubPharmaceutics Pharmaceuticals best of brub
Pharmaceutics Pharmaceuticals best of brub
 
Stack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 MicroprocessorStack Memory Organization of 8086 Microprocessor
Stack Memory Organization of 8086 Microprocessor
 
A Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdfA Independência da América Espanhola LAPBOOK.pdf
A Independência da América Espanhola LAPBOOK.pdf
 
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDFLifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
Lifelines of National Economy chapter for Class 10 STUDY MATERIAL PDF
 

Comprehensive exams in women’s health need toAs with any ass

  • 1. Comprehensive exams in women’s health need to As with any assessment, the chief complain is often what drives what our questions are and what clinical pathways we explore. With women’s health that approach is not any different, as we need to explore the “what was”, “what is” and “what will be” for the patient. The comprehensive assessment is one that is longer in nature and normally saved for the first visit, as if this patient will be a returning patient a more focused examine comes during their following appointments. The follow is a “blanket” comprehensive assessment that can be tweaked for any patient (Elson, 2008); Chief complaint (is this a focused complaint or a first meeting or annual meeting) History of present illness Menstrual History Age at menarche Last menstrual period Menstrual characteristics Length How long is flow
  • 2. Amount of flow Other symptoms? (breast tenderness, pelvic pain, etc)5 Pain? Intermenstrual bleeding Perimenopause/menopause Bleeding pattern Vasomotor symptoms Contraception Current method; is it working? Previous method; any complications and reason for change Cervical and vaginal cytology Results and date of most recent pap Hx of abnormal paps? Why? Treatment?
  • 3. Infections Hx of STD? Hx of vaginitis (types, frequency and treatment) Hx of PID Fertility/infertility Any desire for future? Difficulty conceiving? Treatments in past? Sexual hx Type Concerns about libido, orgasm, dyspareunia Any hx of abuse? Assault? Obstetric hx
  • 4. Describe each pregnancy and outcome Any maternal, fetal or neonatal complications? Past medical history Current and past illnesses Hospital admissions Surgical hx GYN and Non-gyn Medications/allergies OTC, prescribed, herbal Allergies to meds, food, environment and reactions? Family hx Significant illnesses of family
  • 5. Hereditary concerns Social hx Relationship status Level of education Occupation R.O.S. Abdomino-pelvic GYN GI GU Breast Others 18.Health Maintenance
  • 6. Smoking, alcohol use, drug use Diet Supplement intake Exercise Regular screenings (mammo, pap, colonoscopy) Immunizations and dates Health maintenance is very important for all ages when related to women’s health. The following are some ideas of health maintenance for each age group (Well-Woman Recommendations, 2018); Adolescents If sexually active the patient should have discussion with provider on sexually transmitted diseases and contraceptive use Drugs and alcohol use Peer pressure with sexual situations Childbearing Annual blood work to identify challenges in anemia, TSH,
  • 7. Cholesterol and minerals. Breast self-awareness Reproductive health plan Imitate partner violence Peri-menopausal Hormone therapy Mammograms Advance directives Problems with sexual encounters (pain, dry, etc) Menopausal Sleep patterns Changes of the body (hair growth, hormonal changes, sexual changes) Breast self-awareness
  • 8. Geriatric Women Sexual function Injury prevention Neglect/abuse Elson, N. B. (2008, July). The Gynecologic History and Examination . Retrieved from The Global Library of Womens Health: https://www.glowm.com/section_view/heading/TheGynecologic HistoryandExamination/item/3#3521 Well-Woman Recommendations . (2018, January 5). Retrieved from The American College of Obstetricians and Gynecologists: https://www.acog.org/About- ACOG/ACOG-Departments/Annual-Womens-Health-Care/Well- Woman-Recommendations?IsMobileSet=false