Obstetrics history taking examination linkedin slideshare. Drug and allergy history current medications medications taken at any time during the pregnancy. Taking an obstetric history requires asking a lot of questions that are not part of the standard history taking format and therefore its important to. An obstetric history involves asking questions relevant to a patients current and previous pregnancies. Master pass focuses polishing examination performances to improve the chance of passing the theory, clinical, as well as the table vivavoce part of the examination. Department of obstetrics and gynecology, university of iowa carver college. Sep 10, 2015 100 cases in obstetrics and gynaecology. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. She has a history of acne, for which she takes minocycline.
First most patients seen in obstetrics and gynaecology are generally fit and healthy. Current management of polycystic ovary syndrome 1st royal college of obstetricians and gynaecologists london 2010 1 92 42494251, 8287, 8288 mukherjee, gita ganguly ed. The pelvic examination should follow the abdominal examination and should never be omitted unless the patient is a virgin. This practical exam guide is designed for medical graduates who have undertaken general hospital training and wish to commence. Mb chb clinical history and examination manual university of. Abbreviations commonly used in obstetrics and gynecology. Gynecologic evaluation may be necessary to assess a specific problem such as pelvic pain, vaginal bleeding, or vaginal discharge. Get a printable copy pdf file of the complete article 208k, or click on a page image below to browse page by page. But failure of clinical application of the same, makes the examination performance poor. General gynecologic evaluation gynecology and obstetrics.
Scope, limitations and guidelines article pdf available july 2016 with 2,972 reads how we measure reads. Chapter 3 history taking for gynaecology patients 21 chapter 4 physical examination for gynaecology patients 25 further reading 35 33 royal college of obstetricians and gynaecologists. Below is a set of chapter summaries, which can be used as revision notes. Pdf practice of obstetrics and gynaecology in ayurveda. When prenatal care began complications pnc prenatal care labs pertinent negatives include presence of bleeding, rom rupture of membranes pmh operationstransfusions allergies. X is the total number of pregnancies including this one. It is essential to appreciate that taking a comprehensive history in obstetrics and gynaecology involves eliciting confidential and often very personal information. General physical examinationpallor may be present in cases of anemia due to. Rapid obstetrics and gynaecology 2nd edition pdf for free. The general physical examination is part of a multimediabased module by cary engleberg university of michigan and kwabena danso knust.
Most women, particularly those seeking general preventive care, require a complete history and physical examination as well as a gynecologic evaluation. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gynaecological and obstetric history and examination. It is very difficult to interrupt your examination and get equipment in between. Ob history and physical hpi first sentence should include age, parity, gestational age by datessonosize. It teaches candidates all they need to know for the mrcog part 1 examination by extending the understanding of the basic medical sciences and their relevance to obstetrics and gynaecology. Physical exam of a female in all reproductive stages and during pregnancy. Muhammad yousaf personal history appetite sleep bowel burning micturition smoking weight gainloss allergy to drugs general physical examination a youngoldmiddle aged lady lying comfortably on bed, is well oriented in time, space and person having vitals of. The shape, contour and size of the breasts, their height on the chest wall, and the position of the nipples are compared, any nipple retraction being noted. The general physical examination is part of a multimediabased module by cary engleberg university of. Obstetric history taking involves a series of methodical questioning of an obstetric patient with the aim of developing a diagnosis or a differential diagnosis on which further management of the patient can be arranged.
When inspecting the pregnant abdomen, adequate exposure is essential. Mar 23, 2012 this video examination of the pregnant woman. Please take a full history and present your findings to the registrar, including ddx, and ix actor brief mrs saunders age 63 1 week history of worsening postmenopausal bleeding. Full text full text is available as a scanned copy of the original print version. History and clinical examination in obstetrics authorstream. Current diagnosis and treatment obstetrics and gynaecology 10th mcgrawhill new york 2007 3 91 19442 balen, adam eds. And it is applicable to all specialties of the medical field. Current obstetrice and gynaecology 1st jaypee brothers new delhi 2007 5. Please practice handwashing and social distancing, and check out our resources for adapting to these times. Obstetrics and gynecologyobstetric examination wikiversity.
The obstetric examination is a type of abdominal examination performed in pregnancy. This textbook takes a new, dynamic approach to the basic sciences in obstetrics and gynaecology. Some of the questions are highly personal and therefore good communication skills and a respectful manner are absolutely essential. Obstetrics and gynaecology examination of the pregnant. Hilton, department of gynaecology, 2nd floor, leazes wing, royal victoria infirmary, newcastle. Obstetrics and gynaecology 10th mcgrawhill new york 2007 3 91 19442 balen, adam eds. Obstetrics is a new ebook presenting a collection of key articles from obstetrics, gynaecology and reproductive medicine, mapped by module to the mrcog part 2 exam. Fertilization, implantation and development of the fertilized egg. The obstetrics section takes you through a womans pregnancy and all the complications she may face. Word notes history taking and general examination just like. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps. A comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. Diagnosis of common clinical problems preparation of a patient before anaesthesia writing a discharge certificate after. It takes 46 weeks for the complete resolution of ectopic pregnancy with.
Gynecological examination chair or stretcher with pillow to put under the patients buttocks. A comprehensive guide to gynaecological history taking in an osce setting, including menstrual and contraceptive history taking. This provides a basis for emphasizing aspects of the subsequent physical examination, and for initial decisions about diagnostic testing and treatment. Journal of obstetrics and gynaecology of eastern and. Gynaecological history taking osce guide geeky medics. Gynecological history taking and examination free download as powerpoint presentation. History taking and examination in obstetrics clinical gate. Be well versed with preventive aspects in obstetrics and gynecology.
Skillstraining protocol from department of obstetrics and gynaecology. Gynaecological history osce station kayleigh gibbs student brief you are a junior in clinic. Diagnosis of common clinical problems preparation of a patient before anaesthesia writing a discharge certificate after normal delivery. The information gained during the physical examination helps the clinician to narrow the list of possible diagnoses to. History taking, communication skill, obstetrical examination, gynaecological examination. Practice of obstetrics and gynaecology in ayurveda. Mostly because you need to dedicate most of your time to medicine and surgery. History taking forms a cornerstone of medical practice as it helps arrive at a diagnosis. The obstetric examination requires a thoughtful physician as many pregnant women are very aware of the risks to themselves and the fetus during pregnancy. Rapid obstetrics and gynaecology 2nd edition pdf obstetrics.
Dec 29, 2015 history taking in gynaecologyoverview. The teaching of obstetrics and gynaecology in singapore from 1905 to the present. When prenatal care began complications pnc prenatal care labs pertinent negatives. Crash course obstetrics and gynaecology 2nd edition pdf. Taking a history is the initial step in the physicianpatient encounter.
Taking a good history is very important in making a proper and most appropriate diagnosis. Comprehensive gynecology 7th edition, 2017 lobo ra, gershenson dm, lentz gm, valea fa editors. History and clinical examination in obstetrics slideshare. Current management of polycystic ovary syndrome 1st royal college of obstetricians and gynaecologists london 2010 1 92. History and clinical examination in obstetrics authorstream presentation. With the patient sitting facing the examiner, the breasts are inspected, first with the patients arms at her sides and then with her arms raised above her head. Word notes history taking and general examination just. Doctors leaving the training grades in obstetrics and. Sep 10, 2008 history and clinical examination in obg1. Consultant gynaecology and urogynaecology manpower committee, royal college of obstetrics and gynaecology. Pregnancy can have a significant impact on maternal mental health and. As well as mapping to the mrcog, the expert consult version of this ebook also enables anyone with a shortterm interest in a specific area to buy individual articles at a price. Manual of obstetrics and gynecology for the postgraduates. Gynaecological history osce station kayleigh gibbs student.
Fully revised and updated, and building upon resources developed during the authors specialist training for ranzcog qualifications, and refined by practical clinical experience, it provides a summary of important. Bates guide to physical examination and history taking, 7th edition 1999 cunningham fg, leveno kj, bloom sl, spong cy, dashe js, hoffman bl, casey bm, sheffield js eds. After all, it is the aetiology of a symptom that guides the physicians questioning. Professor geoffrey chamberlain asked me to assist him with the combining of the original wellestablished separate lecture notes on obstetricsand lecture notes on gynaecology by joining him as editor of this textbook aimed at undergraduate medical, midwifery. Critical care obstetrics 4th blackwell science massachusetts 2003 3 90 49754977 decherney, alan h. Examination obstetrics and gynaecology judith goh, michael. European training requirements in obstetrics and gynaecology. Fully revised and updated, this practical guide is a definitive resource for medical trainees undertaking speciality training. The more thorough the history and physical examination, the better the chances of making an accurate diagnosis. Abdominal pelvic examination remains important exam for pregnant women because it is the easiest method of fetal monitoring. Take the history and perform the examination oakdoc pdf to image converter v1 6 winall cracked. This provides a basis for emphasizing aspects of the subsequent physical examination, and. The first examination in obstetrics and gynaecology in australia. From patients in more complex situations such as in the emergency and labor setting.
Like conventional textbooks it teaches what is true, but it also what is false, and why. Gynecological history taking and examination 3 equipment needed think of what you need for your examinations and have your equipment ready before you start. Obstetric history taking osce guide osce guide geeky medics. Obstetrics and gynaecology involves the same clinical reasoning as other specialties covered in this series, but several points should be highlighted.
It is unique in the fact that the clinician is simultaneously trying to assess the health of two individuals the mother and the fetus. Final professional mbbs examination in obstetrics and gynaecology accounted for 60% of the total marks and consisted of short essay questions, multiplechoice questions, an obstetric clinical examination and an oral structured clinical examination osce. Uems section obstetrics and gynaecology european board and college of. In the initial presentation, full physical examination should be done. Ppt obstetric physical examination powerpoint presentation. This allows the reader to place themselves in the position of the practising doctor encountering these scenarios in the everyday clinical setting. The external genitalia are first inspected under a good light with the patient in the dorsal position, the hips flexed and abducted, and knees flexed.
In this article, we shall look at how to perform an obstetric examination in an oscestyle setting. Just recently i emailed my friend and said funny well, not really how many psychologists, doctors, dieticians, support groups, hospitals, and even a hypnotist, i went to over the years that couldnt help me and all it took in the end was a simple site like this, and a supportive partner. Clinical history taking with patient example duration. Obstetrics and gynecologygynecological history taking. This further treatment may involve examination of the patient, further. Just like any other aspect of medicine, gynaecology and obstetrics requires that as a health worker, you must find clues in the patients history and physical examination to help you make the right diagnosis. It can be difficult for the contemporary medical student to gain a true insight into the careers of obstetricians and gynaecologists when some foundation schools provide as little as eight weeks training in obstetrics and gynaecology. Studying everything in this subject is not possible during profs or during pg preparation. The teaching of obstetrics and gynaecology in singapore. When taking any history in medicine it is essential to understand what the presenting complaint means and what the possible causes differential diagnosis of the presenting complaint may be. A great deal of sensitivity is required upon discovery of any abnormal finding. A comprehensive guide to performing obstetric history taking in an osce setting. Gynecological history taking and examination vagina. Obstetric physical examination 1 obstetric physical examination.
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