CMN 572 – Questions Answered With Expert
Insight
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Terms in this set (107)
Order of patient history for OB/GYN 1) Age
exam 2) LNMP
3) Gravidity/parity: TPAL (Term pregnancies,
premature deliveries, abortions, living children)
4) Chief complaint - Open-ended question (e.g.
"How can I help you?" or "What kind of problem are
you having?")
5) Present illness - For each problem mentioned, via
questioning obtain:
+ Definition of problem
+ Location of problem
+ Date/time of onset of problem
+ Are symptoms abating or worsening?
+ Duration of symptoms when they do occur
+ How symptoms are related to and/or how they
affect other events in her life
6) Past history, including
+ Contraception
+ Medications and habits
+ Medical
+ Surgical
+ Allergies
+ Bleeding/thrombotic diatheses
+ Obstetrics
+ Gynecologic
+ Sexual
+ Social (type of work, education, community
activities)
7) Family history
DeCherney p 556
,On which specific diseases should Exposure to or history of:
history be taken in the STD history? + Gonorrhea
+ Syphilis
+ HIV
+ Herpesvirus
+ Hepatitis
+ Chlamydia
+ Papillomavirus
Also ask about: hx of vaginitis and how/if it was
treated, treatment or hospital admissions for
treatment of salpingitis, enometritis or tubo-ovarian
abcesses.
DeCherney p 557
What specific diseases/illnesses are of + Heart disease
great interest in taking the family + DM
history? + Hypertensive renal or vascular disease
+ Vascular accidents
+ Hematologic abnormalities
+ Hirsutism
+ Breast/ovarian/colon CA
+ Time of menopause for mother/grandmothers
+ Hx of osteoporosis in mother/grandmothers
DeCherney p 557
What additional vital sign should be Height, to document any loss of height r/t
measured in post-menopausal osteoporosis and vertebral fractures
patients?
DeCherney p 558
, Initial chest exam in OB/GYN patient + Visual assessment for skin lesions and symmetry of
movement
+ Auscultaiton and percussion of lungs (exclude pulm
problems like asthma and pneumonia)
+ Percussion of heart for size and auscultation for
arrhythmias and murmurs
DeCherney p 558
Breast cancer will occur in 1 in _____ EIGHT
women in the US in her lifetime
DeCherney p 558
Scaly ecezmatous nipple can mean Paget's Disease
_____?
DeCherney p 558
Suprapubic palpation is designed to Uterine, bladder or ovarian enlargements.
detect _____?
DeCherney p 558
The clitoris should be no more than 2.5 cm
____ in length
DeCherney p 561
How do you palpate vestibular Index finger in the vagina, and thumb outside gently
glands? feeling for enlargement or tenderness
DeCherney p 561
Components of the pelvic 1) External genitalia
examination 2) Hymen
3) Perineal support - Spread labia with 2 fingers and
ask patient to bear down.
4) Urethra - "strip" to express discharge from gland
DeCherney p 562j
Insight
Save
Terms in this set (107)
Order of patient history for OB/GYN 1) Age
exam 2) LNMP
3) Gravidity/parity: TPAL (Term pregnancies,
premature deliveries, abortions, living children)
4) Chief complaint - Open-ended question (e.g.
"How can I help you?" or "What kind of problem are
you having?")
5) Present illness - For each problem mentioned, via
questioning obtain:
+ Definition of problem
+ Location of problem
+ Date/time of onset of problem
+ Are symptoms abating or worsening?
+ Duration of symptoms when they do occur
+ How symptoms are related to and/or how they
affect other events in her life
6) Past history, including
+ Contraception
+ Medications and habits
+ Medical
+ Surgical
+ Allergies
+ Bleeding/thrombotic diatheses
+ Obstetrics
+ Gynecologic
+ Sexual
+ Social (type of work, education, community
activities)
7) Family history
DeCherney p 556
,On which specific diseases should Exposure to or history of:
history be taken in the STD history? + Gonorrhea
+ Syphilis
+ HIV
+ Herpesvirus
+ Hepatitis
+ Chlamydia
+ Papillomavirus
Also ask about: hx of vaginitis and how/if it was
treated, treatment or hospital admissions for
treatment of salpingitis, enometritis or tubo-ovarian
abcesses.
DeCherney p 557
What specific diseases/illnesses are of + Heart disease
great interest in taking the family + DM
history? + Hypertensive renal or vascular disease
+ Vascular accidents
+ Hematologic abnormalities
+ Hirsutism
+ Breast/ovarian/colon CA
+ Time of menopause for mother/grandmothers
+ Hx of osteoporosis in mother/grandmothers
DeCherney p 557
What additional vital sign should be Height, to document any loss of height r/t
measured in post-menopausal osteoporosis and vertebral fractures
patients?
DeCherney p 558
, Initial chest exam in OB/GYN patient + Visual assessment for skin lesions and symmetry of
movement
+ Auscultaiton and percussion of lungs (exclude pulm
problems like asthma and pneumonia)
+ Percussion of heart for size and auscultation for
arrhythmias and murmurs
DeCherney p 558
Breast cancer will occur in 1 in _____ EIGHT
women in the US in her lifetime
DeCherney p 558
Scaly ecezmatous nipple can mean Paget's Disease
_____?
DeCherney p 558
Suprapubic palpation is designed to Uterine, bladder or ovarian enlargements.
detect _____?
DeCherney p 558
The clitoris should be no more than 2.5 cm
____ in length
DeCherney p 561
How do you palpate vestibular Index finger in the vagina, and thumb outside gently
glands? feeling for enlargement or tenderness
DeCherney p 561
Components of the pelvic 1) External genitalia
examination 2) Hymen
3) Perineal support - Spread labia with 2 fingers and
ask patient to bear down.
4) Urethra - "strip" to express discharge from gland
DeCherney p 562j
