medical notes

Apr 16th, 2015
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OBSTETRIC AND GYNECOLOGY HISTORYDemographic dataIn all obstetrics patients, you must mention, Name, Age, Parity, Gravidity-if pregnant,Status of her children (two, three, etc living children)Last delivery,ResidenceChief ComplainsLower abdominal painExcessive bleedingPainful periodsIrregular menstrual periodBackacheUlcersPer vaginal dischargeHistory of presenting illnessBleeding: onset, volume (number of pads), duration, pain, smell, how long Abnormal vaginal bleeding: blood-stained leukorrheal discharge, scant spotting, or frank bleeding, sanguineous (bloody) or purulent, odorous, pruritic, postcoital bleedingPain: onset (sudden or gradual), site/localization, character (dull, sharp, throbbing), aggravating factors, relieving factors, radiating, unilateral or bilateralDischarge: Color, watery, when, smell, odor, relation to menses, recurrent, response to treatment, itching, burning, pain, or a lesion is present; and what bothers her the mostUlcers: pain, location, discharge, colorPast medical & surgical historyPast illnessPrevious treatmentPrevious gynecologic surgeryPartners/spouse ever complainsMaternal infections during pregnancyBlood transf

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