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6 Cards in this Set
- Front
- Back
What past history needs to be obtained for the reproductive system?
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Previous pregnancies
Surgery Radiation Drug use & contraception Growth & development/milestones Occupation Diet |
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What family history needs to be obtained for the reproductive system?
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Diabetes
Autoimmune disease Body habitus of family members |
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What current history needs to be obtained for the reproductive system?
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Frequency of intercourse and libido
Menstruation Breast development or galactorrhoea Hirsutes |
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What psychosocial issues are relevant to the reproductive system?
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- Embarrasing to talk about reproductive and sexual concerns
- It is even more difficult to examine or be examined for any disorder of this system. - it is important that you show respect for the patient's privacy - undress and be examined behind screens/curtains - use a chaperone as required - you need to fully explain the reasons for everything you ask or do and your findings |
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What elements of the female reproductive/sexual history need to be asked about?
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1. Menarche/menopause - age started/ended
2. Last menstrual period - first period of LNMP 3. Dysmenorrhoea - period pain? 4. Menorrhagia - heavy periods/clots? 5. Oligo/amenorrhoea - scanty/no periods? 6. Pelvic pain - when during cycle? 7. Discharge - mucous, itchy bloody, smelly 8. Pelvic inflammatory disease - infect womb/tubes 9. Urinary problems - dysuria, frequency, urge/stress incontinence 10. Contraception - compliance 11. Dyspareunia - painful intercourse 12. Pregnancies - number & outcome e.g G2P1 13. Homo/bisexual 14. IV drug use 15. Contact with STD - have your partners had an STD 16. Pap smears, breast examinations |
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What elements of the male reproductive/sexual history need to be asked about?
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1. Discharge - any itch, mucous or blood?
2. Dysuria, haematuria - soreness or blood on passing urine 3. Frequency, nocturia - going often or at night 4. Urinary obstruction - poor stream 5. Testes pain/lumps 6. Impotence - can you get erection & sustain it? 7. Premature ejaculation - do you come too quickly? 8. Contact with STD - have partner(s)had STD? 9. Homo/bisexual 10. IV drug use |