TAILIEUCHUNG - Gynecological history taking and examination

In this chapter you will find instructions on how to perform basic gynecological history taking and with a stranger. In order to reveal all important in-examination. A full gynecological history and formation to you, they need to trust you first. So, examination consists of at least a full history regar-the main aim of the first minutes of your conversa- ing general health, gynecological signs and symp- tion is to build up a trustful relationship with your toms, breast signs and symptoms and an abdominal, patient. | 1 Gynecological History Taking and Examination Regine Unkels INTRODUCTION In this chapter you will find instructions on how to perform basic gynecological history taking and examination. A full gynecological history and examination consists of at least a full history regarding general health gynecological signs and symptoms breast signs and symptoms and an abdominal speculum and bimanual examination. Consider opportunistic screening for cervical cancer using visual inspection with acetic acid VIA visual inspection with Lugol s iodine VILI see Chapter 26 during each speculum examination and do clinical breast palpation if there are positive points in the patient s history. Offer HIV counseling and testing to each patient. If you can organize it offer health promotion on reproductive health issues to your waiting clients . through video clips flyers or other information material or education through another health provider. We have included the examination of the breast here as well although in many countries this is not done in gynecological services but by the surgical department. However literature on health system strengthening suggests that service integration is more cost-effective and makes better use of the available human resources. In addition breast cancer incidence is increasing worldwide and in resource-poor settings patients often present late with breast cancer with a bad prognosis. HISTORY TAKING History taking is the cornerstone of any diagnosis and treatment. Most people think that sophisticated investigations always lead to proper diagnosis and good treatment but a thorough history can already identify 90 of diseases. Keep in mind that to most patients you are a complete stranger and their problems are related to an area of their life they would normally not discuss with a stranger. In order to reveal all important information to you they need to trust you first. So the main aim of the first minutes of your conversation is to build up a trustful

• Y khoa - Dược
• Gynecological history taking
• Gynecological examination
• Gynecological signs
• Breast signs
• Signs abdominal
• Signs
• Symptoms
• Presentations
• Abdominal Gastrointestinal
• Endocrine
• Metabolic
• Treatment of PPR outbreak in goat
• PPR outbreak in goat
• Peste des petits ruminants
• PR revealing characteristic signs
• Abdominal cramps