Medical appointment

First Visit

Chief complaint Let patients have sufficient time, in their own language, to talk about their major complaint symptoms Physicians can help her establish a chronological
Social history Nature of work, marital status, by the history of education, lifestyle, family support, tobacco and other drug history .... Pay special attention to family physicians no supporter
Drug history The use of those drugs? Allergy medication? Physicians should especially drug allergies Notes
Past medical history Internal diseases, surgical history, hospitalization history, history of infectious diseases Physician review in accordance with standard systemic organ disease
Travel history Recent history abroad, fever history, history of infectious disease or epidemic tourism, visits hospital history Physicians should keep in mind the painful lessons of SARS
Obstetric history Every detail about pregnancy outcomes (pregnancy number, the number of births, production methods, baby situation, premature birth, stillbirth flow, Pregnancy, mole .....) Depending on the age of the disease determines the depth inquiry
History of menstruation How often come to a? Time in a few days? Amount? Dysmenorrhea? Abnormal bleeding? Clots? Feel? Edema? Diarrhea? ..... Physicians should pay special attention to menstrual-related symptoms
History of contraception With or without contraception? If pregnant or may temporarily raw raw? Difficult pregnancy or infertility history? Incidentally, the physician may or progesterone contraceptive education
Sexual history Whether the? Number of sexual partners? Early? Too frequent? Difficult? Complain? Secret history of the past? Also some diseases related to cancer and sexual history
Physical examination Signs of life, breast examination, abdominal examination gynecological examination and pelvic examination are essential items Body temperature, weight, blood pressure is the basic project
Abdominal examination Easily are lying, inspection, palpation, buckle examination, auscultation, there is the necessary amount of abdominal circumference Many physicians to replace ultrasound
Breast examination Visual examination and inspection sitting nipple, lie on your back on palpation of each region and the axillary lymph nodes collarbone Ibid., Can guard the way to teach breast self-examination
Galactorrhea Some diseases have milk secretion, non-production of milk secretion can cause some problems See milk secretionLink
Within the clinic Is called a pelvic exam, to be female nurses to assist with diagnosis Avoid misunderstanding, the physician is best described by doing
Smear Recommended that sexually active after a year to do a routine to prevent cervical cancer Look smear report / notification is very important! Chang accident
DRE Check the anorectal cancer or disease, take the opportunity to do fecal occult blood test ACOG recommends more than 40 years doing routine rectal examination
Abdominal ultrasound General Obstetrics and Gynecology Often need up urine
Vaginal ultrasound Look for the detailed structure of ovary and uterus pelvic lesions or outside pregnancy diagnosis, presence or absence of fetal heart tones Without up urine, and the high-resolution
Breast ultrasound Breast palpation accurate than the recommended routine once a year after 18 years Special clinic once a week
Anal ultrasound For there is no sex, but need to look at the detailed ovary and uterus in the pelvis by Without up urine, and high-resolution than the abdomen
Urine Pregnancy tests and urine analysis 3 minutes to look at the report
Blood tests Newly diagnosed non-routine test items, there is a need will recommend testing Look subject report
Slice pathology Newly diagnosed non-routine test items, there is a need will recommend testing Look subject report
Bacterial culture Newly diagnosed non-routine test items, there is a need will recommend testing Look subject report
Medication
Health education
Production or surgical treatment
Hospitalization or post-natal care and confinement
Assisted conception and artificial reproduction

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