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 |
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Health education |
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Production or surgical treatment |
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Hospitalization or post-natal care and confinement |
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Assisted conception and artificial reproduction |
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