OB/ GYN
LMP PTV CS PAPS
L
Last menstrual period
M
Mencrche at what age?
P
Period duration ( how many days does your period last? )
R
Regularity
T
Tampon or pads per day?
V
Vaginal discharge (If yes, onset, color, odor) vaginal dryness/ vaginal pruritus
C
Contraceptive use/ Cramps with periods
S
Spotting
P
Pregnacy ( how many time? vaginal? )
A
Abortion
P
PAP smear (when? results? history of abnormal)
S
STD Dx?
DIFFERENTIAL DIAGNOSIS for OBGYN History:
Pregnancy:
All females in reporductive age, morning sickness, N/V, weight gain
Amenorrhea
Cause by Pregnancy, PCOS, Anorexia, Intense exercise
Dysmenorrhea:
Endometriasis, uterine fibroids, Adenomyosis
Domestic violence
Depression
Infertility
Sexually transmitted disease
Females who are going through menopause
Dyspareunia
DIAGNOSTIC WORKUP for OBGYN History:
Pelvic examination, Rectal examination
Urine Beta-hCS
Cervical culture
KOH prep, Wet mount, Vaginal pH,
TSH
Pelvic ultrasound