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  • Vaginal Bleeding: Breath, Lightheadedness, Dizziness, Blurred Vision,.)

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    gibreil
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    This document outlines a history and physical exam for a patient presenting with vaginal bleeding. It includes sections on history of present illness, review of symptoms, gynecological history, obstetric history, past medical history, drug history, family history, sexual history, and recommended investigations including a pregnancy test, CBC, blood grouping, coagulation profile, liver tests, and ultrasound. The goal is to determine the cause and extent of the vaginal bleeding.

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    post menapausal bleeding

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    This document outlines a history and physical exam for a patient presenting with vaginal bleeding. It includes sections on history of present illness, review of symptoms, gynecological history, obstetric history, past medical history, drug history, family history, sexual history, and recommended investigations including a pregnancy test, CBC, blood grouping, coagulation profile, liver tests, and ultrasound. The goal is to determine the cause and extent of the vaginal bleeding.

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    4 views2 pages

    Vaginal Bleeding: Breath, Lightheadedness, Dizziness, Blurred Vision,.)

    Uploaded by

    gibreil
    This document outlines a history and physical exam for a patient presenting with vaginal bleeding. It includes sections on history of present illness, review of symptoms, gynecological history, obstetric history, past medical history, drug history, family history, sexual history, and recommended investigations including a pregnancy test, CBC, blood grouping, coagulation profile, liver tests, and ultrasound. The goal is to determine the cause and extent of the vaginal bleeding.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    Vaginal bleeding

    OPDPPfARS
    HPI
    age of menopause
    Chief complaint
    Onset
    Progression`
    duration
    Frequency
    nature ( continuous or gradual)
    predisposing events
    amount( how many tempons,or does it reach the legs)
    consistency ( clot )
    color
    Associated Symptoms;- f ever, pain, signs blood loss(anemia, fatigue, palpitation, shortness of
    breath, lightheadedness , dizziness ,blurred vision,. )

    Local
    Pelvic, lower abdomen, and back pain
    systmic symptoms
    Weight .loss, appetite loss
    Urinary symptoms & discharge
    Bleeding from other sites
    Review systems :-
    Red flakes:- back pain and lower extremity weakness.
    Gynecological history
    Menstrual history :- LMP
    Contraceptive
    Pap smear
    Gynecologic surgery and procedures
    Obstetric
    Past obs history & abortions and complication

    PMH of , hyperthyroid , hematological, previous transfusion


    DH ( anti-coagulant, COC , HRT)
    FH of ovarian, and endometrial CA

    SH:- Sexual history( dyspareunia, single or multiple partener


    INVESTIGATIONS

    1. Pregnant test
    2. CBC
    3. Blood grouping
    4. Cross match
    5. Coagulation profile
    6. Livers
    7. Urine analysis
    8. Ultrasound

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