Download MBBS Important Topics History Taking in obstetric

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) Important Topics History Taking in obstetric for MBBS 1st Year Important Topics, MBBS 2nd Year Important Topics, MBBS 3rd Year Important Topics & MBBS Final Year Important Topics.

HISTORY TAKING &
EXAMINATION

KEYPOINTS
? It should be in paragraph like a story
? Complaints should be in chronological order
? It should be in patient's words
? It should guide clinician
to form a provisional diagnosis
to plan examination
to plan investigations

IDENTIFICATION DATA
? Name Age Residence Occupation
Education
? Religion sex married
? Booked/ unbooked/ registered/referred ??
? Time date & place of admission
? With chief complaints of
? Can give obstetric history- optional

CHIEF COMPLAINTS
? Period of amenorrhea with complaints of ?
? Apparently asymptomatic ? asked to get
admitted on account of
? No history of / negative history

H/O Present Pregnancy
? How she conceived ? spontaneous/ took treatment
? Diagnosed pregnancy
? First trimester ? first visit to health center
h/o fever, emesis, exposure to teratogen
? 2nd trimester ? anc visits , treatment taken, T.T. ,
quickening,etc
? 3rd trimester ?
? Comment about investigations done & treatment taken

Obstetric History
? G ? Gravida
? P ? Parity
? formula G P T- P-A ?L
? Describe each pregnancy - antepartum,
intrapartum, postpartum with its outcome with
emphasis on any complications
? Contraceptive history

Menstrual History
? Age of menarche
? LMP ? EDD by Naegele's formula
? Regularity , duration of cycle,

? Past history
? Personal history
? Family history
? Dietary history

GPE
? Patient is lying comfortable, well oriented
? Built &nourishment
? Height, weight, BMI
? Vitals ? PR, BP, RR, Temp
? GPE ? PROPER
? Systemic ? cardio- respiratory system
? Breast examination

P/A Examination
? Pre- requisites ? stand on right
ask her to empty bladder
thighs semiflexed with abdomen exposed
ideally up to mid thigh
? Inspection
? Palpation
? Percussion
? Auscultation

Inspection
? Abdomen is distended with gravid uterus ?
longitudinal, transverse, oblique
? Umbilicus ? normal/inverted/everted
? Skin- stria, linia nigra, scar marks, visible veins
? Hernial sites

Palpation
? Correct dextrorotation
? Fundal height ? by ulnar border of hand
? Measure SFH and abdominal girth
? 4 grips - fundal grip
lateral grip
first pelvic grip
second pelvic grip

Auscultation
? FHS ?Location, rate
? Cephalic ? spino-umblical line
? Breech ? around umbilicus
? In occipito-posterior-in flanks
? Transverse lie- above umbilicus

This post was last modified on 24 July 2021