Focused exam for OBGYN

[Hemichordate]

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Hi, I'm about to start my first rotation (OBGYN) in a month and was hoping to brush up some of my clinical skills. One thing I'm wondering about is, what usually constitutes a focused exam for OBGYN patients? I know I should be asking about their periods, birth history, and other reproductive/urinary system related questions, but what about other systems? In addition to that, should I just do a heart, lung, and GI exam?

 

[mercaptovizadeh]

Hi, I'm about to start my first rotation (OBGYN) in a month and was hoping to brush up some of my clinical skills. One thing I'm wondering about is, what usually constitutes a focused exam for OBGYN patients? I know I should be asking about their periods, birth history, and other reproductive/urinary system related questions, but what about other systems? In addition to that, should I just do a heart, lung, and GI exam?

Stick to lower GI and GU (i.e. the pelvic floor, the things touching the female reproductive organs). You can veer into endocrine (i.e. thyroid) but keep it light.

For pregnant (or planning to) patients obviously touch on any issue relevant to pregnancy, e.g. depression, hypertension, asthma, heart disease, thyroid disease, diabetes.

Ob/gyn was one of the most focused rotations in medical school - and the least tolerant of extensive ROS or overly long history-taking attempting to get an "integrated" picture. Focus on gyn and the pelvic floor and touch very cursorily on the rest.

 

[evilbooyaa]

Pregnancy (clinic or triage) - VB, LOF, FM on ROS. FH,DTRs,FHTs,UA for physical/basic labs.
Pre-Eclampsia - CP/SOB/RUQ Pain/DTRs (if on Mag Sulfate)/Seizures (probably shouldn't have to ask)

Physical wise I did basic heart and lungs on everybody. Abd. if warranted, waited for speculum until resident (female) was with me. Some residents let me do speculum, others made me watch both the speculum and the pelvic.