Obstetrics / Gynaecology Case

Long Case

1

Identification

  • Age, parity, LMP, gestation
2

Obstetric History

  • Each pregnancy: outcome, mode, complications
3

Gynae History

  • Cycle, contraception, sexual, smear, fertility
4

Current Pregnancy

  • Booking, scans, screening, antenatal events
5

PMH / Drug / Allergy / Social

  • Folic acid, anti-D, vaccinations
6

Examination

  • BP, urine dip
  • Abdomen: SFH, lie, presentation, FH
  • PV exam (if indicated)
7

Summary + Plan

  • Risk stratification, investigations, plan for delivery

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