O & G Scenarios
Gynaecology Scenarios
Child and Adolescent gynae
- 'Her periods have started early'
- 'She still hasn't started her periods'
- 'Can you tell if she is a boy or girl?' (ambiguous genitalia)
- 'She is a little slow developing' (delayed puberty)
- 'She has had a smelly discharge' (vaginal discharge, retained FB)
Vulvovaginal conditions
- 'There's been this funny discharge' *
- 'It itches /there are lumps down there' (vulvovaginitis and other
superficial lesions) *
- 'I lost my tampon'
- 'I feel there is a lump down below' (prolapse)
Menstrual conditions
- 'My periods are heavy' *
- 'My periods are irregular' *
- 'My periods have stopped' *
- 'My periods are painful' *
- 'I start bleeding after sex'
Other important problems
'I had unprotected sex last night and worried I have caught something' (STDs)
*
'I've been getting pain' (acute and chronic pelvic pain) *
'Sex is painful' (dysparenunia)
'Is all this hair normal?' (hirsuitism)
Abnormal PV tenderness or mass / abnormal mass on ultrasound
Embarrassing accidents (incontinence)
Post-menopausal symptoms
'What can I do about these hot flushes?' (Managing the climacteric) *
'Why have I started bleeding again?' (post-menopausal bleeding)*
Obstetric Scenarios
Overview
- What happens at the initial visit and follow-up visits *
- 'I am thinking of having a baby, what should I do first?' *
- 'We are having trouble getting pregnant'
Early pregnancy issues
- 'How far along am I' 'When is baby due?' (Dating the pregnancy by
symptoms and ultrasound) *
- 'There as been some bleeding' (early pregnancy) *
- 'I lost my baby, what should I do?' (miscarriage) *
- 'I want to end my pregnancy' (termination)
Preventative health care
- 'What should I eat? What can't I do? 'When should I stop having sex' *
- 'What medications are OK during pregnancy' *
- Can I still take my medications for........' *
- 'When can I start having sex' 'What should I use for contraception?' *
- 'Is this normal for my pregnancy.......' *
Late Pregnancy issues
- 'I can't feel baby kicking'
- 'Your blood pressure is high' *
- 'You have sugar in your urine' *
- Identifying problems on abdominal examination *
- Common minor problems in pregnancy *
- Large for dates *
- Small for dates *
- 'Something's wrong with the scan'
- 'The baby is in the wrong position'
- 'Baby's blood type is different from yours'
- Important problems seen on third trimester ultrasound *
- Major co-existing medical conditions during pregnancy
- *Pre-eclampsia / Eclampsia *
- 'My water's have broken
- Placental abruption *
- 'It's too early' (preterm labour)
- 'Baby is late' (postdates)