GYNECOLOGIC HISTORY AND EXAMINATION doc

... hand, and inserting the gloved index finger of the same hand slightly into the FIGURE 17-4. Vaginal specula and vaginoscope. These come in various sizes. CHAPTER 17 GYNECOLOGIC HISTORY AND EXAMINATION 523 Using ... PAST HISTORY MENSTRUAL HISTORY The age and character of the menarche (or menopause) should be described. The last menstrual period (LMP), previous menstrual 17...

Ngày tải lên: 05/08/2014, 16:20

... fetal head and umbilicus): what is the heart rate (should be 110±160 b.p.m.)? Obstetric history and examination 35 Preface The abilities to take an accurate history and perform a physical examination ... clinical history and examination are still crucial to achieving an accurate diagnosis. However, this process also enables the doctor to get to know the patient (and vice...

Ngày tải lên: 23/05/2014, 23:04

... chronic condi- tions, and ALT, as well as by social and lifestyle factors such as education and physical activity. On the MCS scale, quality of life was affected by history of cancer and depres- sion, ... use, and lack of physical activity. In addition, women and men differed in how these factors influenced the PCS and MCS scores. Under- standing the degree of reduction of qua...

Ngày tải lên: 20/06/2014, 15:20

... gynaecological history and examination History Examination Investigations OVERVIEW A careful detailed history is essential before the examination of any patient In addition to a good general history, ... nerve, and thus to the first, second and third sacral nerves. The main nerve supply of the levator ani muscles comes from the third and fourth sacral nerves. 2 The gynaec...

Ngày tải lên: 05/08/2014, 16:20

... nausea, vomiting. Skin rashes, ill contacts, travel history. History of pneumonia, bronchitis, otitis media, sinusitis, endocarditis. Past Medical History: Diabetes, alcoholism, sickle cell disease, ... alcoholism. Exacerbation by upright position. Recent fluid input and output balance. Past Medical History: Cardiac testing, chest X-rays. History of deep vein thrombosis, venous...

Ngày tải lên: 16/12/2013, 13:15

... knights, chaplains, and serving brothers. Knights were of patrician birth and served as leaders and soldiers. However, between bat- tles, their work was to be devoted to the hospitals and the order. ... and bankrupted in 1410 (Opsahl, 1996). Throughout the 12th and 13th centuries, battles continued in the Holy Land. At times, alliances were struck among the Hospitallers, the...

Ngày tải lên: 16/02/2014, 22:20

Ngày tải lên: 18/02/2014, 11:20

... ships. Silver, tin, lead, and vessels of brass; slaves, horses, and mules; carpets, ivory, and ebony; pearls and silk; wheat, balm, honey, oil and gums; wine, and wool, and iron, are enumerated ... cities founded by Alexander it was quite otherwise. The Alexandria of Paropamisus may still be traced in Candahar; and the Alexandria on the Iaxartes, in Cogend: and the Alexandri...

Ngày tải lên: 21/02/2014, 11:20

... Microreproductions. A GENERAL HISTORY AND COLLECTION OF VOYAGES AND TRAVELS, ARRANGED IN SYSTEMATIC ORDER: FORMING A COMPLETE HISTORY OF THE ORIGIN AND PROGRESS OF NAVIGATION, DISCOVERY, AND COMMERCE, BY SEA AND LAND, ... come off to the Ships. Death of Mr Anderson; his Character; and Island named after him. Point Rodney. Sledge Island, and Remarks on landing there. King&apo...

Ngày tải lên: 21/02/2014, 11:20