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Gynecology and Obstetrics

By: Paul D. Chan

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Identifying D ata. Age, gravida (number of pregnanci es), para (number of del i veri es). Chief Co m plian t . Reason given by patient for seek i ng sur gical car e. H istor y of P resent Illness (H P I). D escribe the course of the patient's i l lness, i ncluding when i t began, character of the sy m ptom s; pain onset (gradual or rapid), character of pain (constant, i nterm ittent, cramping, radiating); other factors associated w ith pain (urination, eating, strenuous activities); aggravating or rel i eving factors. Other rel ated diseases; past diagnostic testing. Obstetr ical H istor y . P ast pregnanci es...