ficha eval ginecologica
DESCRIPTION
EVALUACION GNECOLOGICA PARA ESTUDIANTES DE ENFERMERIATRANSCRIPT
FICHA GINECOLOGICANOMBRES Y APELLIDOS………………………………………………………………………………………………………EDAD………………………………………E.civil…………………………..NIVEL DE ESTUDIOS………………………………………………. TRABAJO ……………………. ESTABLE EVENTUAL
EVALUACION GINECOLOGICAFUR
URS
M
CICLOS REGULARES: SI NO
DISMENOREA SI NO
ITS SI NO
EMBARAZOS parto normal:
HIJOS vivos cesarea
hijos muertos
ABORTOS espontaneo Provocado
SEXUALIDAD
NECESITA INFORMACIONRELACIONES SEXUALES HETERO HOMO AMBAS
PAREJA UNICA VARIAS
EDAD INICIO RELACION SEXUAL AÑOS
PROBLEMAS EN RELACION SEXUAL NO SI
METODOS ANTICONCENTIVOS SIEMPRE A VECES NUNCA
CONDON SIEMPRE A VECES NUNCA
ABUSO SEXUAL SI NO
EXAMEN FISICO PESO IMC
TALLA
PIEL……………………………………………………………………………………………………………………………………………………………………………………………..
CABEZA……………………………………………………………………………………………………………………………………………………………………………………….
AGUDEZA VISUAL………………………………………………………………………………………………………………………………………………………………………
BOCA…………………………………………………………………………………………………………………………………………………………………………………………
TORAX………………………………………………………………………………………………………………………………………………………………………………………
MAMAS……………………………………………………………MAMOGRAFIA SI NO
P/A FC FR
ANTECEDENTES DE INFECIONES URINARIAS:……………………………………………………………………………………………………………………………
PAP SI NO
ALERGICA A ALGUN MEDICAMENTO:
antecedentes patologicos
anteceddentes quirurgicos………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………….………………………………………………………………………………………………………………….……………………………………………………………………………………………………………….OBSERVACIONES………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
PIEL……………………………………………………………………………………………………………………………………………………………………………………………..
CABEZA……………………………………………………………………………………………………………………………………………………………………………………….
AGUDEZA VISUAL………………………………………………………………………………………………………………………………………………………………………
BOCA…………………………………………………………………………………………………………………………………………………………………………………………
TORAX………………………………………………………………………………………………………………………………………………………………………………………
ANTECEDENTES DE INFECIONES URINARIAS:……………………………………………………………………………………………………………………………
OBSERVACIONES………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..