Patient Id | ساره محمد محمد عبد اللطيف |  | Date | 2021-08-06

Menstrual History
Date
Menarche
Duration
Length
Regularity
Amount
Dysmenorrhoea
LMP

Contraception History
Date
Type
Duration
Stopped
Notes

Obstetric History
Date
Duration
Termination
Place
Type
OutCome
Gender
Baby Weight
Baby Name
OutCome
Gender
Baby Weight
Baby Name
OutCome
Gender
Baby Weight
Baby Name
Notes

Past H Medical
Date
Disease
Notes

Past H Surgical
Date
Operation
Year
Surgon
Notes

Past H GYNECOLOGICAL
Date
Operation
Year
Surgon
Notes

Past H ART
Date
Type
Center
Year
Notes

Family History
Date
Disease
Relative
Notes

Examination
Date
Weight
Height
BMI
bP
pulse
Headandneck
Chestandheart
Abdomen
Pelvis
Extremitis

Investigation
Semen
Date
Count
MotilityA
MotilityA+B
Normal
Pus cells
Notes

HSG
Date
Uterus
R.tube
L.tube
Smear
Notes

US/TVS
Date
Uterus
R.adnexa
L.adnexa
Pelvis
Notes

LAPAROSCOPY
Date
Uterus
R.adnexa
L.adnexa
Pelvis
Notes

HYSTEROSCOPY
Date
Cervix
Uterine Cavity
R.Ostium
L.Ostium
Notes

MRI/CT
Date
Uterus
R.adnexa
L.adnexa
Pelvis
Notes

HORMONES
Date
FSH
LH
PRL
E2
AMH
FreeT
TotalT
P4
TSH
T3
T4
DHEAS
DHT
B-HCG
InhibinB
ASD
Notes

PATHOLOGY
Date
Cytology
Histopathology

Gyna
Visits
Date | 2020-11-21
Complaint | lt iliac pain
Diagnosis |
Notes | TAS: NAD--> Rrenal gravils??-->urine: pus-->mibafuran, proximol

Gyna - Folliculometry
Date
Day
Endo
Uterus (L)
Uterus (W)
Uterus (V)
Cervix (L)
Cervix (W)
Cervix (V)
OVARY Lt (L)
OVARY Lt (W)
OVARY Lt (V)
OVARY Rt (L)
OVARY Rt (W)
OVARY Rt (V)
LTovary (Name)
LTovary (Length)
LTovary (Width)
LTovary (Volume)
Rtovary (Name)
Rtovary (Length)
Rtovary (Width)
Rtovary (Volume)

Investigation
Date
Investigations

Treatment
Date
Drugs

Antenatal Visits