GP Notes

Patient presents following a postive faecal occult blood test Denies any active bleeding or heamorrhoids States no family history of colorectal cancer Denies night sweats, weight loss or angina Examination: Abdominal exam: soft No tenderness, guarding or rebound PR exam performed with consent:  No evidence of rectal masses No active bleeding No haemorrhoids Reason for visit: Faecal occult blood test positive Management: Discussed result with the patient Advised patient of the requirement to proceed to colonoscopy to assess for possible sourse of bleeding - colorectal cancer - haemorrhoids - anal fissues - diverticulitis Referral arrranged Patient encouraged to return following procedure or if they have any concerns Keywords:  Positive Faecal Occult Blood, Positive FOB, +fobpositive

Discussed with patient preventative health activities: Smoking: Non smoker Nutrition:  Good diet Alcohol: Nil concerns Physical activity :  Adequate physical activity Skin checks: Has regular skin checks and no issues Blood Pressure:  Normotensive Cholesterol: ordered today PSA : Ordered today Bowel Cancer screening:  Has completed the govt screening Sexual health:  No problems with erections or sex Keywords:  +prevhealthm

Patient  presents requesting screening testing for sexually-transmitted diseases Patient states they have no symptoms which concern for a STD Counselled patient on the testing that we perform HIV counselling provided and the patient informed that the negative result does not mean that they are clear if they can send I will need to have further testing if they had an exposure which they feel would be high risk for this disease  tests to be performed:  - Gonorrhoea  and chlamydia with first catch urine  -  had HIV, hepatitis C, hepatitis B, syphilis with blood testing serology   herpes simplex testing  was not included as the patient does not have any lesions which were consistent with this disease  advised patient that the best form of protection for STDs is condom is but this would not provide protection against  contracting herpes from her partner who has an active infection  advised patient that if the neither p...