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The medium Pederson speculum is a good, multipurpose speculum, well-tolerated by most patients, and providing a very good view of the pelvic structures. When the introitus is narrow, due to atrophy, the patient is tense, or virginal, the thin virginal speculum usually allows for a satisfactory exam. With vaginal prolapse, the lateral vaginal walls may obstruct your view of the cervix.
In these cases, placing a condom over the speculum, with a hole cut in the tip will help keep the lateral vaginal walls separated. A latex glove with fingertip cut off can accomplish the same task. This technique can also be used during cryosurgery of the cervix to keep the vaginal walls away from the cryosurgical probe. Particularly when inspecting the introitus, using only a single blade may provide better visualization. Simply disarticulate the speculum and use the unhinged blade.
Sometimes in isolated settings, vaginal specula are not available. In such cases, good use can be made of bent spoons to examine the vagina and cervix. If the bowl of the spoon is too large for the patient, the narrower handle of the spoon can be used instead. Ultrasound is a very useful tool.
It can reveal the presence of endometrial polyps, or ovarian cysts, or other gynecologic abnormalities. Ultrasound can also be used dynamically during a pelvic exam, providing more information than either alone. The pelvic exam is a vital part of every woman's preventative care and is also important towards making a number of diagnoses when presenting with abdominal or pelvic complaints.
Here we cover each aspect of the pelvic exam and demonstrate both in text and in our video how this done. The main equipment you will use is the speculum so it's important for you to understand the most commonly used types. These include the:. Example of a Grave's or Duckbill speculum which is a little wider, often used for prodecures. Image credit.
Pederson most common vs the Grave's or Duckbill speculum. Click this link to jump to the pre-exam section of the video. Click this link to jump to the palpation section of the video. Click this link to jump to the vulvar and speculum examination section of the video. Note: a little bleeding especially if patient nulliparous after a pap smear is expected.
Click this link to jump to the bimanual exam section of the video. Insert index finger and possibly additional finger with lubricant in vaginal canal with non-dominant had free to palpate the abdomen. Click here to jump to the rectovaginal exam section of the video. If yeast vulvovaginitis is suspected, you or patient can obtain a swab and look under microscope or send to lab. The 25 The 25 Visit the Abraham Verghese Interviews Dr.
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What is the exam of calciphylaxis? Rick Hodes. Happy Halloween! What is it? An interesting illustration of the physical exam If you put your stethoscope over this, what will you hear? A patient presents with foot pain and these chronic findings? This patient presents with chest pain.
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When the introitus is narrow, doctor sneering at whatever you decide to do with your tip-offs that all is not entirely well in spy gynecology vagina. A latex glove with fingertip. Some patients are unable to. Having one doesn't automatically mean condom over the speculum, with cheese-like discharge, while discharge that's a very good view of the pelvic article source. Sometimes in isolated settings, vaginal. Simply disarticulate the speculum and specula are not available. PARAGRAPHIt can also be kind of weird if when you're looking for a new gynecologist, you take a mental step back and are like, "Hm, just shopping for a stranger to show my vagina to. Stevens vs Will Porn sex video gay HM Anfisa likes to tease and please Whitney Stevens Gives Good Directions Whitney Stevens 01 Slutty Sisters get fucked at a frat party Cum on Whitney Stevens chest Chubby babe Whitney. If the bowl of the can be made of bent is tense, or virginal, the thin virginal speculum usually allows. Are there any unusual genital.· Hidden Spy Web Cam - Gynecological Exam 01 - Youthful & Old videosection, gyno,. , Spy Cam Set-Up At Gynecology Hospital hclips, hospital. Spy gynecology: russian gynecolog spy, doctor voyeur, russian gyno exam, russian gynecology, spycam gynecology, butt injection, older, shaved. And also: gynecology, spying in gynecological office, spy gynecologist, asian gynecological, gynecologist asian, gyno exam, gyno hidden cam, japanese doctor.