Professional Documents
Culture Documents
and Examination
Oleh:
Analia
Preceptor:
Dr. Dino R, Sp.OG (K)
History taking
Personal data
Current problem
Micturition
Bowel habit
Menstrual history
History taking
Past obstetric history
Sexual history
Medical history
Family history
• Gynecological exam chair,
washing basin & soap, light
source, clean specula, clean
gloves, lubricant, microscope,
Equipment needed slides, swabs.
• Additional: dissecting forceps,
cervical biopsy forceps, manual
vacuum aspiration, cyto brush,
fixation agent
Palpate the area below umbilicus, try to find out if there area
where deep palpation is not possible due to pain or if you can
feel any hard or soft resistance.
Speculum exam
Before speculum exam, inspect the
You should consider not doing a
vulva: normal development of external
speculum exam if the patient is a
genital, hirsutism, skin lesion, scars,
virgin
discharge, swelling, prolapse
Identify the cervix and asses its color, smoothness and shine,
any disruption of the surface? Any reddishness or whitishness?
Any discharge or pus? Specifically look for the polip, tumor,
ulcerations, condyloma, squamocolumnar junction. Inspect the
vaginal wall for tumor, ulceration, change of color, discharge
and fistula. Take swab for wet mount and IVA.
How to insert bivalve spekulum:
For removal close the
valves a bit but not
Wear clean gloves completely
Trichomonas
Sperm cell
Yeast
Bimanual Vaginal Palpation
• Asses the pelvic organ and any abnormal mass
between your right hand internally in the vagina
and your left externally on the lower abdomen,
patient should be in lithotomy, explain what you
are planning to do