Checking pace of gynecological routine check
Gynecological routine inspections are divided into gynecological specialist physical examinations and related auxiliary inspections. Gynecological examination is also called pelvic examination. The contents include: Check target: Whether the skin of the vulva is greasy, whether the color is normal, whether there are ulcers, dermatitis, neoplasms and hypopigmentation. General vulva: It has a downward-pointing tip, a triangular distribution, large pigmentation, small reddishness, 2.5cm in length, and a pale pink mucosa around the urethral opening.
Later, a more in-depth inspection is required. This requires the use of peepers, which are disposable or sealed after disinfection. The doctor will warm it in hot water, then apply petroleum jelly, and then stick the cobbled duckbill in, which will make it easier to check. The duck's beak was opened, the inner wall of the ordinary everyday stickers was stretched out, and the doctor could clearly see the cervix. Inspection target: check whether there is lumps, ulcers, rot, polyps on the cervix, whether the size of the cervix is average, whether the profile is slippery, whether the texture is firm, and whether there is uterine prolapse. General cervix: Peripheral bulge with holes on both ends. The parturient was round, the parturient had a "I" shape, tough, red meat, and slippery. If cervical smear screening is to be performed, the doctor will adopt the specimen at this time.
The doctor took out the speculum, put on a pair of thin rubber gloves, coated it with vaseline, slowly put one or two fingers into it, and put the other hand on the abdomen to press down strongly. This is doing the uterus and accessories Check. This will make you serious again, and even a little bit sad. No way, just relax, keep your eyes on the ceiling and separate your attention. If you are fatter, you need to relax yourself. When your finger touches the bottom of the uterus, you will feel pain and grief, but not for a long time, about 1 minute. Smear the feces, look under the microscope, and identify the cleanliness according to the number of bacilli, white blood cells (WBC), and miscellaneous bacteria, divided into 4 degrees:
Ⅳ degree: no bacilli, as long as a few epithelial cells, there are a large number of white blood cells and miscellaneous bacteria. Remind of relatively deep inflammation, such as fungal inflammation, trichomoniasis. Gynecological b-ultrasound check item 1: Reproductive organs have very congenital development, such as congenital absence of uterus, all types of uterus are normal (double uterus, double, double-angle uterus, residual horn uterus, mediastinal uterus), and membrane development (occlusion, hemostasis) ) And ectopic kidney (pelvic kidney net).
Gynecological b-ultrasound scan item 3: Endometrial cavity lesions, such as incomplete abortion, abnormal or abnormal pregnancy, abortion, hydatidiform mole, endometrial proliferation, polyps, uterine adenocarcinoma, etc.
Gynecological b-ultrasound Item 8: Non-gynecological non-neoplastic masses: such as follicular cysts, corpus luteum cysts, luteinized cysts, polycystic ovary, ovarian hematoma, ovarian crown cyst.
Gynecological b-ultrasound item 9: Gynecological tumors: ① Benign: such as uterine fibroids and various types of ovarian cysts. ② Malignant: such as uterine adenocarcinoma, choriocarcinoma, primary or secondary ovarian cancer. Check whether the fallopian tube is accessible, and it is mainly used for infertility. The gas (CO2) or liquid is slowly injected into the uterine cavity from the cervix to see if it can pass through the fallopian tubes. The former is called fallopian tube ventilation and the latter is called fallopian tube ventilation. During laparoscopy, the cervical fluid is injected into the uterine cavity from the cervix, and the blue fluid is detected from the umbrella end of the fallopian tube. This method is more concise and accurate, which is called the fallopian tube pigmentation method. Uterine fallopian control is the injection of a film-making agent into the uterine cavity, so that the uterine cavity and fallopian tubes can be developed. In addition to understanding whether the fallopian tubes are accessible, it can also show the shape and length of the fallopian tubes and their obstructed parts. Size, morphology, and presence of normal or mass lesions.
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