Gynecological examination method to do the pace-gynecological and obstetric surgery guidance
2. The patient urinates and takes the bladder lithotomy position after emptying the bladder. If you have incontinence, you do not need to empty the bladder before checking. The examiner faces the patient and stands between the patient's legs.
Check the development and distribution environment of the vulva for dermatitis, ulcers and lumps, with small separation, vestibule, urethral opening and mouth. Instruct the patient to hold their breaths down to see if there are prolapses in the front and back walls and uterine prolapse.
The inspector separated the two sides with his left hand, and slowly inserted the speculum along the back side wall with his left hand. After insertion, he gradually twisted to the front. After straightening, he slowly opened the two leaves, the cervix, wall and fornix, and then twisted to One side with side walls. Look for mucous membranes, feces and cervix for abnormalities.
The checker wore gloves, and the left and right fingers of the left hand (or left hand) were quietly inserted along the back wall. Check the accessibility and depth, and then the cervical size, shape hardness and external environment, with or without contact bleeding. Then place the inner two fingers behind the cervix, with the palm of the other hand facing down and place the finger flat on the flat navel of the patient's abdomen. When the inner finger lifts the cervix upward, the abdominal fingers press down on the abdominal wall and gradually The pubic symphysis is moved, the size, shape, softness, degree of program, and tenderness of the uterus. Move the inner two fingers from the back of the cervix to the side of the fornix, and touch up to the deep part of the pelvic cavity as far as possible. At the same time, take the other hand from the ipsilateral lower abdominal wall and press the abdominal wall from top to bottom. Match to touch the attachment area for lump, thickening or tenderness.
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