P1: Local Gynecologic Examination Flashcards
Items of Local Gynecologic Exam
Items of Local Gynecologic Exam
- Vulvar Inspection
Items of Local Gynecologic Exam
- PV
Items of Local Gynecologic Exam
- Bimanual Ex
Items of Local Gynecologic Exam
- Cuscu Speculum
Items of Local Gynecologic Exam
- Special Test
Length of Clitors & What defines clitoromegaly?
- In uncircumcised female, normal length of clitoris is 1.5 - 2 cm
- In clitoromegaly: if the length > 2 cm
Cervix Examination
- External Os
- Level
- Direction
- Size
- Shape
- Mobility
- Consistency
Indications of Bimanual Examination
Criteria of Normal Uterus
Indications of Lithotomy Position
Positions in examination
1- Prone
2- Supine
3- Fowlerβs
4- Trendelenburg
5- Right & left lateral recumbent
Indications of Cusco Speculum Examination
Indications of Rectal Examination
Indications of Combined Rectal & Vaginal Examination
Combined Rectal & Vaginal Examination
- DiagnosIS of Enterocele (Malpas Test)
Causes of increased transverse diameter of the uterus rather tham longitudinal Diameter
What is the role of vaginal examination in Obstetric cases?
How to differentiate between uterine and extra uterine (ovarian) mass?
Clinical tests for urinary stress incontinence
Clinical tests for urinary stress incontinence
- Marshall Stress Test
Clinical tests for urinary stress incontinence
- yousef Test
Clinical tests for urinary stress incontinence
- Bonnney Test
Clinical tests for urinary stress incontinence
- Matshall-Marschetti Test
It is exactly as Bonneyβs test but using Allis forceps to elevate the bladder neck instead of fingers to avoid urethral compression.
Clinical tests for urinary stress incontinence
- Hodge Smith Pessary Test
It is exactly as Bonneyβs test but the bladder base is elevated by inverted Hodge-Smith pessary.
Clinical tests for urinary stress incontinence
- Hodge Linson Test
- It is exactly as Bonneyβs test, but the bladder base is elevated by the largest contraceptive diaphragm.
Clinical tests for urinary stress incontinence
- Pad Test
Clinical tests for urinary stress incontinence
- Q-Tip Test
Clinical tests or procedures used in cases of pelvic mass
Clinical tests or procedures used in cases of pelvic mass
- To differentiate pelvi-abdominal from purely abdominal swelling
- This is done abdominally by trying to get below the lower border of the mass.
- If the lower border is reachable, the mass is purely abdominal & vice versa.
Clinical tests or procedures used in cases of pelvic mass
- To differentiate large ovarian cyst from ascites
Clinical tests or procedures used in cases of pelvic mass
- To differentiate uterine from adnexal masses during bimanual exam
Clinical tests to diagnose recto-vaginal fistula
Clinical tests to diagnose recto-vaginal fistula
- Probe Test
Small caliber probe is pushed through vaginal orifice of the fistula can be felt on rectal Exam
Clinical tests to diagnose recto-vaginal fistula
- Methylene Blue Test
- Methylene blue instillation from the vaginal orifice can be seen in the rectum via a proctoscope
Clinical tests to diagnose recto-vaginal fistula
- Careyβs Test
- A Foley catheter (10ml balloon) is inserted into the anal canal while the vagina is painted with concentrated solution of soap & water
Clinical tests to diagnose V.V.F
Clinical tests to diagnose V.V.F
- Intravesical dye Test
Clinical tests to diagnose V.V.F
- Three Tampoon Test of Moir
Clinical tests to diagnose V.V.F
- Flat Tire Test