Pelvic and Breast Exam

Question 1

what are important components of regarding menstrual history

Answer 1

age at menarche
start of last menstrual period (LMP), and one prior menstrual period (PMP)
interval between periods
regular or irregular menses
length
heaviness of flow
absence of menses
painful menses

Question 2

what are important vulvovaginal symptoms to ask about

Answer 2

vaginal discharge: can be normal (leukorrhea)
- amount, color, consistency, odor of discharge
vaginal/genital itching, discomfort
genital lesions or rashes

Question 3

what are components of gynecologic disease history

Answer 3

polycystic ovarian syndrome (PCOS)
endometriosis
ovarian cancer
uterine cancer
fibroids
pregnancy

Question 4

what are components of sexual health history

Answer 4

sexual activity
use of protection
consent
sexual health
pain during intercourse (dyspareurnia)
pelvic pain - acute vs chronic; superficial vs deeper

Question 5

what are components of breast history

Answer 5

self-examination - is it done? if so, how often?
breast pain/discomfort
breast lump or mass
change in breast size, contour, dimpling, swelling or puckering of skin
nipple discharge
past breast history: medical or surgical

Question 6

what is observed with breast inspection

Answer 6

size and symmetry
contour
skin appearance (rashes, ulcerations, discharge, edema)
nipples (size, shape, direction of pointing)

Question 7

what is the tail of spense

Answer 7

extension of the breast tissue into the underarm area

Question 8

what is palpated with breast exams

Answer 8

masses, lumps, nodules
- note location, size, shape, tenderness, consistency, mobility
tenderness
consistency