Vaginal Speculum Exam

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I'm a little embarassed, but I have never been able to find the cervix while doing a speculum exam – I always ending up aborting and getting help from a resident. It really. The 3rd time I did it it was on an obese patient – it was like I was being buried alive – my speculum that is – the vaginal wall caved in 4.

The speculum holds the walls of the vagina open. When it is in the right position, you will be able to see the cervix, test for infection or cancer, insert an IUD, or empty the womb. MW Ch20 Page 377-2.png. Practice opening and closing a speculum a few times before you use one for an exam so that you are comfortable with.

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Click the picture to watch a video of a nurse practitioner doing a pelvic exam

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Jul 11, 2009. Vaginal Examination With Speculum. Before inserting the speculum, the doctor should alert you that the speculum examination is about to begin. Take a breath and exhale. The doctor should re-establish the tactile signal and insert it at a 45- degree angle. As they slowly insert the speculum more fully, they.

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Objectives. When you have completed this skills chapter you should be able to: List the indications for a vaginal examination. Insert a bivalve speculum. Perform a bimanual vaginal examination. Take a cervical cytology (Papanicolaou) smear.

. with vaginal bleeding at <20/40. Exclusion criteria were haemodynamic instability or known cervical carcinoma. The clinician recorded a diagnosis and management plan on a standard questionnaire after bimanual examination and after subsequent speculum examination. Results: 236 women were included in the study.

Dec 20, 2017. The Speculum Exam (Part 2):. The speculum is an instrument made of metal or plastic. Your HCP will gently place the speculum into your vagina. After it's inserted, it will be gently opened so that your health care provider can see your vaginal canal and your cervix (the opening to your uterus). If you like, you.

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By using a speculum, flashlight and mirror, a woman can observe her own cervix and the natural changes that occur over time. Self exam enables her to see a vital part of her anatomy and monitor changes, secretions, menstrual cycle, and indicators of fertile time. She can identify yeast imbalance, a common vaginal.

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A specialized form of vaginal speculum is the weighted speculum, which consists of a broad half tube which is bent at about a 90 degree angle, with the channel of the tube on the exterior side of the angle. One end of the tube has a roughly spherical metal weight surrounding the channel of the speculum. A weighted.

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The vaginal speculum – that creepy looking metal device used to. They were possibly also used for gynaecological examination. In the third century AD, Leonidas of Alexandria wrote that you use them to open up the rectum “as we.

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It was Candy’s annual gyno exam so she went and met with her doctor. She removed all her clothing so her doctor could give her a complete physical.

There are no references guiding examiners in their choice of speculum size. Anterior and posterior vaginal length, vaginal width, and introital measurements vary significantly, depending on race/ethnicity, age, parity, and height., Linear vaginal length ranges from 41–95 mm.

For trained clinicians, the pelvic exam is a window on the alignment, size, and condition of reproductive organs. For women, it’s several minutes of unpleasant sensations in private places: The chilly blades of the speculum in the.

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Nov 29, 2016. The pelvic examination typically consists of visual external inspection, insertion of the speculum, performance of any tests or cytology, and then bimanual examination to determine the size and character of the uterus and ovaries. Right- handed individuals generally put their right hand in the vagina and use.

A speculum examination and a bimanual pelvic examination are often done together. These examinations are used to evaluate the overall health of a woman's reproductive organs. For these tests, the woman lies on her back on an examination table with her legs parted and her feet resting off to the side in devices called.

pathology – macro presentation investigation. Cervical Screening. Speculum examination. 1.1. Designed for the inspection of the cervix and vaginal walls. Bivalve (cusco) speculum is the instrument most commonly used to inspect the vagina. 2. Access to the cervix and fornices for bacteriological swabs and cervical smears.

A pelvic exam examines organs including the vulva, vagina, uterus, ovaries, and Fallopian tubes; the bladder and rectum are also usually included in the exam. A pelvic exam involves visual examination of the external genitalia and an internal visual exam of the vaginal walls and cervix using a speculum to open the vaginal.

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The exam should never be performed with a large speculum (as it is significantly longer) without first determining the length of the vaginal canal. The speculum is used to perform the Papanicolaou test as part of cervical cancer screening examinations. Cervical cancer was once the leading cause of cancer deaths for women.

Health matters: A pelvic exam is one of those sensitive medical examinations that a woman will go through in her life. A lot could go wrong during such a time, that is why you must know your rights and what to expect. Forewarned is.

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This is the first time the Preventive Services Task Force has turned its attention to pelvic examinations, which can include a visual exam of external genitalia, an internal exam using a speculum, manual palpation to check the shape and.

Mar 21, 2017. CPT for Speculum Vaginal Exam. Any suggestions ? Thanks.

May 24, 2016. "One study found the speculum exam to have a false negative rate of 12%" "A prospective study including 133 women compared the accuracy of speculum exams to assess the dilation and effacement of the cervix to digital vaginal exams. Good correlation was noted with less than 20% mean variation.

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