Physical examination of the

female apparatus

Camila jimenez tirano

Medical student
BEFORE THE TEST

IT IS NECESSARY TO TRANQUILIZE THE PATIENT, AND, TO EXPLAIN DETAILED EACH PART OF

THE PROCEDURE, SINCE IF THE PATIENT IS TENSIONED, THIS WILL DIFFICULT THE EXAMINATION,
External inspection (pubic hair,
perineum, external genitalia:
 Separate the labia majora and inspect the
clitoris for irritation, ulceration or
enlargement
 Cistocele y rectocele

Frequent in women +40 years, multiple and traumatic

births, repetition of exercises that increase intra-abdominal
pressure, postmenopause
Uterine prolapse:

The most common cause is trauma when

giving birth, particularly in multiple or
complicated births
50% have a uterine prolapse

Mild - exercises that strengthen

pelvic floor muscles

Exercises that increase

Advanced - surgery intra-abdominal
pressure
Hallazgos
chancro blando:

Painful ulcer
Irregular edges
Of Antihigienic appearance
Non-indurated base
Usually multiple
BLEED EASILY
SUPATIVE ADENOPATIA
CHANCRO DURO O SIFILICO

It begins as a red papula that

grows and erodes
It does not hurt
Usually it is a unique lesion
Hard base
Herpes simple:

Limited burning
bubbles arise and then it breaks forming ulcers.
Painful
Heals at 2 weeks
Linfogranuloma venereo

painless genital ulcerations

Fast cure
Inguinal adenopathy that can form
fistulas (2 weeks later)
Condiloma acuminado

Human papilloma virus

Irregular cauliflower-shaped warts
Hard and protrude from the skin
They also have other locations
Condiloma plano (s
filis)

It appears as a flattened, white,

moist excrescence
klaurosis

Acute vulvar atrophy

White skin
Pruritus
Leucoplasias
EXAMEN CON EL ESPECULO
1) INSERT VALVES TOGETHER OBLICUA POSITION
2) ROTATE THE VALVES WHEN THEY ARE ALREADY
IN
3) CONTINUE ENTERING
 VAGINLAES WALLS:
Wet, corrugated, pink
Ostium that is different if the woman is nulliparous
or multiparous
CERVIX
Uniform pink color
Smooth surface
Cancer del cervix
PALPACION
Gently feel and squeeze the bartholin
glands to release their secretions

The same is done with the urethra

bartholinitis
Cervix is easily identifiable by its shape
It should not wake up pain
Uterus: it is recognized as tip of the nose

EPI hurts

increase in pregnancy size

myoma
Cancer