When gently rubbed against the cervix, they are able to pick up cells. Pelvic examinations are not a routine part of physical examination in teens who are not sexually active even if oral contraceptives are being prescribed. Typical crunch time for the Pediatric ED at your hospital. Book references for more detail include: This is demonstrated in Figure and diagrammed in Figure The most common reason for not visualizing the cervix is failure to insert the speculum far enough before opening it. Many medical school curricula use these references.
If a discharge is obscuring any part of the vaginal walls or cervix, the discharge should be removed with a cotton-tipped applicator and spread onto a glass microscope slide.
B, Position of the ovary and fallopian tube between the examining hands. Part four is the bimanual exam, which includes palpation of the internal female organs. Instead of being directly placed on a slide, the sample is placed into a vial with a special preservative solution. Determine whether the uterus is anteverted or retroverted. Free with Kindle Unlimited!