Per vaginal Examination.
Introduction: Good morning Mrs. Smith I am Dr. Munagapati, Senior house officer
in the department of Obstetrics and Gynaecology, I am here with my nurse to do a vaginal examination. During this examination I will examine your front passage with one hand and with the other I am going to fell your tummy, this is called bimanual examination. This examination is going to be a bit uncomfortable but I will be as gentle as possible. If at any time of the examination if you feel pain or the examination becomes unbearable let me know. Shall we proceed with the examination now?
For the examination you should flex your knees and hips keep your ankles together and flop your knees apart.
Wear gloves and apply jelly (cold)
Insert the fingers up the vagina and feel for any tenderness in the fornices or in the abdomen, masses and uterus.
Then gently remove the fingers, look at the glove, give her a tissue to wipe off the jelly and cover her.
Remove the gloves and thank the patient
D.D: tenderness:
Left: Salpingitis, ectopic and tubo ovarian mass.
Right: Salpingitis, ectopic, tubo ovarian mass and Appendicitis.