Performing of bi – manual examination.
Task for student :
perform for patient vaginal examination. In the
same time to describe for examiner what are you doing.
Time for demonstration 5 minutes.
Information for examiner :assess, please, actions of student on the every
low given point.
1. Explain for patient essence of examination..
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2. Put woman on gynecological armchair.
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3. Wash our hands and dry with disposable towel. Take on a
sterile gloves.
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4. Using of index finger and middle finger of the left hand ,
take away of labia major , in vagina introduce two fingers
( in the beginning – the middle finger , that press a perineum
, after that index finger).
Make examination of uterus , its size, site, consistence,
mobile , painful).
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5. Make examination of uterine adnexa , beginning with
healthy side, We check its size, position , consistence,
form ,painful and etc..
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6. Choose the particularity of vaginal fornecies ( smoothing,
hardness, going away, painful, fluctuation.).
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7. Take away fingers from vagina, assess the character of
discharges( bloody, purulent, mucous).
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8. Take away of gloves , through away its in special container
for utilization and wash our hands..
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1
9. Make a notices at the chart of out patient department patient
or case history..
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10 During a procedure explain for patient our actions , using
temper and friendly tone , make possibility to ask
questions..
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Maximum quantity of balls – 10
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