Скачать или смотреть Genital inspection and rectoabdominal Examination

Genital inspection and rectoabdominal examination are essential components of a thorough pelvic assessment, especially in gynecology, urology, and general medicine. These procedures help detect abnormalities, infections, masses, or structural anomalies in the genital and pelvic regions.

👀 Genital Inspection (Female)
🔍 Purpose
Assess external genitalia for signs of infection, trauma, congenital anomalies, or dermatologic conditions.

🩺 Steps
Patient positioning: Lithotomy or frog-leg position for optimal visualization.

Inspection of vulva:

Labia majora and minora: symmetry, lesions, swelling

Clitoris: size, inflammation

Urethral meatus: discharge, prolapse

Vaginal introitus: hymen, discharge, masses

Perineum and anus: skin integrity, hemorrhoids, fistulas

Note: Color, moisture, lesions (e.g., ulcers, warts), discharge, odor

🧠 Clinical Findings
Condylomata acuminata (genital warts)

Herpes simplex lesions

Bartholin’s gland cyst or abscess

Labial fusion or synechiae

Signs of trauma or abuse

✋ Rectoabdominal Examination
🔍 Purpose
Evaluate pelvic organs (uterus, ovaries, rectum) when vaginal access is limited (e.g., in children, virgins) or as part of a complete pelvic exam.

🩺 Steps
Patient positioning: Left lateral or lithotomy position.

Gloved finger inserted into rectum while the other hand palpates the abdomen.

Assess:

Uterine size, position, and mobility

Adnexal masses or tenderness

Rectal tone and masses

Posterior vaginal wall and septum (if present)

🧠 Clinical Findings
Retroverted uterus

Pelvic masses or cysts

Rectovaginal fistula

Endometriosis nodules

Malignancy signs (hard, fixed masses)

🛡️ Patient Comfort and Ethics
Always explain the procedure beforehand.

Ensure privacy and use chaperones when appropriate.

Use gentle technique and adequate lubrication.



#examination