This
gynecological operating table supports thorough physical examination
This entails evaluating body temperature, heart rate, breathing rate, blood pressure, and if necessary, measuring height and weight.
2. Assessment of the abdominal region
Observing the shape of the abdomen and checking for varicose veins.
Examining for tenderness, rebound pain or muscle tension. Palpating the liver, spleen and kidneys to detect any signs of enlargement or tenderness.
3. Evaluation of the pelvic area
(1) Examination of vulva development and distribution of pubic hair. A normal vulva has downward-pointing triangularly distributed pubic hair without any ulcers, dermatitis or hypopigmentation in the perineal area. The mucosa surrounding the urethral opening should be light pink with no growths present. In married women, there may be old cracks in the hymen or perineum due to previous childbirth or episiotomy scars. If necessary, patients may be asked to bear down while observing for swelling in front and behind vaginal walls as well as signs of uterine prolapse or urinary incontinence. Any abnormalities will be carefully documented.
(2) Vaginal examination using a speculum: this procedure should be performed gently to minimize friction-related bleeding. Normal vaginal wall mucosa appears light pink with visible folds; there should not be any ulcers,cysts or congenital malformations such as vaginal septum or double vagina observed.Normal vaginal secretions are typically clear like egg white or have a white paste-like consistency with minimal odor; however they may increase during ovulation and pregnancy.If there are any abnormalities (such as local itching), a sample can be taken at this time to check for trichomonas infection,candida overgrowth,ganococci bacteria,and clue cells among others;bacterial culture might also need to be conducted.The formation of leucorrhea is influenced by estrogen levels mainly consisting from exudate from vaginal mucosa,cervical canal secretions,and endometrial gland secretions.
