less than 21 day intervals between menses

bleeding right after vaginal sex, cervical polyps or cancer, or atrophic vaginitis

Non-infective vaginal discharge

Physiological (white, clear, nonoffensive, varies with the menstrual cycle), foreign bodies (tampon), Vulval dermatitis

Gonorrhea (mucopurulent, thick, yellow green). Chlamydia (mucopurulent), Trichomonas vaginalis (offensive, yellowing, profuse, frothy+itching)

Non-sexually transmitted infection

Bacterial vaginosis (Watery, profuse, gray, fishy smelling), Candidiasis (thick, white, non-offensive, curd like+itching)

Sexual health questions

gender, orientation, satisfaction, libido, arousal, orgasm, Pain with intercourse (dyspareunia)

for labial swelling, insert index finger into the vagina near the posterior introitus, place your thumb outside, palpate each side

One from endocervix, one from ectocervix, patient should not be mentruating, avoiding intercourse, use douches, tampons, contraceptive foams, creams, vaginal suppositories 48 hours before exam. Check for chlamydia.

Fundal height with pregnancy

10-12 within pelvis, 12 above symphysis pubis, 16 between symphysis and ubilicus, 20 uterine fundus at lower border of umbilicus, 24-26 gobular to ovoid, 28 halfway between umbilicus and xiphoid, 34 below xiphoid, 40 height drops

Saline wet mount and whiff test

gram stain and culture, newer PCR

Nucleic acid amplification test

lies in a forward position at roughly a right angle to the vagina, most common position

Forward flexion of the uterine body in relation to the cervix, often coexists with anteversion

tilted posteriorly with its cervix facing anteriorly

Has a posterior tilt that involves the uterine body but not the cervix

weakness of the supporting structures of the pelvic floor, associated with cystocele and retrocele. Usually becomes retroverted and decends down the vaginal canal.

1st cervix is still well within the vagina, 2nd introitus, 3rd outside the vagina

vaginal discharge/odor, painful intercourse, urination, irregular bleeding, and pain in right upper abdomen. Cannot tolerate bimanual exam. often caused by gonorrhea/chlamydia. Infection of reproductive organs.

bilateral, tender, irregular, fairly fixed adnexal areas

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Vagina

Question	Answer
Polymenorrhea	less than 21 day intervals between menses
Oligomenorrhea	infrequent bleeding
Menorrhagia	excessive flow
Metorhagia	intermenstrual bleeding
Postcoital bleeding	bleeding right after vaginal sex, cervical polyps or cancer, or atrophic vaginitis
Non-infective vaginal discharge	Physiological (white, clear, nonoffensive, varies with the menstrual cycle), foreign bodies (tampon), Vulval dermatitis
STI vaginal discarge	Gonorrhea (mucopurulent, thick, yellow green). Chlamydia (mucopurulent), Trichomonas vaginalis (offensive, yellowing, profuse, frothy+itching)
Non-sexually transmitted infection	Bacterial vaginosis (Watery, profuse, gray, fishy smelling), Candidiasis (thick, white, non-offensive, curd like+itching)
Sexual health questions	gender, orientation, satisfaction, libido, arousal, orgasm, Pain with intercourse (dyspareunia)
Bartholin glands	for labial swelling, insert index finger into the vagina near the posterior introitus, place your thumb outside, palpate each side
Pap smear	One from endocervix, one from ectocervix, patient should not be mentruating, avoiding intercourse, use douches, tampons, contraceptive foams, creams, vaginal suppositories 48 hours before exam. Check for chlamydia.
Fundal height with pregnancy	10-12 within pelvis, 12 above symphysis pubis, 16 between symphysis and ubilicus, 20 uterine fundus at lower border of umbilicus, 24-26 gobular to ovoid, 28 halfway between umbilicus and xiphoid, 34 below xiphoid, 40 height drops
Trichomonas	saline wet mount
Candidal vaginitis	KOH prep
Bacterial vaginosis	Saline wet mount and whiff test
Gonorrhea	gram stain and culture, newer PCR
Chlamydia	Nucleic acid amplification test
Anteverted uterus	lies in a forward position at roughly a right angle to the vagina, most common position
Anteflexed uterus	Forward flexion of the uterine body in relation to the cervix, often coexists with anteversion
Retroverted uterus	tilted posteriorly with its cervix facing anteriorly
retroflexed uterus	Has a posterior tilt that involves the uterine body but not the cervix
Prolapse Uterus	weakness of the supporting structures of the pelvic floor, associated with cystocele and retrocele. Usually becomes retroverted and decends down the vaginal canal.
Degrees of prolapse	1st cervix is still well within the vagina, 2nd introitus, 3rd outside the vagina
PID	vaginal discharge/odor, painful intercourse, urination, irregular bleeding, and pain in right upper abdomen. Cannot tolerate bimanual exam. often caused by gonorrhea/chlamydia. Infection of reproductive organs.
Chronic PID	bilateral, tender, irregular, fairly fixed adnexal areas

Created by: quypham89

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