Flashcards in CPD Lab: Female genitalia, CBE, PVE Deck (69)
Location of Bartholin's glands
5-7 o'clock of vaginal introitus. Palpate using thumb and index finger (if indicated)
Ddx of swelling of Barthloin's glands
Bartholin's gland cyst, abscess, adenocarcinoma
When is vaginal discharge heaviest and stringy?
Wet prep: location of sample
Order of sample taking
1. Wet prep (check pH)
2. Cervical culture
3. Pap smear (a: V shaped brush 5x 360 rotations at squamocolumnar junction b: cytobrush into the os the depth of the brush, rotate once)
What do wet preps test for?
Candida albican, trichomonas, bacterial vaginosis (sample must be warm)
What do cervical cultures test for?
Uterine infection (streptococcus, gonorrhea, chlamydia)
Where is a cervical culture sample taken from?
Sterile swab inserted into the os one rotation holding swab in os up to level of the cotton for 30 seconds.
During the bi-manual exam, the internal hand _______ while the abdominal hand _________ __________.
Internal hand: palpates
Abdominal hand: maneuvers organs
Where should abdominal hand be placed during uterine palpation?
Midway between the umbilicus and the symphysis pubis
Where should the abdominal hand be placed during adnexal palpation?
Just medial to the iliac crest
What parameters should you assess if a mass is noted?
When is a recto-vaginal exam indicated?
1) Retrovertoed or retroflexed uteri
2)Suspected masses in rectovaginal septum (endometriosis)
3) Women over age 40: screen for colorectal CA
Tanner Stages of sexual maturation rating (SMR)
Stage 1 (breast)
Preadolescent: elevation of nipple only
SMR Stage 2 (breast)
Breast bud stage: elevation of breast and nipple as a small mound; enlargement of areolar diameter
SMR Stage 3 (breast)
Further enlargement of elevation of breast and areola with no separation of their contours
SMR Stage 4 (breast)
Projection of areola and nipple to form a secondary mound above the level of the breast
SMR Stage 5 (breast)
Mature stage: projection of nipple only. Areola has receded to general contour of breast
SMR Stage 1 (pubic hair)
Preadolescent: no pubic hair except for fine body hair (vellus hair) similar to that of abdomen
SMR Stage 2 (pubic hair)
Sparse growth of long, slightly pigmented downy hair, straight or only slightly curly, chiefly along the labia
SMR Stage 3 (pubic hair)
Darker, coarser, curlier hair, spreading sparsely over the pubic symphysis
SMR Stage 4 (pubic hair)
Coarse and curly hair as in adults; area covered greater than in stage 3 but not as great as in the adult and not yet including the thighs
SMR Stage 5 (pubic hair)
Hair adult in quantity and quality, spread on the medial surfaces of the thighs but not up over the abdomen
Skene's glands location
Posterior to the urethral meatus bilaterally
Condyloma Acuminata from HPV
Epidermal manifestation of HPV [commonly HPV 6 or 11 (genital warts)]
HPV and cervical dysplasia
HPV strains 16 and 18 cause 70% of cervical dysplasia
Pederson vs Graves and indications for each
Pederson: flat and narrow (younger, virginal, nulliparious women, menopausal/post menopausal women)
Graves: wider blade with curved sides (parous women)
What is it termed when the squamocolumnar junction is visible as a darker pink circle around the os?
What does CMT indicate?
Infection, endometriosis, PID, ovarian cysts, adhesions, adnexal torsion