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J Reprod Med. 2002 Oct;47(10):825-8. Comparing bimanual pelvic examination to ultrasound measurement for assessment of gestational age in the first trimester of pregnancy. Nichols M(1), Morgan E, Jensen JT. Author information: (1)Department of Obstetrics and Gynecology, Oregon Health and Science University,
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A pelvic examination is the physical examination of the external and internal female pelvic organs. It is called "bimanual exam" when two hands are used and "manual uterine palpation It is frequently used in gynecology. The examination can be uncomfortable. During the pelvic exam the vaginal wall is assessed for rugae,
Procedures before examination. ? Ask her to empty bladder beforehand. ? Assure privacy and ask for a chaperone. ? Draw the curtains. ? Ask to lie on the couch and undress, waist down. ? Sheet for dignity. ? Position her on back, hips and knees flexed and thighs abducted. ? Examine abdomen for any mass and be sure.
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Palpate vagina and Cervix. Technique. Introduce the middle and index fingers of your gloved and lubricated hand into the vagina. The thumb should be abducted and the ring and little fingers flexed into the palm. Feel: Identify the cervix, noting its position, shape, consistency, regularity, mobility and tenderness. Palpate
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February 2018