Vaginal Examination (PV) | Bimanual | OSCE Guide | UKMLA | CPSA

Summary

In this informative consultation, Dr. Grace explains the process of a vaginal examination to Charlotte, a 28-year-old woman. The examination includes both external and internal assessments, focusing on the vulva and vagina, as well as checking the cervix, uterus, and ovaries for any abnormalities. Throughout the procedure, Dr. Grace emphasizes comfort and consent, ensuring Charlotte understands each step. The results of the examination are normal, concluding the session with an invitation for any further questions. This transcript serves as an educational resource for understanding gynecological exams.

Takeaways

• 😀 A vaginal examination involves checking for abnormalities in the external and internal genital areas.
• 😀 The doctor will begin with a brief abdominal examination to assess any discomfort or pain.
• 😀 A female staff member will be present as a chaperone during the examination for comfort and privacy.
• 😀 The internal examination involves the doctor using two fingers to assess the vagina, cervix, and ovaries.
• 😀 Patients are encouraged to communicate any discomfort or request to stop the examination at any point.
• 😀 The doctor explains the steps of the examination clearly to ensure patient understanding and consent.
• 😀 The patient is advised to undress from the waist down and use a blanket for modesty during the exam.
• 😀 No abnormalities were found in the external genitals, and the internal examination results were normal.
• 😀 The findings include a normal-sized uterus that is mobile and non-tender with no palpable masses.
• 😀 The session concludes with the doctor inviting any further questions from the patient and providing next steps.

Q & A

What is the purpose of the vaginal examination discussed in the script?

The vaginal examination is conducted to check for any abnormalities in the genital area, including the vagina, cervix, and ovaries.

What initial steps does the doctor take before the internal examination?

The doctor first checks the patient's abdomen for pain and examines the external genitals for any abnormalities.

How does the doctor ensure the patient's comfort during the examination?

The doctor explains each step of the examination beforehand and reassures the patient that she can ask to stop at any time.

What position does the patient need to assume for the examination?

The patient is asked to undress from the waist down, lie back on the examination couch, and draw her ankles up to her buttocks with her legs falling open.

What instruments or aids are used during the examination?

The doctor uses lubricant for the internal examination and a light to better visualize the external and internal areas.

What findings were reported from Charlotte's examination?

The findings from the examination were normal, with no abnormalities detected in the uterus, vagina, or ovaries.

What steps does the doctor take during the internal examination?

The doctor places two fingers inside the vagina to examine its walls, feels for the cervix, and assesses the uterus and ovaries through abdominal pressure.

What should the patient do after the examination is complete?

The patient is advised to get dressed and can use wipes provided by the doctor before coming out from behind the curtain.

Is there any indication that the patient might be pregnant?

The doctor asks if there is any chance the patient could be pregnant, to which the patient responds no.

What role does the chaperone play during the examination?

A female staff member is present as a chaperone to ensure the patient's comfort and safety during the examination.