Bimanual Pelvic Examination

Introduction0/8

• Greetings
• Hand wash
• Verify the patient's identity
• Explanation of the examination
• Obtain consent
• Ensure presence of a chaperone
• Ask about any current pain
• Confirm if there's any chance of pregnancy

• Position patient in modified lithotomy positionAsk patient to bring heels towards bottom and let knees fall to the side

External Inspection0/5

• Inspect vulva for any abnormalities
• Check vaginal opening
• Locate urethral opening
• Check for signs of prolapse
• Ask patient to cough to check for stress incontinence

Bimanual Examination0/5

• Lubricate examining fingers
• Gently insert index and middle fingers into vagina
• Assess cervixCheck position, consistency, and for any cervical motion tenderness
• Assess uterusCheck size, shape, position, and for any masses or tenderness
• Assess adnexaCheck for masses or tenderness in the areas of the ovaries and fallopian tubes

• Withdraw fingers and inspect gloveCheck for any abnormal discharge or blood

Conclusion0/3

• Cover patient and provide privacy to clean up and dress
• Summarize findings
• Suggest further tests if needed