Speculum 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
• Perform vulval inspectionLook for any abnormalities, discharge, or lesions

Speculum Insertion0/5

• Warm speculum if metal
• Lubricate speculum
• Gently separate labia
• Insert speculum sideways, then rotate 90°
• Gently open speculum

Visualize Cervix0/3

• Identify cervical os
• Inspect cervix for abnormalities
• Check for abnormal discharge

• Inspect vaginal wallsLook for any abnormalities or lesions

Sampling (if indicated)0/2

• Perform cervical smear if needed
• Take swabs if indicated

Remove Speculum0/3

• Gently close speculum
• Rotate speculum 90°
• Gently remove speculum

Conclusion0/4

• Cover patient and provide privacy to clean up and dress
• Dispose of used equipment properly
• Summarize findings
• Suggest further tests if needed