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Pelvic Examination

Manual Pelvic Examination (procedure)


Presentation

  • This paper presents one case story of earlier child sexual abuse and one case of temporary infertility.[ncbi.nlm.nih.gov]
  • Occult cervical pathogens may be present in these patients. Copyright 2010 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • Speculum examination is indicated in those presenting with severe bleeding or hypotension as removal of obstructing endocervical products can be a crucial resuscitative measure.[ncbi.nlm.nih.gov]
  • Chescheir, MD, present evidence and opinions from the legal and medical perspectives regarding conducting pelvic exams on anesthetized women without or with vague consent.[ncbi.nlm.nih.gov]
  • Abstract The present study aimed to determine whether pelvic examinations change clinical management of women with asymptomatic chlamydia infection.[ncbi.nlm.nih.gov]
Vietnamese
  • Prev Med 2005 41 439 45 ,, ,, ,. et al Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev 2004 13 613 9 ,, ,. Attitudes towards pelvic examination and chaperones: a questionnaire survey of patients and providers.[doi.org]
Sparse Hair
  • Sparse hair patterns can exist in older and in some Asian women. The labia majora are evaluated. Their position and symmetry are assessed. The expected finding in older women is that the labia majora can be thinner and smaller.[en.wikipedia.org]
Adnexal Mass
  • The sensitivity to detect adnexal masses was much lower than the sensitivity to assess uterine size or uterine contour. Obesity noticeably reduced detection of adnexal masses.[ncbi.nlm.nih.gov]
  • It can also refer to the way it is given, the dose, or how often it is given. adnexal mass listen (ad-NEK-sul…) A lump in tissue near the uterus, usually in the ovary or fallopian tube.[cancer.gov]
Adnexal Tenderness
  • Abnormal bimanual findings included adnexal tenderness (6 [12%]) and uterine tenderness (4 [8%]). One patient (2.5%) had a positive antigen test for Chlamydia trachomatis.[ncbi.nlm.nih.gov]
Uterine Tenderness
  • Abnormal bimanual findings included adnexal tenderness (6 [12%]) and uterine tenderness (4 [8%]). One patient (2.5%) had a positive antigen test for Chlamydia trachomatis.[ncbi.nlm.nih.gov]

Workup

  • […] included conditions (including but not limited to abnormal bleeding, pelvic pain, incontinence, and infertility); quality of life KQ 2: Sensitivity, specificity, likelihood ratios, positive and negative predictive values KQ 3: Unnecessary diagnostic workup[uspreventiveservicestaskforce.org]
  • Diagnostic workup however is needed to ascertain the underlying cause of the anemia. (1-5) History and physical examination Diagnosis begins with a detailed history and physical examination.[news-medical.net]
  • Available evidence reports false-positive rates for ovarian cancer of 1.2% to 8.6% and false-negative rates of 0% to 100%. 4 Pelvic examination screening also could result in unnecessary diagnostic workup and treatment.[doi.org]
  • Current standard of care requires further workup of any abnormality found on Pap. -this usually consists of screening for HPV, colposcopy, and bx of cervical samples. Decreases the incidence and mortality of cervical CA.[quizlet.com]

Treatment

  • Likewise societal opinions have intensified regarding the rights of patients, especially those deemed less likely to express their humiliation if they should discover themselves in compromising positions during treatment.[ncbi.nlm.nih.gov]
  • These data suggest that a pelvic examination will lead to changes in treatment for very few women diagnosed with asymptomatic chlamydia infection.[ncbi.nlm.nih.gov]
  • STUDY DESIGN: This was an observational study that was conducted from July 1, 2000 through December 31, 2002 that comprised 67 patients with stage 1B-2A cervical cancer who underwent primary surgical treatment.[ncbi.nlm.nih.gov]
  • METHODS: The SNAP-IT (Smooth National Adaptation and Presentation of Guidelines to Improve Thrombosis Treatment) method was used to determine whether the ACP guideline was consistent with CTFPHC standards and could be adapted or adopted.[ncbi.nlm.nih.gov]
  • Overall, the USPSTF found inadequate evidence on screening pelvic examinations for the early detection and treatment of a range of gynecologic conditions in asymptomatic, nonpregnant adult women.[ncbi.nlm.nih.gov]

Prognosis

  • Acute myeloid leukemia with myelodysplasia-related changes usually occurs in older adults and has a poor prognosis.[cancer.gov]

Epidemiology

  • More information on the burden and epidemiology of the numerous gynecologic conditions potentially detected by pelvic examination is available in Table 1 of the accompanying systematic evidence review. 2 Scope of Review The USPSTF commissioned a systematic[uspreventiveservicestaskforce.org]
  • […] impact of our findings, we think there is a pressing need for improving patient counseling concerning this exam,” said senior author Miriam Kupperman , PhD, MPH, a UCSF professor in the departments of Obstetrics, Gynecology and Reproductive Sciences, and Epidemiology[ucsf.edu]
  • “Stories are very powerful, but they are the antithesis of epidemiological evidence,” Sawaya said. “The focus should be on symptoms, and on how to keep people healthy, not to turn healthy people into patients.”[khn.org]
  • More information on the burden and epidemiology of the numerous gynecologic conditions potentially detected by pelvic examination is available in Table 1 of the accompanying systematic evidence review. 4 The USPSTF commissioned a systematic review to[doi.org]
  • The amount of epidemiologic and physiologic information about contraceptives has grown enormously, and the methods have evolved toward safer formulations; today's oral contraceptives, for example, contain much lower doses of contraceptive hormones than[guttmacher.org]
Sex distribution
Age distribution

Prevention

  • […] use of pelvic examinations to screen for cancer (other than cervical), pelvic inflammatory disease, or other benign gynecologic conditions to determine whether the ACP guideline on routine pelvic examinations was consistent with Canadian Task Force on Preventive[ncbi.nlm.nih.gov]
  • It has been suggested that to address every preventive service recommended by the U.S.[aafp.org]
  • Perdue, MPH US Preventive Services Task Force USPSTF Recommendation: The Screening Pelvic Examination US Preventive Services Task Force; Kirsten Bibbins-Domingo, PhD, MD, MAS; David C. Grossman, MD, MPH; Susan J. Curry, PhD; Michael J.[jamanetwork.com]

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