Do you want BuboFlash to help you learning these things? Or do you want to add or correct something? Click here to log in or create user.



Tags
#obgyn
Question
First Prenatal Visit Physical Examination
1. General: Vital signs, Weight (calculate BMI)
2. Head and Neck:
• thyroid exam
• chloasma
• gums/mucous membranes: hyperemic/swollen; epulis of pregnancy
3. Chest:
• elevated diaphragm
4. Heart:
• increased heart rate
• murmurs: flow versus possible pathologic
5. Breast:
• leakage
• physiologic changes
6. Abdomen:
• striae
• linea nigra
• rectus diastasis
• uterus
7. Pelvic Examination:
• External Genitalia Inspection:
---• lesions: condyloma, ulcers, varicosities
---• previous surgeries: female genital mutilation
• Internal Genitalia:
---• Speculum Exam
• Inspection:
---• Vagina:
------• Chadwick’s sign (bluish discoloration)
------• vaginitis (yeast is common)
---• Cervix:
------• Ectropion
------• Polyps
• Cultures:
---• Chlamydial culture is taken from just inside the external os
---• Gonorrheal culture from os/cervix
• Pap:
---• Do not use intracervical brush during pregnancy - spatula or external brush only
• The cervix is often friable during pregnancy and may bleed from Pap - reassure patient that you are nowhere near the pregnancy and that spotting is normal after a Pap smear in pregnancy
• Bimanual Examination:
---• largely replaced by first trimester ultrasound.
---• Cervix: Hegar’s sign ([...])
• Uterus
---• size (ensure it is consistent with dates)
---• shape (expect it to be symmetrically enlarged)
---• consistency (expect soft)
---• if the uterus is firm, smaller than expected, irregularly enlarged, then reconsider dates, viability, uterine anomaly, ectopic pregnancy
• Adnexa: masses, their size, shape, consistency, mobility, tenderness
• Bony pelvis (clinical pelvimetry to assess adequacy of pelvis for labour):
---• Type of pelvis:
------• gynecoid
------• android
------• anthropoid
------• platypelloid
---• Pelvic inlet:
------• sub-pubic arch (should not be narrow)
------• prominence of sacrum (should not be too prominent)
------• symphysis-sacral distance
---• Midpelvis: prominence of spines (should not be too prominent)
---• Pelvic outlet: inter-tuberous distance
8. Extremities: check for edema and varicosities
Answer
softening

Tags
#obgyn
Question
First Prenatal Visit Physical Examination
1. General: Vital signs, Weight (calculate BMI)
2. Head and Neck:
• thyroid exam
• chloasma
• gums/mucous membranes: hyperemic/swollen; epulis of pregnancy
3. Chest:
• elevated diaphragm
4. Heart:
• increased heart rate
• murmurs: flow versus possible pathologic
5. Breast:
• leakage
• physiologic changes
6. Abdomen:
• striae
• linea nigra
• rectus diastasis
• uterus
7. Pelvic Examination:
• External Genitalia Inspection:
---• lesions: condyloma, ulcers, varicosities
---• previous surgeries: female genital mutilation
• Internal Genitalia:
---• Speculum Exam
• Inspection:
---• Vagina:
------• Chadwick’s sign (bluish discoloration)
------• vaginitis (yeast is common)
---• Cervix:
------• Ectropion
------• Polyps
• Cultures:
---• Chlamydial culture is taken from just inside the external os
---• Gonorrheal culture from os/cervix
• Pap:
---• Do not use intracervical brush during pregnancy - spatula or external brush only
• The cervix is often friable during pregnancy and may bleed from Pap - reassure patient that you are nowhere near the pregnancy and that spotting is normal after a Pap smear in pregnancy
• Bimanual Examination:
---• largely replaced by first trimester ultrasound.
---• Cervix: Hegar’s sign ([...])
• Uterus
---• size (ensure it is consistent with dates)
---• shape (expect it to be symmetrically enlarged)
---• consistency (expect soft)
---• if the uterus is firm, smaller than expected, irregularly enlarged, then reconsider dates, viability, uterine anomaly, ectopic pregnancy
• Adnexa: masses, their size, shape, consistency, mobility, tenderness
• Bony pelvis (clinical pelvimetry to assess adequacy of pelvis for labour):
---• Type of pelvis:
------• gynecoid
------• android
------• anthropoid
------• platypelloid
---• Pelvic inlet:
------• sub-pubic arch (should not be narrow)
------• prominence of sacrum (should not be too prominent)
------• symphysis-sacral distance
---• Midpelvis: prominence of spines (should not be too prominent)
---• Pelvic outlet: inter-tuberous distance
8. Extremities: check for edema and varicosities
Answer
?

Tags
#obgyn
Question
First Prenatal Visit Physical Examination
1. General: Vital signs, Weight (calculate BMI)
2. Head and Neck:
• thyroid exam
• chloasma
• gums/mucous membranes: hyperemic/swollen; epulis of pregnancy
3. Chest:
• elevated diaphragm
4. Heart:
• increased heart rate
• murmurs: flow versus possible pathologic
5. Breast:
• leakage
• physiologic changes
6. Abdomen:
• striae
• linea nigra
• rectus diastasis
• uterus
7. Pelvic Examination:
• External Genitalia Inspection:
---• lesions: condyloma, ulcers, varicosities
---• previous surgeries: female genital mutilation
• Internal Genitalia:
---• Speculum Exam
• Inspection:
---• Vagina:
------• Chadwick’s sign (bluish discoloration)
------• vaginitis (yeast is common)
---• Cervix:
------• Ectropion
------• Polyps
• Cultures:
---• Chlamydial culture is taken from just inside the external os
---• Gonorrheal culture from os/cervix
• Pap:
---• Do not use intracervical brush during pregnancy - spatula or external brush only
• The cervix is often friable during pregnancy and may bleed from Pap - reassure patient that you are nowhere near the pregnancy and that spotting is normal after a Pap smear in pregnancy
• Bimanual Examination:
---• largely replaced by first trimester ultrasound.
---• Cervix: Hegar’s sign ([...])
• Uterus
---• size (ensure it is consistent with dates)
---• shape (expect it to be symmetrically enlarged)
---• consistency (expect soft)
---• if the uterus is firm, smaller than expected, irregularly enlarged, then reconsider dates, viability, uterine anomaly, ectopic pregnancy
• Adnexa: masses, their size, shape, consistency, mobility, tenderness
• Bony pelvis (clinical pelvimetry to assess adequacy of pelvis for labour):
---• Type of pelvis:
------• gynecoid
------• android
------• anthropoid
------• platypelloid
---• Pelvic inlet:
------• sub-pubic arch (should not be narrow)
------• prominence of sacrum (should not be too prominent)
------• symphysis-sacral distance
---• Midpelvis: prominence of spines (should not be too prominent)
---• Pelvic outlet: inter-tuberous distance
8. Extremities: check for edema and varicosities
Answer
softening
If you want to change selection, open document below and click on "Move attachment"

First Prenatal Visit Physical Exam
m Pap - reassure patient that you are nowhere near the pregnancy and that spotting is normal after a Pap smear in pregnancy • Bimanual Examination: ---• largely replaced by first trimester ultrasound. ---• Cervix: Hegar’s sign (<span>softening) • Uterus ---• size (ensure it is consistent with dates) ---• shape (expect it to be symmetrically enlarged) ---• consistency (expect soft) ---• if the uterus i

Summary

statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill

Details

No repetitions


Discussion

Do you want to join discussion? Click here to log in or create user.