reproductive system history and examination female breast and pelvic exam male genitourinary and...
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![Page 1: Reproductive System History and Examination Female Breast and Pelvic Exam Male Genitourinary and Rectal Exam Dr. Lanice Jones 2008](https://reader036.vdocument.in/reader036/viewer/2022062309/5697bfa21a28abf838c9626c/html5/thumbnails/1.jpg)
Reproductive System History and Examination
Female Breast and Pelvic ExamMale Genitourinary and Rectal
ExamDr. Lanice Jones 2008
![Page 2: Reproductive System History and Examination Female Breast and Pelvic Exam Male Genitourinary and Rectal Exam Dr. Lanice Jones 2008](https://reader036.vdocument.in/reader036/viewer/2022062309/5697bfa21a28abf838c9626c/html5/thumbnails/2.jpg)
Breast Examination
History: Common Concerns or Symptoms
Breast lump or mass
Breast pain or discomfort
Nipple Discharge
Risk Factors for Breast CancerAge - > 50 years old
Family History
Menstrual History
![Page 3: Reproductive System History and Examination Female Breast and Pelvic Exam Male Genitourinary and Rectal Exam Dr. Lanice Jones 2008](https://reader036.vdocument.in/reader036/viewer/2022062309/5697bfa21a28abf838c9626c/html5/thumbnails/3.jpg)
Risk Factors For Breast Cancer
Age – greater than 50Family History
First degree relativePre or Post MenopausalUnilateral or Bilateral
Menstrual HistoryMenarche < 12 years oldAge at menopause > 55
Pregnancy HistoryFirst live birth after 30 years of age or no pregnancyNot Breast Feeding or short time breast feeding
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Breast Anatomy
![Page 5: Reproductive System History and Examination Female Breast and Pelvic Exam Male Genitourinary and Rectal Exam Dr. Lanice Jones 2008](https://reader036.vdocument.in/reader036/viewer/2022062309/5697bfa21a28abf838c9626c/html5/thumbnails/5.jpg)
Breast Exam: Inspection
Arms at sides
Hands pressed against hips
Arms overhead
Look for skin color,
Skin retraction, dimpling
Nipple shape, asymmetry
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Palpation
Axillary Palpation Sitting
Check anterior, medial, lateral and posterior quadrant of axilla
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Palpation Lying
Expose one breast at a time
3 different Palpation techniques
Wedge (clock hours)
Vertical strip
circular
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Palpation techniques
Move fingers in small circles
One hand
Two hands for larger breasts – stabilize the tissue
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Nipple exam
Check for nipple discharge
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Pelvic Examination
HistoryMenarche, Menstruation, Menopause
Pregnancy
Pain
Vulvovaginal symptomsDischarge
Itching
Sores, lumps
Sexual activity
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Female Pelvic Anatomy
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Inspection
Inspection:Labia
Clitoris
Vaginal opening
Discharge
Lesions
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Inspection: Speculum Exam
Inspect vaginal opening
Vaginal walls
Cervix
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Palpation: Bimanual Examination
Use lubrication
Palpate cervix
Gently move cervix – test for pain with movement
Palpate uterus
Palpate each ovary
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Male Genitourinary Hx and Exam
HistoryPain
Swelling
Discharge
Sexual Problems: Pain or Erectile Dysfunction
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Pelvic Anatomy Male
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Inspection
1. Testicles2. Epididymis3. Corpus cavernosis4. Foreskin5. Frenulum6. uretheral meatus7. Glans penis8. corpu8s spongiosum9. Penis10. scrotum
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PalpationPalpate each testis and epididymis
Size, shape, consistency, tenderness, nodules
Palpate each spermatic cord and vas deferens
Palpate for Inguinal Hernias
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Digital Rectal Examination
PositionLying on left side
Standing
Inspect perianal area
Examine anus and rectum
Use lubrication, wait for sphincter to relax
Note sphincter tone, tenderness, irregularities or nodules