bimanual

Double-consultation is a two-finger or one-finger one in one hand and the other hand in the abdomen. The purpose is to check the vaginal, cervix, uterine body, fallopian tube, ovary and paracrine connective tissue and pelvic cavity for abnormalities. Basic Information Specialist classification: gynecological examination classification: ultrasound Applicable gender: whether women are fasting: fasting Analysis results: Below normal: Normal value: no Above normal: negative: No abnormal pain and bleeding. Positive: (1) Check the vagina: Touch the elasticity, patency of the vagina, with or without tenderness, deformity, mass, posterior malleolus and fullness. (2) Cervical: size, hardness, mobility, presence or absence of itching, swelling or contact bleeding. (3) Check the uterus and accessories: to find out the location, size, shape, hardness, activity and tenderness of the uterus. Move the two fingers in the vagina to the lateral iliac crest, and move the hand in the lower abdomen to the side of the pelvic cavity. Check the para-uterine tissue, ovary, and fallopian tube between the internal and external hands. The normal fallopian tube is difficult to clear, and the ovary can sometimes be touched. Sour feeling. Note whether the attachment has thickening, tenderness or swelling. If there is a lump, the size, shape, softness, mobility, tenderness and relationship with the uterus should be further investigated. Tips: A few days before the check, pay attention to diet, do not eat too much greasy, not easy to digest food, do not drink. Normal value No abnormal pain and bleeding. Clinical significance Abnormal results: 1, check the vagina: touch the elasticity of the vagina, patency, with or without tenderness, deformity, mass, posterior malleolus and fullness. 2, the cervix: size, hardness, mobility, with or without itching, tumor or contact bleeding. 3, check the uterus and accessories: to find out the location, size, shape, hardness, mobility and tenderness of the uterus. Move the two fingers in the vagina to the lateral iliac crest, and move the hand in the lower abdomen to the side of the pelvic cavity. Check the para-uterine tissue, ovary, and fallopian tube between the internal and external hands. The normal fallopian tube is difficult to clear, and the ovary can sometimes be touched. Sour feeling. Note whether the attachment has thickening, tenderness or swelling. If there is a lump, the size, shape, softness, mobility, tenderness and relationship with the uterus should be further investigated. People who need to be examined: married women. Precautions Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. The examination should be 3-7 days after the menstrual cleansing. A few days before the examination, pay attention to diet, do not eat too much greasy, not easy to digest food, do not drink alcohol, do not eat drugs that damage the liver and kidney function. Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. Inspection process The inspector wears sterile gloves, two-finger lubricant in the right or left hand, gently inserts into the posterior wall of the vagina, checks the fluency and depth of the vagina, and then touches the size, shape, hardness and external appearance of the cervix, with or without contact. Bleeding. When the direction of the outer cervix is ​​approached, the uterus is tilted forward; when the anterior cervix is ​​backward, the cervix is ​​anterior and the vaginal finger is facing forward and the vaginal finger reaches the uterus. Then put the two fingers in the vagina behind the cervix, and put the palm of your hand down on the flat umbilicus of the patient's abdomen. When the finger in the vagina lifts the cervix upwards, the abdominal finger presses down the abdominal wall and gradually goes to the pubic symphysis. Move, through the internal and external fingers simultaneously lift and press, and coordinate with each other, you can touch the position, size, shape, hardness, activity and tenderness of the clear uterus. Not suitable for the crowd Inappropriate people: unmarried women. Adverse reactions and risks Nothing.

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