In this episode we go back to the basics with a chat about gynaecological exams. This is one for the students, junior doctors or those that feel their speculum exams are less than spec-tacular. We discuss issues such as:
- The use of chaperones for intimate examinations
- Patient positioning for success
- How to wield the speculum
- What swabs to use when
- Tips and tricks for those particularly tricky ones
A. Lithotomy B. “M” position C. Lateral position D. “Diamond” position E. “V” Position. With thanks, from Clinical Anatomy and Physiology of Female Reproductive System
If you’ve got any gynae gems to share, leave a comment below. We’d love to hear your tips!
References & Resources
Statement about the use of chaperones from RACGP and guidelines for undertaking gynaecological examinations from RANZCOG
Broome Docs blog post on SOLVS vs clinical swabs for STIs
Cervix sampling guide with pictures of different normal and abnormal cervical appearances – from the Cancer Council Victoria
Handy and comprehensive guide from the WA health department silver book: Quick Guide to STI Screening
Step-by-step guide to bimanual examination and taking a cervical smear from Osce Skills
King Edward Memorial Hospital Speculum Examination Guideline
Bits & Bumps 
I just came across this interesting teaching approach – the paw paw:
http://papayaworkshop.org/workshop-video/bimanual-examination/
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