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Doctor insights on: Speculum Examination

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Digital rectal exam lithomy position?

Digital rectal exam lithomy position?

May depend on doctor: A good position for a rectal exam is a one where the anus is accessible to the doctor's finger, and the doctor feels he is able to get a really good exam: lying on the side, bent over the examination table, or lying down with feet in stirrup (lithotomy position), etc... The position is not that important. What's important is that the dr. Is able to reach and feel everything he wants to examine. ...Read more

Speculum (Definition)

Refers to an instrument that can be placed inside a structure and the arms open to expose the interior of that structure. In gynecology, a speculum refers to the instrument placed in the vagina, opened slightly to expose the cervix for examinations such ...Read more


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Would a gyno exam include an armpit exam?

Would a gyno exam include an armpit exam?

Yes: A complete gynecological exam includes breast exam, axilla, supraclavicular and neck lymph nodes. Pelvic exam to include inguinal area examination as well. ...Read more

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Cervical cancer examination can tear hymen?

Cervical cancer examination can tear hymen?

Why do you ask?: It is extremely unlikely for a virgin to have cervical cancer. Any test requiring entering the vagina will affect the hymen. ...Read more

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Can an eye examination detect neurological abnormalities?

Can an eye examination detect neurological abnormalities?

Yes: Optic neuritis is a frequent manifestation of multiple sclerosis and may be the first sign of disease detected on eye examination. ...Read more

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Will a post-rape STI screening involve an internal examination?

Will a post-rape STI screening involve an internal examination?

Rape exam: After a rape, evaluation involves interview, physical exam and tests. Hopefully, one receives all from a very sensitive person. The physical exam does involve a genital exam to evaluate for trauma. Usually, an internal exam is done and a long q-tip takes a sample from inside to assess for std exposure. Call your md or the er you will go to and ask questions to help you be more comfirtable. ...Read more

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Does a colonoscope exam hurt?

Does a colonoscope exam hurt?

No: I have been told that it is mildly uncomfortable and one can feel a pressure sensation. However, anesthesia and pain medications are administered before and during the procedure. ...Read more

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How will an eye doctor perform eye examination without refraction?

How will an eye doctor perform eye examination without refraction?

Two different things: A comprehensive eye evaluation should include a refraction, but it is not always essential. Refraction measures whether the eye is near- or farsighted, or has astigmatism. These conditions are not considered medical problems and correcting them alone does not rule out someone having other diseases in the eye. If a patient has a specific problem, refraction may be avoided altogether. ...Read more

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Is a board certified and licensed optician qualified to perform a refractive eye exam for an eyeglass prescription using digital eye exam equipment?

Is a board certified and licensed optician qualified to perform a refractive eye exam for an eyeglass prescription using digital eye exam equipment?

Eye professionals: An optician strictly fits glasses. An optometrist is trained and qualified to do regular eye exams as you describe, along with some eye care. An ophthalmologist is a physician who performs medical and surgical eye care. ...Read more

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Is lady's digital rectal examination uncomfortable?

Is lady's digital rectal examination uncomfortable?

Shouldn't be: This should be a gentle component of a vaginal examination and while a bit of a shock the first time, should not be a lasting issue. If there is no pathology in this region, there is nothing to cause deeper pain. ...Read more

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Can a virgin undergo an endocervical swab?

Can a virgin undergo an endocervical swab?

Yes: It should not be a problem inserting a speculum and take a sample from the cervix at all. ...Read more

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Will a pelvic exam and pap smear detect pcos and/or endometriosis?

Will a pelvic exam and pap smear detect pcos and/or endometriosis?

No: Not really. The pelvic exam can rule out any masses or major abnormalities. Pcos is diagnosed based on clinical findings and abnormalities in blood work(hormonal). Endometriosis is diagnosed by laparoscopy. ...Read more

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What happens during an annual gynecological exam?

What happens during an annual gynecological exam?

Gyn exam: When I do an annual GYN exam I exam the head, eyes, ears, nose and throat. Neck is examined. Heart and lungs are examined. abdomen and extremities are examined. A breast exam is done. A pelvic exam is done with a Pap smear. Labs are ordered, other tests, immunizations etc are ordered as needed. Medications are filled and medical advice given and questions answered. ...Read more

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First 2 annual gyno apt, doctor has not preformed a breast exam or rectal exam- only does pap & bimanual quickly. Is this something I should ask for?

First 2 annual gyno apt, doctor has not preformed a breast exam or rectal exam- only does pap & bimanual quickly. Is this something I should ask for?

Possibly: At least, ask your doctor why you don't need them. It's your health- speak up. They may have a good reason. This is best handled in a conversation with your doctor. ...Read more

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Can a doctor notice chlamydia during a gynecological exam?

Can a doctor notice chlamydia during a gynecological exam?

If they do the test: They might notice inflammation or discharge, but unless the test is done (chlamydia naat), they couldn't no for sure that it was due to chlamydia. ...Read more

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How is a rectal exam performed?

How is a rectal exam performed?

Routine exam: Includes a rectal. Two positions: lying on side, bending over. With women it can be done as part of pelvic lying on back using fingers in vagina and rectum. A glove & lubricant are always used. The exam in men chcecks prostate as ewll as rectum, in women recto-vaginal septum. Stool on the glove is used to detect occult blood. A good exam should be thorough but not painful. ...Read more

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Can incipient cataracts be diagnosed with a slit-lamp examination? Any additional tests required if slit lamp doesn't reveal anything?

Can incipient cataracts be diagnosed with a slit-lamp examination? Any additional tests required if slit lamp doesn't reveal anything?

Yes. No. : Diagnosis of a cataract, whether incipient or otherwise, is best done through a dilated pupil under slit lamp examination by a trained ophthalmologist. Additional testing may be performed to ascertain impact on vision, however nothing else is required to diagnose. ...Read more

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How do a comprehensive eye exam and a routine eye exam differ?

How do a comprehensive eye exam and a routine eye exam differ?

Less detailed: In many practices a routine eye exam will be a brief exam that does not include a detailed exam of all of the parts of the eye. In addition there is typically no discussion of any medical issues associated with the eye. ...Read more

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Isn't a rectovaginal exam always a part of a pelvic exam?

No: More than a decade ago it was. But little is gained on rectal exam as part of a routine gyne visit. If there are rectal symptoms, then this is a different story. ...Read more

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