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we're not going to begin the pelvic examination
buzzword may ask refuse like that please
and place your heels in the he'll support
and if you bring your body down to the end of the table
and would be possible to move betrayed
torture waste
the first part of the pelvic examination consists of inspection of the
external genitalia
we first notice the hair distribution
the ***
the lady in the job the lady in the norm
the clear o hood
before shed
the karelian
and the ***
that's what i'm going to just
hauppauge ordinary over here
we now open the
introduced
and uh... it's important to recognize that the bottling plants are
approximately here at for and eight o'clock
and the ducks except in this area
i'm going to
gently and through the contrarians
is this to disclose and tendons
here
and
okay not cause any discomfort if this causes you any discomfort please let me
know
we're now going to begin the speculate nomination to jean if you can lubricate
the spec completes
budget
we always use water as the lubricant because any other agents such as surgeon
to may actually interfere with the pap smear determination
the special is that it's a instrument which has two bills which open like this
and has a set screw which locks the bill in an open position
once once the speculum is inserted i will open the bills to open leave the
china for visualization of the ***
we place the
speculum into the jar no
light
first club polling firm pressure posteriorly with two fingers which are
being inserted now into the national trends
i'm going to research repeaters into your ***
and as i A
press
down post era many i will insert the speculum over my fingers
and down
improved
the vaginal dryness
inserted i'm going to turn horizontally
for causing any discomfort
i'm now going to open the
pills and speculum
to visualize
the ***
the *** is easily visualized inspected for discharge everything in
our corrosion ulceration
no complaints here format
we are now going to do a pap smear
maternity
specialties
this is a spatula for pap smear determination it's inserted through the
speculum
andes placed at the external cervical us
the specialist world scraping off cells from the external server co-ops
we have taken microscopic for it
we smear the cells
on microscopic slide
led to the special please
we're now going to evaluate sales in the four listings around the ***
and the specimens from the poster
for nixon
the spectrum is now going to be withdrawn slowly
and we're going to gently with your art as we evaluate the vaginal walls
next part of the pelvic examination is the by manual examination