Endometritis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
    • Inspection (viewing).
      • Skin and mucous membranes
      • Abdominal wall and inguinal region
  • Gynecological examination
    • Inspection
      • Vulva (external, primary female sexual organs).
      • Vagina (vaginal) [fluorine/discharge?, color?, foetor/odor?]
      • Cervix uteri (cervix), or portio (cervix; transition from cervix uteri to vagina (vagina)) [Fluor?, color?, Foetor?], if necessary, taking a Pap smear (for early detection of cervical cancer).
    • Palpation (bimanual; palpation with both hands) of the internal genital organs.
      • Cervix uteri (cervix) [dolence on movement?]
      • Uterus (uterus) [pressure pain (edge pain); in puerperal (“postpartum”) endometritis: enlarged uterus (subinvolutio uteri)]
      • Adnexa (appendages of the uterus, i.e., the ovary (ovary) and uterine tubule (fallopian tube)) [pressure-dolent?, enlarged?]
      • Parametria (pelvic connective tissue in front of the cervix to the urinary bladder and on both sides to the lateral pelvic wall) [pressure-dolent?]
      • Pelvic walls [pressure-dolent?]
      • Douglas space (pocket-like bulge of peritoneum (abdominal wall) between rectum (rectum) posteriorly and uterus (uterus) anteriorly) [pressure-dolent?, bulging?, painful?]

Square brackets [ ] indicate possible pathological (pathological) physical findings.