A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination-including blood pressure, pulse, body weight, height; further:
- Inspection (viewing).
- Skin and mucous membranes
- Abdominal wall and inguinal region (groin area).
- Inspection (viewing).
- Gynecological examination
- Inspection
- Vulva (external, primary female sexual organs).
- Vagina (vagina)
- Cervix uteri (cervix), or portio (cervix; transition from the cervix (cervix uteri) to the vagina (vagina)). [possibly visible in the cercival canal / cervical canal: pedunculated submucosal / below the mucosa myoma; possibly enlarged cervix uteri due tocervical myoma; bleeding ex utero / from the uterus], possibly taking a Pap smear (for early detection of cervical cancer).
- Palpation (bimanual; palpation with both hands) of the internal genital organs.
- Cervix uteri (cervix) [possibly thickened by myoma: cervical myoma].
- Uterus (uterus) [normal: anteflexed/angled forward, normal size or enlarged, surface smooth or bumpy/corpus myoma/myoma of uterine body; multiple myomas of uterus = uterus myomatosus]
- Adnexa (appendages of the uterus, i.e., the ovary (ovary) and uterine tubule (fallopian tube)) [Normal: free]
- Parametria (pelvic connective tissue in front of the cervix to the urinary bladder and on both sides to the lateral pelvic wall) [Normal: free].
- Pelvic walls [Normal: free]
- Douglas space (pocket-like bulge of the peritoneum (abdominal wall) between the rectum (rectum) at the back and the uterus (uterus) at the front) [Normal: clear].
- Inspection
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
