Uterine Inflammation (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.