Dyspareunia physical examination: Difference between revisions

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Latest revision as of 00:16, 23 September 2020

Overview

The presence of erythema, discharge, atrophy or ulceration, growth, deformity, or warts on external genitalia or lesions on the cervix and internal genitalia can be suggestive of dyspareunia. The presence of pain on the cotton-swab test is diagnostic of localized provoked vulvodynia.

Physical examination

The presence of erythema, discharge, atrophy or ulceration, growth, deformity, or warts on external genitalia or lesions on the cervix and internal genitalia can be suggestive of dyspareunia. The presence of pain on the cotton-swab test is diagnostic of localized provoked vulvodynia.

Appearance of the Patient

Patients with dyspareunia usually appear normal.

Vital Signs

Vital signs usually normal

Skin

Skin examination of patients with dyspareunia is usually normal.

HEENT

HEENT examination of patients with dyspareunia is usually normal.

Neck

Neck examination of patients with dyspareunia is usually normal.

Lungs

Pulmonary examination of patients with dyspareunia is usually normal.

Heart

Cardiovascular examination of patients with dyspareunia is usually normal.

Abdomen

Abdominal examination of patients with dyspareunia is usually normal unless the cause of dyspareunia is adenexal mass, uterine fibroids, pelvic tumors.

Back

Back examination of patients with normal is usually normal, but 22% of patients with chronic pelvic pain has musculoskeletal causes.

Neuromuscular

Neuromuscular examination of patients with dyspareunia is usually normal, 22% of patients with chronic pelvic pain has musculoskeletal causes.

Extremities

Extremities examination of patients with dyspareunia is usually normal.

Genitourinary

Different findings can be found based on the underlying cause of dyspareunia.

Inflamed mucosa or Clear/(color), foul-smelling/odorless penile/vaginal discharge, atrophy
A pelvic/adnexal mass may be palpated in pelvic tumors.
enlarged prostate in the rectal exam

References

@@ Line 2: / Line 2: @@
 {{Dyspareunia}}
 ==Overview==
+The presence of [[erythema]], [[discharge]], [[atrophy]] or [[ulceration]], [[growth]], [[deformity]], or [[warts]] on external genitalia or lesions on the [[cervix]] and [[internal genitalia]] can be suggestive of  [[dyspareunia]]. The presence of pain on the [[cotton-swab test]] is diagnostic of localized provoked [[vulvodynia]].
 ==Physical examination==
-In women:
+The presence of [[erythema]], [[discharge]], [[atrophy]] or [[ulceration]], [[growth]], [[deformity]], or [[warts]] on external genitalia or lesions on the [[cervix]] and [[internal genitalia]] can be suggestive of  [[dyspareunia]]. The presence of pain on the [[cotton-swab test]] is diagnostic of localized provoked [[vulvodynia]].
-*Look for any abnormal areas of [[erythema]] or [[edema]], white patches,vulvular scarring,[[ulcers]] on [[external genitalia]]
+===Appearance of the Patient===
-*'''[[Vagina]] and [[cervix]] examination'''
+*Patients with dyspareunia usually appear normal.
-**Look for any [[erythema]], erosions,[[atrophy]],[[discharge]]<br>
+===Vital Signs===
-*'''Evaluation of external musculoskeletal:'''
+*Vital signs usually normal
-**complete [[lower back]], [[abdomen]], and pelvic examination<br>
-*'''external visual and sensory examination'''<br>
+===Skin===
-**'''internal single digit palpation of the pelvic floor'''<br>
+* Skin examination of patients with [[dyspareunia]] is usually normal.
-**'''bimanual examination for evaluation of:''' <br>
-***[[uterus]], cul-de-sac, and [[adnexal]] regions
+===HEENT===
-**the internal [[vaginal]] tissue, cervix
+* HEENT examination of patients with [[dyspareunia]] is usually normal.
-*External Genitalia examination:
-Look for any abnormal areas of [[erythema]] or [[edema]], white patches, [[valvular Scarring]] or penile [[deformity]], [[ulcers]] on external genitalia
+===Neck===
-*[[Vagina]] and [[cervix]] examination
+* Neck examination of patients with [[dyspareunia]] is usually normal.
-Look for any [[erythema]], [[erosions]], [[atrophy]], [[discharge]]
-*Evaluation of external musculoskeletal:
+===Lungs===
-**complete lower back, abdomen, and pelvic examination
+* Pulmonary examination of patients with [[dyspareunia]] is usually normal.
-*external visual and sensory examination
-*Internal single-digit palpation of the pelvic floor
+===Heart===
-*Bimanual examination for evaluation of:
+* Cardiovascular examination of patients with [[dyspareunia]] is usually normal.
-**uterus, cul-de-sac, and adnexal regions
-**the internal vaginal tissue, cervix<br>
+===Abdomen===
-In men:
+* Abdominal examination of patients with [[dyspareunia]] is usually normal unless the cause of dyspareunia is [[adenexal mass]], [[uterine fibroids]], [[Pelvic tumor|pelvic tumors]].
-*Examining the patient’s genital area to check for infections (STD and UTI), abnormal shape of penis, etc
-*Taking a swab from the tip of the penis to test for and rule out the possibility of infection
+===Back===
+* Back examination of patients with normal is usually normal, but 22% of patients with [[chronic pelvic pain]] has musculoskeletal causes.
+===Neuromuscular===
+* Neuromuscular examination of patients with [[dyspareunia]] is usually normal, 22% of patients with [[chronic pelvic pain]] has musculoskeletal causes.
+===Extremities===
+* Extremities examination of patients with [[dyspareunia]] is usually normal.
+===Genitourinary===
+Different findings can be found based on the underlying cause of [[dyspareunia]].
+*Inflamed mucosa or Clear/(color), foul-smelling/odorless [[penile]]/[[vaginal discharge]], [[atrophy]]
+*A pelvic/adnexal mass may be palpated in [[pelvic tumor|pelvic tumors]].
+*enlarged [[prostate]] in the [[rectal exam]]
 ==References==
 {{reflist|2}}
-{{WH}}
-{{WS}}
-[[Category:Needs content]]
 [[Category:Gynecology]]
 [[Category:Psychiatry]]
 [[Category:Sexual and gender identity disorders]]