Dyspareunia physical examination: Difference between revisions
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==Physical examination== | ==Physical examination== | ||
The presence of erythema, discharge, atrophy or ulceration, growth, or warts on external genitalia or lesions on the cervix and internal genitalia can be suggestive of | 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]]. | ||
The presence of pain on the cotton-swab test is diagnostic of localized provoked vulvodynia. | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with dyspareunia usually appear normal. | *Patients with dyspareunia usually appear normal. | ||
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===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with dyspareunia is usually normal. | * HEENT examination of patients with [[dyspareunia]] is usually normal. | ||
===Neck=== | ===Neck=== | ||
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===Back=== | ===Back=== | ||
* Back examination of patients with normal is usually normal, but 22% of patients with chronic pelvic pain has musculoskeletal causes. | * Back examination of patients with normal is usually normal, but 22% of patients with [[chronic pelvic pain]] has musculoskeletal causes. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with [[dyspareunia]] is usually normal, 22% of patients with chronic pelvic pain has musculoskeletal causes. | * Neuromuscular examination of patients with [[dyspareunia]] is usually normal, 22% of patients with [[chronic pelvic pain]] has musculoskeletal causes. | ||
===Extremities=== | ===Extremities=== | ||
Latest revision as of 00:16, 23 September 2020
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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