Dyspareunia physical examination: Difference between revisions
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__NOTOC__ | |||
{{Dyspareunia}} | {{Dyspareunia}} | ||
==Overview== | ==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 tumor|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 tumor|pelvic tumors]]. | |||
*enlarged [[prostate]] in the [[rectal exam]] | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category:Psychiatry]] | [[Category:Psychiatry]] | ||
[[Category:Sexual and gender identity disorders]] | [[Category:Sexual and gender identity disorders]] | ||
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