How to Determine Which Size of Speculum to Use

Slowly open the blades and use light to inspect the cervix Tighten the screw to hold open the speculum so you can use your right hand for swabs or Pipelle biopsy if necessary. If you open the speculum but you do not see the cervix close the speculum and pull it partway out.

Graves Vaginal Speculum 27 736 Bioseal Inc

My choice of speculum is not only dependent on the size of the vaginal opening but also on variables such as the length of the vagina the elasticity of the vaginal walls the position of the uterus and what I need to accomplish while up there.

. The following are some recommendations for the use of the. Open the bills of the speculum by gently pushing the thumb-rest with your thumb. If the standard speculum appears to be too small or large simple start over with the appropriate size.

Snowman Vaginal Speculum-Small 5 34 x 1 38 145 cm x 35 cm Graves Vaginal Speculum-X-Large 6 34 x 1 38 171 cm x 35 cm. Then try again repeating step 4. We actually have multiple types of speculums for different types of women.

The anterior vaginal wall is more sensitive. The speculums can also differ according to the size patient and the purpose. A leading factor contributing to the size of the speculum used during a patients exam is her age.

You can divide total pelvic area prior to breeding by a ratio that is based on age and weight to estimate the amount of birth weight a heifer could accommodate as a 2-year-old without substantial difficulty. Definition of speculum. Choose the largest speculum that will allow you to see into the childs ear canal usually a 3mm speculum and twist the speculum onto the narrow end of the otoscope head in a clockwise direction.

Factors that can determine the correct speculum size for a patient include age sexual activity and physique. Turn the otoscope on by pressing the colored button at the top of the power base and turning the otoscope head clockwise. At my practice we are fortunate to have speculums from all around the world.

The bills of the Graves speculum which resemble a ducks mouth are wider than the bills of the Pederson speculum and the sides are also curved. These include Pap smear the introduction of the intrauterine device IUD or colposcopy or the examination of the vulva vagina and cervix. Smaller and larger sizes are available.

It is important to use a speculum of proper size. Fully insert the speculum with the screw facing sideways and the blades vertical. Sizes of Speculums.

The pelvic examination typically consists of visual external inspection insertion of the speculum performance of any tests or cytology and then bimanual examination to determine the size and. There are a couple of ways if you go for a pap smear ask your health care professional what size speculum is being used. For example LEEP and laser procedures require special instrumentation and cannot be interchanged.

The Graves speculum is the most common variety used by OBGYNs. How can you determine what size speculum you need. A drawing or table showing the relative positions of all the planets as in an astrological nativity 3.

For example the Cuscos speculum is the most popular for gynecologic procedures. Rotate 90 degrees during insertion so the screw faces upwards and the blades become horizontal. According to the University of Washington.

In a spectrograph the detector has to perform this task across a range of wavelengths measuring the amount of light as it changes from wavelength to wavelength. In an optical spectroscope the detector is your eye which senses the different colors and the presence of. It is not uncommon at all for different sizes to be used whenever needed.

Typically the younger the patient is the smaller the size of the speculum must be. The Graves speculum has the widest blades of any speculum. Inspection Begin the examination with a general inspection of the perineum and surrounding area.

Open the speculum blades until an optimal view of the cervix is achieved. University of Nebraska researchers developed ratios that you may use to estimate deliverable calf size. When you see the cervix between the bills tighten the screw on the thumb-rest to keep the speculum open.

A thin narrow speculum may be used for young girls and older women. I believe this plays a role in the tolerability of a Pap or other speculum exam. Perform a bimanual examination to feel the size and position of the uterus any ovarian masses and feel the position and consistency of the cervix omit this if the patient is more than 20 weeks pregnant Inspect the labia and introitus and warn the patient you are about to insert the speculum.

Gently insert the speculum sideways blades closed angled downwards. An instrument inserted into a body passage especially to facilitate visual inspection or medication. The bivalve speculum is then opened to that the cervix may be completely visualized.

A detector is simply a device that senses and measures the incoming light. Therefore the tip of the speculum should be directed away from the anterior vaginal wall. A patch of color on the secondaries of most ducks and some other birds.

Small medium and large. You need a doctor who can complete the pap smear without being stymied by equipment that doesnt work and a nurse who isnt helpful. Yes they come in different sizes and I am not aware of any association with the womans weight only the size of the womans vaginal canal.

The size and shape of the speculum is determined by the patients anatomy and need for surgical procedure. It comes in a larger size for those with an especially long vagina. Gynecologists use it to examine adult women.

You can attempt to determine your correct size yourself by using your fingers. Once inserted rotate the speculum back 90 so that the handle is facing upwards. Injury to the patient or examiner can occur if the proper speculum is not used.

Enter with the palm facing sideways then rotate so the palm is facing upwards. Use your left hand index finger and thumb to separate the labia. The Cuscos speculum is commonly used in the UK and is 80mm long and 22mm broad.

However for OSCEexamination purposes two fingers should be used unless the presenting complaint is that. Ensure the patient is still happy to proceed and gently insert fingers into the vagina. This vaginal speculum is commonly available in multiple sizes.

In practice you can use one finger for the whole examination. I do want to use this moment however to highlight a difference in speculum sizes and types used. Some clinics even use plastic speculums if so ask if you can keep it after the exam as they throw them out anyway.

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