Examinations prior to a gynecological

A few of you on here have been kind enough to suggest a number of examinations that could be done prior to the breast and gynecological examination, here is where I am so far with the list; heartbeat, pulse, lung capacity, blood pressure, skin examination, throat and mouth, knee and hip joints, ankles for swelling, swollen glands and check ears, any other suggestions please?

Medicio there are a number of other exams that you can perform before gynaecological exams. These include exams of the eyes, your reflexes using a reflex hammer, gait, balance, posture exams. You can also incorporate the use of equipment like a finger pulse oximeter to measure pulses and oxygen saturation before and after exercise.

Abdominal exam ensuring you examine all the abdominal quadrants. If you have a Doppler then you can use it to exam the various pules, carotid, femoral , brachial, radial , popliteal and pedal pulse.

Out of curiosity how do you indent to measure lung capacity ,do you have a spirometer . Spirometry measure how much air a person's lungs can hold. It also tests the speed of inhalations (breathing in) and exhalations (breathing out).

I have found that some patients appreciate a neurological exam with a Wartenburg wheel. There's a video explaining its medical use here: https://www.youtube.com/watch?v=sj2CM8j6Zmk . Depending on your exam style, in terms of realism, you may want to use the wheel on more sensitive areas of the body. One way I've used this instrument in play exams is a sensation test on different parts of the body, alternating between the Wartenburg wheel and a tongue depressor and instructing the patient to tell me if the sensation they feel when the stimulus is applied is sharp or dull.

Taking the patient's temperature is another routine thing I didn't see on your list. For a very realistic exam, an ear thermometer would probably be most appropriate; oral and rectal are also options depending on how you want things to play out, and your planning discussions with the patient prior to the exam. If a rectal temperature is on the agenda, I will often take the oral temperature and then advise the patient that the reading was not usable and inquire if she has had something to drink recently (this being particularly suitable if we've met for coffee immediately before the exam). Since the oral temperature is questionable, the temperature will have to be taken rectally.

You can palpate the lymph nodes in the groin; I usually have patients in an exam gown and panties until the pelvic exam, so this is also an occasion to move clothing to expose the area, which adds to the patient's experience. You can also palpate the pulse in the femoral artery and use a stethoscope to listen to it--it's good to explain this to the patient since you usually don't want to give the impression that you're randomly placing a stethoscope on sensitive spots, as opposed to conducting an examination. Actually, it's good to tell the patient everything you are doing, which adds to the realism and sense of safety, and helps to build anticipation for each procedure.

I always like to collect a urine sample from my wife prior to taking her into my home office. We bought a Ritter 304 from a med supply place and it is in the back of my office behind a room divider. Something about handing her a cup and asking her (actually, telling her) to void in the cup in a clean catch, and then reminding her to finish emptying her bladder for the pelvic. This just seems to start our play time out professionally and sets the tone right away!