mons pubis
round firm pad of adipose tissue covering symphysis pubis
clitoris
pea-shaped erectile body above anterior fold
labia majora
2 rounded folds of adipose tissue extending down from mons to perineum
labia minora
2 smaller darker folds of skin inside the labia majora
frenulum
posterior transverse fold of the labia majora
urethral meatus
2.5cm posterior to clitoris
scenes glands
ducts not visible @ 5 and 7 o'clock posterior to meatus
vaginal orifice
posterior to meatus, slit-like
Bartholin's glands
beside and posterior to vaginal orifice secrete clear lubrication
perineum
between frenulum and anus
anus
rectal opening
vagina
flattened tubular canal extending from orifice backward; 9cm long; slits between rectum and urethra
rugae
thickened walls
cervix
at end of canal that projects into vagina
menstrual history (age), menopause and age, frequency, duration, amount of flow, pain, cramping, bloating, tenderness, mood changes, spotting between periods, obstetric history
PMH for female genitalia
gravida
number of pregnancies
para
number of births
term births
T
P
preterm births
A
abortions
L
living children
reproductive organ cancer, daughters of DES, multiple pregnancies, congenital anomalies
FH female
antibiotics, OC, OTC
medications of concern female
ETOH, tobacco, sexual practice, home conditions, hobbies, exercise, diet, last pap
SH female
15-25
age of concern STI
30-50
age of concern uterine myomas
40-60
age of concern cervical cancer
vulva cancers, cystocele, rectocele, atrophic vaginitis
post menopausal concerns
endometrial cancer, ovarian cancer, vaginal cancer
>60 concerns
Chadwick's sign
blue coloring of cervix second month of pregnancy
irritation or infection
vaginal redness or inflammation
anemia
vaginal paleness
hypoxia
cyanotic vagina in non pregnant patient
adhesion or tumor
lateral position of vagina
prolapse
vaginal projection >3cm
inflammation or tumor
hypertrophy of vaginal >4cm
cervicitis or cancer
white patch on cervix
trichomoniasis
strawberry spot
cervical polyp
bright red growth protruding from os
3 years
frequency for 21-29 year olds to be screened for cervical cancer with normal priors
3 years
frequency of cerivcal cancer screening for women 30-65 with cervical cytology alone
5 years
frequency of cervical cancer screening for age 30-65 with high risk HPV testing along or in combination with cytology