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