bimanual examination

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bimanual examination

A part of the standard pelvic examination, in which two fingers of one hand are inserted in the vagina and the other hand gently palpates the uterus, cervix and adnexae, to evaluate pregnancy, cysts and/or masses in the ovaries.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.


(eg-zam?i-na'shon) [L. examinatio, equipoise, balance, examination]
Inspection of the body to determine the presence or absence of disease. Examination has been proposed as an international replacement for test, testing, and analysis although each of these words is more common in professional literature.

examination under anesthesia

Abbreviation: EUA
Any operative or invasive procedure done while the patient is sedated, in order to improve patient tolerance, alleviate pain or anxiety, or improve the quality of the exam.

bimanual examination

See: pelvic examination

dental examination

The visual, digital, and radiographic inspection of the teeth and surrounding structures, including the head and neck. The depth of the gingival sulcus is also probed and measured around each tooth to assess the state of health of the periodontium. The examination is completed with a mirror, explorer, periodontal probe, and dental radiographs.

digital rectal examination

Abbreviation: DRE
Palpation of the anus, rectum, and prostate gland with a gloved finger, used in the diagnosis of intestinal bleeding, anorectal pain, and both benign and malignant diseases of the prostate.

Patient care

The patient should be positioned for comfort, e.g., in Sims position (lying on the left side with knees and hips comfortably flexed). A chaperone and/or a drape should be provided for patient safety, comfort, and dignity. After an explanation of the procedure to the patient, several mL of surgical lubricant are placed on the examiner's glove, usually on the index finger. The examiner visually inspects the anus and perineum, then places the gloved finger on the anal opening while asking the patient to bear down gently. After the finger enters the anus, it is used to sweep circumferentially around the interior of the distal intestine. It is then directed anteriorly (when examining a male patient) to evaluate the consistency, size, and nodularity of the prostate gland. Samples of stool obtained during the exam may be sent to the lab to test them for the presence of occult blood.

double-contrast examination

A radiographic examination in which a radiopaque and a radiolucent contrast medium are used simultaneously to visualize internal anatomy.

endoscopic examination

Direct visualization of an internal organ with a fiber-optic tube, often accompanied by biopsy of suspicious lesions.

Folstein Mini Mental Status Examination

See: Folstein Mini Mental Status Exam

laboratory examination

Examination by urinalysis, blood tests, microbiological cultures, and other tests of body fluids.

Mini-Mental State Examination

Abbreviation: MMSE
A common test to quantify a person's cognitive ability. It assesses orientation, registration, attention, calculation, and language. Scoring is from 0 to 30, with 30 indicating intact cognition.

multilingual aphasia examination

Abbreviation: MAE
A battery of tests to measure language abilities in patients with speech disturbances. It consists of 11 components, including the abilities to repeat a sentence, spell, read, understand spoken directions, identify objects depicted in drawings, and articulate clearly.
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pelvic examination

Physical examination of the vagina and adjacent organs. A speculum is used first to visualize anatomical structures. During speculum examination, cultures and Pap test specimens may be obtained. After the speculum is removed, the pelvic organs and rectum are examined manually by the examiner.
See: illustration

periodic health examination

A health screening examination performed on a scheduled or routine basis. The appropriate features of this examination depend on the patient's age, gender, and sometimes health history, family history, or employment status. Adult women should have periodic examinations that include Pap smears and mammography; professional pilots and truckers are screened periodically for visual impairment and hypertension. All adults over age 45 should be screened for diabetes mellitus. Patients with a personal history of cancer may be screened periodically for evidence of disease recurrence. For many patients, the periodic examination may include blood tests (e.g., to check levels of cholesterol and other lipids), immunological tests (e.g., health care workers are periodically screened for tuberculosis), or invasive examinations (e.g., sigmoidoscopy or colonoscopy to look for colon cancer). Synonym: annual exam; periodic medical examination See: mammography; Papanicolaou test; table under cancer

periodic medical examination

Periodic health examination.

physical examination

Abbreviation: PEx
Examination of the body by auscultation, palpation, percussion, inspection, and olfaction.

radiological examination

Examination by various means of visualizing body spaces and organs and their functions, e.g., by computed tomography, fluoroscopy, magnetic resonance imaging, ultrasonography, or related techniques.

rapid trauma exam

Rapid trauma assessment.

rectoabdominal examination

Physical examination of the abdomen and rectum, e.g., to determine the cause of abdominal pain, or to identify guarding, internal bleeding or organ enlargement, masses, or tenderness.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
Upon physical examination, he had low-grade fever and a tender palpable pelvic mass that was soft to firm in consistency on bimanual examination. In addition, both testes and the vas deferens felt normal.
Many mid-level clinicians have been trained to assess pregnancy duration accurately, either by a combination of bimanual examination and dating of last menstrual period (LMP) or by ultrasonography.
As a general rule, I advise leaving at least a handsbreadth distance (approximately 8-10 cm) between the endoscope and the top of an elevated uterus or leiomyoma during bimanual examination, with the patient under anesthesia.
On bimanual examination, a firm fusiform mass was palpated along the course of Wharton's duct on the left; the mass was tender to palpation.
Even in these days of obstetric ultrasound, the bimanual examination still has a role in dating early pregnancies.
No symptoms were found by bimanual examination, and vaginal ultrasound showed endometrial thickness of 4 mm.
A through general physical and systemic examination followed by abdominal and per speculum examination for any cervical lesion or discharge, and bimanual examination done especially to rule out any adnexal mass or tenderness.
Bimanual examination reveals cervical motion tenderness and tenderness over the left adnexa.
Its diagnosis requires a high index of suspicion when tumour is palpable in vagina or seen out of introitus and uterine fundus is not palpable on bimanual examination, Magnetic Resonance Imaging (MRI) is also helpful in the diagnosis.
Bimanual examination revealed an open cervical os and the new finding of a plane of cleavage between the placenta and the myometrium.
Lastly, a bimanual examination was done to know the position and size of uterus, feel of cervix, any adnexal mass, induration or tenderness in the fornices.
Bimanual examination revealed a tender solid mass in the right adnexal region extending to the umbilicus.