In lateral knee-chest position, the patient lies on their side, torso lies diagonally across the table

In lateral knee-chest position, the patient lies on their side, torso lies diagonally across the table

In lateral knee-chest position, the patient lies on their side, torso lies diagonally across the table 150 150 Peter

In lateral knee-chest position, the patient lies on their side, torso lies diagonally across the table, hips and knees are flexed. In prone knee-chest position, the patient kneels on the table and lower shoulders on to the table so chest and face rests on the table.

Diamond shape position is when the women lies on her back with her knees bent and positioned with both legs spread flat and her heels meet at the foot of the table. The speculum must be inserted with the handle up and the exam performed from the side or the foot of the bed.  

M-shape position is when you have the woman lie on her back with her knees bent and apart feet resting on the exam table close to her buttocks.  Speculum inserted with the handle up and exam takes place from the foot of the bed.  

V-shape position  the women lies on her back with her straightened legs opened wide with each leg opened to each corner of the table.  Speculum to be inserted with handle up and exam can take place from the side or the foot of the table.  

Women are at a higher risk of developing UTI’s than that of male’s because the urethra is shorter in women than in men.  Bacteria has a shorter distance to travel in women than in men.  Education for women needs to include:

1. Wiping from front to back when cleaning can help reduce risk of infection.

2. Increase fluid intake.  

3. Good hygiene.

4. Education

5. Monitor for signs and symptoms of infection.  

Pro’s and Con’s of circumcision: Mayo Clinic Review is 100:1 benefits outweigh risk.

Pro’s:  Con’s:

Reduced risk of acquiring HIV.   Post surgical pain, bleeding, swelling, 

Reduces amount of UTI’s   or inadequate skin removal.  

Reduces risk of getting STI’s

Decreased risk of Bacterial Vaginosis

Goodell-Softening of the cervix and vagina caused by increased vascular congestion with pregnancy. 
Hegar’s-Softening of the isthmus of the uterus at about 6-8 weeks of pregnancy.
McDonald’s-results from the cervical softening, the ability of the flex the body of the uterus against cervix.  
Chadwick-Violet blue mucosa and cervix due to increased vascularity. 
Indirect inguinal-Sac herniates through internal inguinal ring: can remain in canal or pass into scrotum.  Pain with straining; soft swelling that increases with increased intra-abdominal pressure; may decrease when lying down.
Direct inguinal-Directly behind and through external inguinal ring, above inguinal ligament; rarely enters scrotum.  Usually painless, round swelling, close to the pubis in area of internal inguinal ring easily reduced when supine.
Femoral-Through femoral ring and canal, below inguinal ligament, more often in the right side.  Pain may be more severe; may become strangulated.