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2 VAGINAL EXAM Case - Book Rupi - OBS p122-161
2 VAGINAL EXAM Case - Book Rupi - OBS p122-161
Case No.-1
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present.
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft
Effacement : 70 % Effaced
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
122
Position : LOA.
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check
Sacrosciatic notch : Admits 2 fingers
Side walls : Parallel
Subpubic arch : Admits 2 fingers
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os.
123
Vaginal Examinations Performed
Case No.-2
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present.
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
124
Presentation : Vertex
Position : LOA
Rotation : Incomplete.
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check
Sacrosciatic notch : Admits 2 fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
125
Vaginal Examinations Performed
Case No.-3
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present.
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 6 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
126
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check
Sacrosciatic notch : Admits 2 fingers
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
127
Vaginal Examinations Performed
Case No.-4
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced
Os dilatation : 6 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
128
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check
Sacrosciatic notch : Admits 2fingers
Side walls : Parallel
Subpubic arch : Admits 2 fingers
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 6 cm dilated os.
Signature of student
Signature of supervisor
129
Vaginal Examinations Performed
Case No.-5
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
130
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary :Not possible to check.
Sacrosciatic notch : Admits 2 fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
131
Vaginal Examinations Performed
Case No.-6
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
132
Membrane : Ruptured.
Liquor : Clear.
Presentation : Vertex.
Position : LOA.
Rotation : Incomplete.
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2.
Ischial spine : Not prominent
Sacral Promontary :Not possible to check.
Sacrosciatic notch : Admits 2 fingers.
Side walls : Parallel.
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal.
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
133
Vaginal Examinations Performed
Case No.-7
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced
Os dilatation : 6 cm.
Membrane : Ruptured
134
Liquor : Clear
Presentation : Vertex
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
135
Vaginal Examinations Performed
Case No.-8
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
136
Presentation : Vertex
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os
.
Signature of student
Signature of supervisor
137
Vaginal Examinations Performed
Case No.- 9
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
138
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary :Not possible to check.
Sacrosciatic notch : Admits 2 fingers
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
139
Vaginal Examinations Performed
Case No.-10
Vulval inspection : clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
140
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
141
Vaginal Examinations Performed
Case No.-11
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
142
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
143
Vaginal Examinations Performed
Case No.-12
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane :Rruptured
Liquor : Clear
Presentation : Vertex
144
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2 fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
145
Vaginal Examinations Performed
Case No.-13
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
146
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
147
Vaginal Examinations Performed
Case No.-14
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
148
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary :Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
149
Vaginal Examinations Performed
Case No.-15
Date : 11/02/2020 Time : 10:00 AM
Name of the Hospital : Barasat District Hospital Ward : Labour room
Name of client : Rama Chandra Husband’s Name : Bijoy Chandra
Age : 22 years Registration No.: 13045 Under :Dr.M.L.Maity
Address : Vill-Suryasen Pally, P.O-Naba Pally, P.S.-Barasat , Dist- North-24 Parganas
GPLA(Gravida, Para, Living, Abortion): G1P0L0A0
LMP : 07/05/2019 EDD : 14/02/2020 Weeks of Gestation : 39 + weeks
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
Position : LOA
Rotation : Incomplete
150
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2.
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
151
Vaginal Examinations Performed
Case No.-16
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
152
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2 fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
153
Vaginal Examinations Performed
Case No.-17
Date : 18/02/2020 Time : 10:10 AM
Name of the Hospital : Barasat District Hospital Ward : Labour room
Name of client : Lutfa Bibi Husband’s Name : Asik Molla
Age : 20 years
Registration No.: 17638 Under : Dr. M.L. Maity
Address : Vill-Langolpota, P.O-Matiagachha, P.S.-Rajarhat , Dist- North-24 Parganas
GPLA(Gravida, Para, Abortion, Living): G1P0L0A0
LMP :13/05/2019 EDD : 20/02/2020 Weeks of Gestation : 39 + weeks
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
Position : LOA
154
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
155
Vaginal Examinations Performed
Case No.-18
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
156
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
157
Vaginal Examinations Performed
Case No.-19
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
158
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
159
Vaginal Examinations Performed
Case No.-20
Vulval inspection : Clean and healthy. No edema, sore or vulva wart. Straw coloured
discharge is present
Vagina : Warm, moist, soft.
Cervix : Centrally situated and soft.
Effacement : 70 % effaced.
Os dilatation : 5 cm.
Membrane : Ruptured
Liquor : Clear
Presentation : Vertex
160
Position : LOA
Rotation : Incomplete
Fontanelles : Anterior fontanelle felt anteriorly on the left side.
Station : +2
Ischial spine : Not prominent
Sacral Promontary : Not possible to check.
Sacrosciatic notch : Admits 2fingers.
Side walls : Parallel
Subpubic arch : Admits 2 fingers.
Midpelvis : Normal
TDO : Admits 4 knuckles.
Remarks : Pelvis is adequate with 5 cm dilated os.
Signature of student
Signature of supervisor
161