perSpeculum & Per vaginal examination
PUrspenlum Examinaaen
Jvticabn 0Exeminalono
Citis.
D'2,D2E, hyater9Salpi
examele Loppi Iinstion
Postion -> Lthotomg
OR Sims positiun
Tnshmet PSms spulum non selyAalaunus
Cusco speulum se nataimr^g
Skpa Binsleule bladk is wed
labia mInoy4 sep alad le bl ade is inded
th its tramsvese axis aleng long axis
tabio
Slade IS then rotaled
posterien vml
trâed 90q0° pestenfory to yehaut
Indatin07
) To ases
deacenl 4 Aalu Among thaougk bA cara
Conhraindicalin Oplaemta preuia
Ative qeu'tal hpes
) Abnornh lie kety.
Skep3 (0 Pyo udu is explaued to pt. (endet s talcau
Jake asutic preauton ey oear
4) Planme'ene
etemypeltin
hand on hipogautum above pubi's
Synphyas,insant haud ndex
Mddle
253
Aulerine Contraceptive Device removal
(O
pe Cenm the pt identityG metial hiafong
reHm paluic examiinataon
) ChBan igomd (onsen
Remaxalprouduue
lihetemg peuitín
) dean drap the peliaal ae to mantan aspss.
Avsual insptilien
Saings gentle aiuen abhued
fo
to ajsess pesi
mebiy' peain
s msbiluty
mobitised
pulln is doneclean
iodi
Pest Aamoval (ae
9 Cenhauphn eumsellng to alerntaie metkod
cemplicaten
Iajghicn
255
2. Intrauterine Contraceptive Device insertion
OFxplau Huo proudue to talee consed
Attual steps OAk pt to emply btadde plaue plin dthetemy
peaten to
e Abply utis cphc salutin the a
Tnodue poleiar Nagunal eall speulum
anderiOY Ueall wth 'alis Hisue
heldng foreeps
insnta auoYdng to wtun
() Jha insle uuth duee
t the guand. the inutes S eithdYanm
hlnge the dee
but hld in
whdewnsent wuthdauh
thnead Q3nm
exteynala is cut buyend
touchg duital end
(emplication
JUCD
Reglay wthie
OMenomhagin
utewe jedoYatan
Peluic
Paum
254
2r-6 forweuen
a·ed 34eans
2Tyears "begins
at hnalg peenn
aevenlye nmaal tee Shuean aea" vtal
be: -Proe
walgnant premalignant
hing
hug
[Link]:r etiedcealsineaig ytelogtal apSmean:
an ve’ t
hel'un epi
-Luerprekalon
Loty
t
for Nait suab coton appyning
aubeavd,
eceat Afee roedust
lemon Ceavial
Aeanes ulesahe
nal eu'te 20ne tVe
Trns
fo tu at aterpretatèa tteto
Qrees
ie
Smeh -Ve’
mnds b2 tor Wait Snab" eton
ceAVIX OVisal' ce
RAe Vaseut
nga Cusco'Qu'd tee Jsert . -Poeduve
Smear of
Pap Collection
VILI [Link],
uressing
ND 3rea
in
1YPES OP WguND
cntny a skin, pathalogica
by trausaAayr
uos memorane gan Autae caud
surgic ond
ineSins Perineal wnd
A
seehon
Episieonuy TPostDeisced
Pantun Cesaean wnd
aanplicakia 4yneolesi maligren
H Due b adv aned
PRINCPCES of t Hematomas in
Ceavícaor Vlvol
PaeventwoNDwnyeuhn
CAE Perineon CanceTS
Mast thruah
pithel)ian t
terile teahni ques
) Hemestasis e
Acieved by tunig * applicaton jaster Meal ing
matone Ppes uring kehnige wiuresHemstahe a
miniwal tein
Heing
Primamy dening
-NonaAherent dreings Seunday dresigsis e dreg
Anti Poanding asepthie prays - hyeoels
Rydgel Trawspaent lm
$TEPS IN oUND 0RESs | NG.
-NPWT - ydocollad drents.
) Prepar ahion
Maintan astenile envihon ment
’ qamer neeena ny materias o Anisephe
leani e Nem salune tAuion,dmns meri
anti sephc aduhon . Reove debris
neestic tissue gty
Assess meut chece or mgn inyeeton , dehsene
’ Read wond
qadahin
imehsion , ex date ffeAnie
based n n
Haniriy Kele dreig 'as nee ded wuay eveny 24- 42n3)
’ Post oper ahv ounu
RESSIG
’ Perfaea) Traumas
’ frt - Pastun lompliCehons
CoMu cATiNS
Scui tomati om
[Link] Removal
Jndleatns
Lat deliveapexi neal Aepain
CesarAn selontuie Remorel
Needle htder
Aduton
pat enoral
opkalious
Cmtaindicataad
Jkadeja Heatg
258
.Foleys catheterization
ake oment ex plam
pYOudure
Nabiao are laperaed ubivaouten
et Rader aer kEune
ry meahus
hernal wivary
en ee eter end
LPee uw khanto coniyout, bulbuilared to make
[Link] of he cater
intravenous canula
cpevason:-GxplaM Hae pnroLcÀure tothe paheut
VerlLOwent Qnsure ee pabeuto Ontorkade ortais
and
Jwash hanas maina
I elechion : Apply a tovniquet abONe tuechee
bie to eMgore te vVe
Quhlad in
boud
poweree aale& adane tee annula
gicee plaot Coahnua u Hu Ven uele oltdath
he needle
"Sewte tannulo3 emove ee torgue t ataun
259
Lequkealdsee
drain:
[Link] removal Droudure uolich
uonch Vevequres
-Cschen - eyoteretomy ev Surery
Pepevahnn lous'rm, ead tor om oval
He ptient about
eproLA
UWdure aoeo emd'hous(lan
H8esmentcheck see dayputput: Cdo-3o mllday
"DYan teupval i docsen or ut any 3eaning suhues
stu iaserhoM. path
QupleenA
Axave : Applya sterile dressiva to drain sile
QVex tugive ulol leakaae
-folow up a needecd to' eneure proper heal'y
[Link] enema
Liqud preperahen tuat
Take oAend ex plamcu prou dure
Pahent aokid' to
urned to heir lege sie et Reo bend dp: Sin's
e ehe catetherr is lulbrilared te catheler s
-et toref ngers are plaed on He
Wn s dlen'aised abouta foot above ne level'
pahent enena goven tor etienst Cmnudes
tulbe
covereder en tolded towel ageu' nat us to prevent ehun
lenena ’ Bea an o paed Unolendhe pahent
4ene aotor ei
normal Saline
260
Abrivgeat o Saxch opse