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ANO-GENITAL EXAMINATION: DISCHARGE, INTERNAL AND SPECULUM EXAMS
EXTERNAL
GENITALIA
URETHRA AND
PERIURETHRAL AREA
PERIHYMENAL AREA
AND FOSSA
NAVICULARIS
ANO-GENITAL EXAMINATION
� Description of genitalia: injury/no evident injury at the time of
examination
� Injury/no evident injury at the time of examination
� Injury/no evident injury at the time of examination
HYMEN
�
�
Describe shape and appearance
Describe injury at the time of examination
PERINEUM � Injury/no evident injury at the time of examination
DISCHARGE
�
�
Present/absent
Description 17
IE AND SPECULUM
EXAM
� Refer to protocol 18
ANAL EXAMINATION � Injury/no evident injury at the time of examination (describe location)
17. Discharge
Any discharge found should be described according to the following categories:
Amount Odor Color Consistency Other
• Minimal • Odorless • Clear • Watery • No blood present
• Moderate • Fishy • Whitish • Mucoid • Blood-tinged
• Profuse • Chlorox • Yellowish • Pasty • Bloody
• Oozing • Foul smelling • Greenish
18. Internal and Speculum Exam Protocol
If the patient is not yet an adolescent, internal and speculum exams are not required unless the
indications listed below are noted; in these instances, the internal examination should be performed
under general anesthesia.
• Suspicion of foreign body in vaginal canal
• Profuse vaginal bleeding (suggesting probable internal injury)