Uniformed Services University Obstetrics and Gynecology Core ...

- general size (“gaping” or stenotic)- atrophy (dryness,” thin”, irritation”)- presence of rugae- color- visible lesions or discharge- palpable nodules- vaginal tumors may develop in the stroma or muscular wall of thevagina and because of their location, may be palpable but not visible.- Cystocele- Rectocele- Enterocele- vault prolapse• cervix- shape of os (nulliparous or multiparous)- presence of lacerations- presence of lesions- prolapse (cervicouterine prolapse)• uterus- position in sagittal plane (anterior, midposition or posterior)- size- shape- consistency- symmetry- mobility- prolapse• adnexal structures- size- tenderness- presence of mass (character, size)- rectovaginal examination- cul-de-sac- uterosacral ligaments- intrinsic rectal lesions5. Obstetric Examination:• Fundal height• Lie / Presentation of fetus• Presence and rate of fetal heart tones• Cervical examination (dilation, effacement, station, consistency, position) ifapplicable