6 Provide wipes so the patient may remove lubricant used during
the exam.
7 Allow for patient's privacy when redressing.
8 Clean up room and dispose of used materials properly.
(5) The physician will observe and palpate the patient's breast for
abnormalities.
(6)
A rectal exam is usually done at the end of the pelvic exam.
(7)
Laboratory studies performed are as follows:
(a)
CBC, Hgb, or Hct-to detect anemia.
(b) Sickle cell on black women-to identify patients with sickle cell
anemia.
(c)
VDRL-to identify patients with untreated syphilis.
(d)
Rh factor, blood type-to determine if the patient is Rh negative.
(e) Rubella antibody titer-to determine immunity to rubella.
(f)
Hepatitis screen-is done if patient history indicated cause for
suspicion.
(g) HTLVIII (AIDS)-screening for AIDS may begin as a common part of
the initial visit.
(8)
Cultures taken at the time of the pelvic exam are as follows:
(a) Papanicolaou (PAP) Smear is done to detect any abnormalities of
cell growth.
(b) Gonorrhea culture is done to screen the patient for possible
infection to protect herself, her partner, and the fetus.
(c) Herpes simplex culture is done if there is a history or any lesions
noted to rule out active herpes.
MD0921
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