The Examination

INGUINAL LYMPH NODES

The nurse should warn the patient in advance of physical contact to ensure that the patient knows what to expect and when to expect it. The inguinal nodes in both groins should be gently palpated for swelling and the patient should be asked if there is any tenderness. Lymphadenopathy may be associated with infections such as Herpes simplex virus or syphilis.

EXTERNAL GENITAL EXAMINATION

The nurse should take a gentle but confident approach to the examination, examining all areas (including the outer labia majora and inner labia minora, the clitoral hood, the introitus, the pubic hair, the tops of the legs/buttocks, and perianal and anal areas) carefully and checking in skin folds. A dialogue should be maintained with the woman, with care taken to examine and feed back to her on any areas that she may be concerned about.

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