...Evaluate the body of the uterus for: a. Position b. Architecture, size, shape, symmetry, tumor c. Consistency d. Tenderness e. Mobility 3. Continue bimanual palpation and evaluate the cervix for position architecture, consistency and tenderness especial on the mobility of the cervix, then explore the anterior, posterior and lateral fornices 4. Place the “vaginal” fingers in the right lateral fornix anf the “abdominal” hand on the right lower fornices a. outline the adnexa b.normal tube- not palpable c. normal ovary (4x2x3 cm) often not palpable d. adnexal mass 5. Palpate the left adnexa region, repeating technique described above 6. Follow the bimanual examination with a rectovaginal abdominal examination 7. In virgins – rectal- abdominal technique E. Rectal Examination 1. Inspect the perineal and anal area, the pilonidal (sacrococcygeal) region and perineum for color and lesion 2. Instruct the patient to “strain down” 3. Palpate the pilonidal and anal area, ischiorectal fossa, perineum and the region before inserting the gloved finger into the ana canal 4. Palpate the anal canal and the rectum with well lubricated gloved index finger 5. Evaluate the anal canal for: a. tonus 1.external sphincter muscle 2. anorectal ring b. tenderness 1. tight sphincter 2. anal fissure 3. painful hemorrhoids c. tumor or irregularities, specially the pectinate line d. superior aspect examine the finger 1. Blood 2. Pus 3. Other...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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...# 2011 University of South Africa All rights reserved Printed and published by the University of South Africa Muckleneuk, Pretoria EDPHOD8/1/2012Ã2014 98753223 3B2 Karin-mod Style CONTENTS Learning unit PREFACE SECTION 1 A theoretical framework 1 The pastoral role of the educator in South African public schools: a theoretical framework SECTION 2 Practical examples 2 Understanding cultural diversity in my public school classroom 3 The ABC of building schools for an integrated South African society à diverse people unite 4 Education for human rights and inclusivity 5 Child abuse: an educator's guide for the Senior Phase and FET 6 HIV/AIDS education at school 7 Educators' pastoral role in their schools and communities: an opportunity to care SECTION 3 Crisis and trauma in adolescence 8 Crisis: the theory 9 The crisis intervener and the person in crisis: prevention, prejudice and the intervener 10 Crisis intervention: general models 11 The skills for ensuring a positive relationship and interview between the crisis intervener and the adolescent in crisis SECTION 4 The religious world of the learner 12 Understanding religious diversity in my school 186 122 136 144 168 16 24 41 57 81 92 Page (iv) 2 EDPHOD8/1/2012±2014 (iii) PREFACE The study material for this module comprises four sections. Section 1: The theoretical framework for the pastoral role of the educator (see learning unit 1) Section 2: Practical examples to illustrate the applied competence of the community...
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