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Re: Adequate pap smears on large, obese women From: Robert Radnich (rradnich@dca.net) Mon Jun 22 20:27:35 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Adequate pap smears on large, obese women--RIBOT MANEUVER" Previous message: RModugno@aol.com: "Re: OB: Term PROM was ..You're not going to believe this.." Maybe in reply to: Ann Diehl, ARNP: "Adequate pap smears on large, obese women" Next in thread: Braun, R. Daniel: "Re: Adequate pap smears on large, obese women" Try to find a "Snowman" speculum. They come in Graves or Pederson design and are about 2 inches longer than regular specs. Ask your medical supply person for them. -----Original Message----- From: Ann Diehl, ARNP <fdiehl@pionet.net> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Sunday, June 21, 1998 2:09 PM Subject: Adequate pap smears on large, obese women >I work in a hospital based Primary Care unit basically >serving the indigent and/or underinsured population. >Our budget is limited as to equipment. Have been having >problems with adequate visualization of the cervix in >some of the larger, obese patients. We have small and >regular sized plastic speculums and access to large >metal specs. I often use a condom cut off at the end, >over the speculum to prevent the vaginal walls folding in >when the speculum opens. This helps a lot. However >I occasionally examine women for whom any of our >speculums seem long enough to adequately get the >cervix in view for a proper exam and pap. This is >especially a problem when the cervix tips to the back. > >Any suggestions for me and my colleagues? I have >in two instances recently referred these women to our >Gyne Dept at an off site location which fills the Gyne >schedule and causes an inconvenience for the patient. > >Thanks in advance for your reply. > >-- >Annabelle Diehl, ARNP > Next message: Garry E. Siegel, M.D.: "Re: Adequate pap smears on large, obese women--RIBOT MANEUVER" Previous message: RModugno@aol.com: "Re: OB: Term PROM was ..You're not going to believe this.." Maybe in reply to: Ann Diehl, ARNP: "Adequate pap smears on large, obese women" Next in thread: Braun, R. Daniel: "Re: Adequate pap smears on large, obese women"

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