1. DIAGNOSTIC METHODS IN GYNECOLOGY
General overview

2. METHODS - gynecology History Clinical examination Microbiology
Serology
Oncology- prebiopsy
Morphology
Endoscopy

3. History Family / genetic factors Personal - blood pressure, BMI, etc…
gynecological - obstetric
Menstrual cycle
Delivery – spontaneus / S.C.
Gynecologicla disease
Contraception / hormonal therapy
Status present
Sexual life

4. Gynecological examination
palpation
cervix, uterus, adnexis, cavum Douglasi, abdominal wall, small pelvis, urinary bladder - pain, resistence, peritoneal irritation
In speculis
Pathology of : introitus, vulva, cervix (speculae: Simpsons, Scherbacks, Cuzks)
Examination per rectum- palpation
pediatric gynecology
cervix, uterus, adnexis, cavum Douglasi
Examination in anestesia / analgesia

5. Pre-bioptic examination methods
Kolposcopy
Screening examination
6 - 40x (magnification)
native kolposcopy
Cervical and vulvar patholgy
Change of the epithelium,
Inflammation
angiogenesis
Pre-cancerosis, tumor process

6. Colposcopy

7. Pre-bioptic examination methods
Expanded colposcopy
Acetic acid – diferentiation of squamous and cylindric epithelium – change of the colour and transparence
Schiller´s examination – Lugol´s dilution – squamous epithelium is brown, cylindric epithelium or erosion are non-colured

8. Pre-bioptic examination methods
Functional cytology
changes of the epithelium during the menstruation cycle
diagnotic of the mestrual cycle disorders
Oncological cytology
The most important screening methods for ca cervicis
Cytological crieiria of the smear from the cervix – exocervix / endocervix

9. Pre-bioptic examination methods
Classification of the oncological cytology – Bethesda system
SIL – squamous intraepithelial leasion
LSIL
HSIL
ASCUS
HPV infection

10. Breast examination
shape, density, skin and nipple of the breast
palpation: 4 quadrants, nipple discharge
recommendation:
self examination once a months
Mamograph screening programme: from 45 years – every 24 months – event. ultrasound

11. Ultrasound The most important diagnostic method Abdominal ultrasound
Pediatric gynecology
Abdominal tumors, ascites
Vaginal ultrasound
Small pelvis pathology
Ectopic pregnancy
Tumors ot the ovaries and uterus
Doppler

13. Endoscopic methods
Vaginoscopy
Hysteroscopy
Laparoscopy
Cystoscopy

15. Hysteroscopy

18. laparoscopy

21. ENDOSKOPIE a KALIBRACE

22. METHODS III.- urogynecology
History
Clinics
Laboratory testing
Morphology
Endoscopy
Urodynamics

23. Vyznačen inklinační úhel uretry – tzv. úhel 

26. UPP - equipment

27. Invasive diagnostic and treatment methods
Dilatation of the cervix
curretage
Punction of the Douglas space
Biopsy of the cervix
Biopsy of the vulva

28. We want something better !
More interesting!
Videos,please!!

29. OK:After the short break you are invited for:
Some clips from laparoscopies