Pratique du Shadowing: Gynaecological Examination - Apprendre l'anglais à l'oral avec la vidéo

The gynecological examination.

So continuing on our examination series, we're going to be taking a look at the gynae examination.

So when performing any examination on the patient, we always need to have a discussion prior, explain what we're going to be doing and obtain verbal consent.

We need to inform her that she will need to get undressed from the waist down, therefore we need to have an appropriate room where the patient will be able to get undressed in privacy

and we should provide the sheet so that she can cover herself.

We can ask her if she would like to empty her bladder

and also perform a pregnancy test before proceeding with the examination.

For this examination we will need to have a chaperone present with us.

Finally we need to ensure we have all our equipment prepared for the examination including a Cusco speculum,

lubricant gel, swabs used to assess for any infections and possibly a cervical smear brush.

Now we also need to prepare the couch.

This time we need to position the couch completely flat.

Then we need to make sure we wear disposable gloves as you can see here.

And then we would always start with the abdominal examination.

So here we will assess for tenderness, rebound guarding and any masses.

If you would like to see a detailed video on the abdominal examination, let me know in the comments.

Okay, so now we can start off the proper gynae examination.

So we start off by asking the patient to bend her legs and bring her heels to her buttocks, and allow her knees to fall to the sides.

This is called the modified litotomy position, and is preferred nowadays to placing the patient's legs in stirrups.

Now we can uncover the patient, and start off with inspection of the vulva.

So, here we are looking for any scars,

erythema, discoloration, masses, warts or ulcers and discharge or bleeding from the entroitis.

We can also part the labia a bit to improve our inspection.

At this point, we can also ask the patient to cough to assess for any prolapse.

Again, if you'd like to see a video from me about vaginal prolapse, leave a comment down below.

next up we've got the speculum examination

so first let's take a look at the instrument

so this is a cusco's speculum over here we have the blades the fixation screw and the handles

i like to hold the speculum as you can see here with my thumb

and index finger above the anterior blade

and my third finger below the posterior blade this gives me good stability

when handling the speculum and prevents the blades from opening before I want them to.

So next we'll look at how to insert the speculum, so of course on an actual patient we'll need to lubricate the blades of the speculum.

Then part the labia, insert the speculum on its side slowly with the blades closed

and then rotate the speculum with the handles positioned at the top.

I prefer this approach rather than having the handles facing downwards and having to fiddle with them close to the anus.

Once the speculum has been inserted all the way in, we start to open the blades under direct vision until the cervix has come into view.

Of course you must have some form of light available to see properly.

When we are happy, we can use a fixation screw to keep the speculum in place.

Once we have done this, we can inspect the cervix and the vaginal walls.

First of all, looking at the cervix, we want to identify any cervical ectropion,

any obvious masses any discharge or bleeding then we want to look at the vaginal walls

and inspect for any vaginal tears or lacerations

that is one advantage of using these transparent speculums as you

can still inspect all vaginal walls during the examination now here

i've also shown how to take a high vaginal swab

so essentially we are guiding the swab into the posterior fornix

which is location underneath the cervix and here we're taking a cervical smear

so here we are using a cervical broom the tip is inserted into the cervical loss

and is brushed in a circular motion over the cervix by

360 degrees for five turns some pressure should be applied to make sure

that the cells are sticking to your cervical broom for more

information on smears i have created a video all about this subject next we need to remove the speculum

so first we will retract the speculum slightly keeping the blades

open until we have passed the cervix then we can close the blades

and then we draw the speculum gently in the same position or rotate it again and withdraw it completely.

To perform the bimanual vaginal examination, we first lubricate two fingers.

Again, part the labia using our left hand and insert the fingers of our right hand gently into the vagina.

Now, our left hand will be placed on the abdomen so that we can bellow the structures between our two hands.

Starting off with the uterus, we want to assess the position, size and mobility of the uterus.

so back to some revision here so

when we talk about the position of the uterus we refer to version

and flexion of the uterus but what are these

so these refer to angles created by the curvature of the uterus

so the first is how the long axis of the uterus

is bent over the long axis of the vagina this refers

to version then we've got the angle created by the long axis of uterus, bent over the long axis of the cervix,

and this is referred to as flexion.

So keeping these two diagrams in mind, here we have got an antiverted uterus, with the uterus bent forwards over the vagina.

Then we have a retroverted uterus, with the uterus bent backwards over the vagina.

an anti -flexed uterus with the uterus bent forwards over the cervix

and a retroflexed uterus with the uterus bent backwards over the cervix.

So during a bimanual examination from these two images, you can appreciate how the cervix will be positioned in a different direction

and the uterus will be much harder to palpate when in a retroverted position.

now we also want to assess ferny masses

or cervical excitation cervical excitation refers to acute tenderness on palpation

of the cervix these patients might literally jump off the couch

so be careful when listing this sign some causes include pelvic inflammatory disease

or ectopic pregnancy we will then move over to the right at nexa again feeling ferny masses or adnexal tenderness,

a normal ovary will not be palpable in examination and will repeat the same on the left.

When talking about adnexal tenderness, this could be secondary to an ovarian cyst accident, such as ovarian cyst structure or ovarian torsion.

I hope you found this helpful.

If you haven't watched my previous video on the obstetric examination, you can have a look at it here.

Let me know what you think in the comments, like and subscribe.

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Vocabulaire et conseils d’expression pour cette leçon

Cette leçon d’expression orale s’appuie sur la vidéo « Gynaecological Examination ». Les mots qui reviennent le plus souvent : uterus, examination, speculum, cervix, blade. Cette vidéo contient 84 phrases et 1203 mots à répéter en shadowing. La partie parlée dure 7:37. Le locuteur parle à un rythme naturel d’environ 158 mots par minute, proche d’une conversation courante. Seuls 74 % des mots font partie des 3 000 mots les plus courants en anglais, le vocabulaire est donc exigeant.

Vocabulaire clé de cette vidéo

15 mots de la vidéo à retenir, avec leur prononciation et leur sens :

Mot	Prononciation	Sens
examination nom	/ɪɡˌzæm.ɪˈneɪ.ʃən/	examen
blade nom	/bleɪd/	lame
bend verbe	/bɛnd/	courber, tordre
refer verbe	/ɹɪˈfɜː/	référer
assess verbe	/əˈsɛs/	estimer, évaluer
insert verbe	/ɪnˈsɝt/	insérer, introduire
finger nom	/ˈfɪŋɡɚ/	doigt
axis nom	/ˈæksɪs/	axe
vagina nom	/vəˈdʒaɪ.nə/	vagin
couch nom	/ˈkaʊ̯t͡ʃ/	sofa, canapé
angle nom	/ˈæŋ.ɡəl/	angle
pregnancy nom	/ˈpɹɛɡnənsi/	grossesse, gestation
brush nom	/bɹʌʃ/	brosse
inspection nom	/ɪnˈspɛkʃən/	inspection
bleed verbe	/ˈbliːd/	saigner

La grammaire de cette vidéo

Les structures que le locuteur utilise le plus, avec les mots exacts de la vidéo :

Structure	Dans la vidéo
Voix passive be + participe passé — l’accent est mis sur ce qui arrive, pas sur qui le fait	is called · has been inserted · is inserted
Present perfect have/has + participe passé — une action passée qui compte encore maintenant	has been inserted · have done · i've also shown

Prononciation à surveiller

Le locuteur utilise 10 contractions et formes réduites, comme we're, we'll, we've. Prononcez-les sous leur forme courte, telles que vous les entendez.

Les sons « th »: underneath /ˌʌndɚˈniθ/, withdraw /wɪðˈdɹɔ/, thumb /ˈθʌm/, erythema /ˌɛɹɪˈθiːmə/
Les sons « sh » et « zh »: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, brush /bɹʌʃ/, inspection /ɪnˈspɛkʃən/, essentially /ɪˈsɛnʃəli/, sheet /ʃit/
Mots longs — placez bien l’accent: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, essentially /ɪˈsɛnʃəli/, stability /stəˈbɪlɪti/, mobility /mə(ʊ)ˈbɪlɪti/, inflammatory /ɪnˈflæmət(ə)ɹi/

Les sons difficiles pour les francophones :

/h/ — il se souffle, il n’est pas muet: helpful /ˈhɛlp.fl̩/, heel /hil/
/tʃ/ et /dʒ/ — à ne pas adoucir en « ch » et « j »: vagina /vəˈdʒaɪ.nə/, couch /ˈkaʊ̯t͡ʃ/, gently /ˈd͡ʒɛntli/, discharge /dɪsˈtʃɑɹdʒ/, vaginal /ˈvæd͡ʒ.ən.əl/
/r/ anglais — langue recourbée, sans frotter la gorge: refer /ɹɪˈfɜː/, pregnancy /ˈpɹɛɡnənsi/, brush /bɹʌʃ/, discharge /dɪsˈtʃɑɹdʒ/, rotate /ˈɹoʊ.teɪt/

Comment s’entraîner avec cette vidéo

Écoutez la vidéo en entier une fois sans parler et notez les mots que vous ne connaissez pas.
Commencez à la vitesse 0,75×, répétez phrase par phrase, puis revenez à la vitesse normale quand cela devient facile.
Enregistrez-vous et comparez avec l’original, en faisant attention à des mots comme examination, blade, bend.

Qu'est-ce que la technique du Shadowing ?

Le Shadowing est une technique d'apprentissage des langues fondée sur la science, développée à l'origine pour la formation des interprètes professionnels. Le principe est simple mais puissant : vous écoutez de l'anglais natif et le répétez immédiatement à voix haute — comme une ombre suivant le locuteur avec un décalage de 1 à 2 secondes. Les recherches montrent une amélioration significative de la précision de la prononciation, de l'intonation, du rythme, des liaisons, de la compréhension orale et de la fluidité.

Technique du shadowing : lire le guide complet étape par étape →

Pratique du Shadowing: Gynaecological Examination - Apprendre l'anglais à l'oral avec la vidéo

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Vocabulaire et conseils d’expression pour cette leçon

Vocabulaire clé de cette vidéo

La grammaire de cette vidéo

Prononciation à surveiller

Comment s’entraîner avec cette vidéo

Qu'est-ce que la technique du Shadowing ?