Prática de Shadowing: Gynaecological Examination - Aprenda a falar inglês com vídeo
Criando lição...
1
The gynecological examination.
2
So continuing on our examination series, we're going to be taking a look at the gynae examination.
3
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.
4
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
5
and we should provide the sheet so that she can cover herself.
6
We can ask her if she would like to empty her bladder
7
and also perform a pregnancy test before proceeding with the examination.
8
For this examination we will need to have a chaperone present with us.
9
Finally we need to ensure we have all our equipment prepared for the examination including a Cusco speculum,
10
lubricant gel, swabs used to assess for any infections and possibly a cervical smear brush.
11
Now we also need to prepare the couch.
12
This time we need to position the couch completely flat.
13
Then we need to make sure we wear disposable gloves as you can see here.
14
And then we would always start with the abdominal examination.
15
So here we will assess for tenderness, rebound guarding and any masses.
16
If you would like to see a detailed video on the abdominal examination, let me know in the comments.
17
Okay, so now we can start off the proper gynae examination.
18
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.
19
This is called the modified litotomy position, and is preferred nowadays to placing the patient's legs in stirrups.
20
Now we can uncover the patient, and start off with inspection of the vulva.
21
So, here we are looking for any scars,
22
erythema, discoloration, masses, warts or ulcers and discharge or bleeding from the entroitis.
23
We can also part the labia a bit to improve our inspection.
24
At this point, we can also ask the patient to cough to assess for any prolapse.
25
Again, if you'd like to see a video from me about vaginal prolapse, leave a comment down below.
26
next up we've got the speculum examination
27
so first let's take a look at the instrument
28
so this is a cusco's speculum over here we have the blades the fixation screw and the handles
29
i like to hold the speculum as you can see here with my thumb
30
and index finger above the anterior blade
31
and my third finger below the posterior blade this gives me good stability
32
when handling the speculum and prevents the blades from opening before I want them to.
33
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.
34
Then part the labia, insert the speculum on its side slowly with the blades closed
35
and then rotate the speculum with the handles positioned at the top.
36
I prefer this approach rather than having the handles facing downwards and having to fiddle with them close to the anus.
37
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.
38
Of course you must have some form of light available to see properly.
39
When we are happy, we can use a fixation screw to keep the speculum in place.
40
Once we have done this, we can inspect the cervix and the vaginal walls.
41
First of all, looking at the cervix, we want to identify any cervical ectropion,
42
any obvious masses any discharge or bleeding then we want to look at the vaginal walls
43
and inspect for any vaginal tears or lacerations
44
that is one advantage of using these transparent speculums as you
45
can still inspect all vaginal walls during the examination now here
46
i've also shown how to take a high vaginal swab
47
so essentially we are guiding the swab into the posterior fornix
48
which is location underneath the cervix and here we're taking a cervical smear
49
so here we are using a cervical broom the tip is inserted into the cervical loss
50
and is brushed in a circular motion over the cervix by
51
360 degrees for five turns some pressure should be applied to make sure
52
that the cells are sticking to your cervical broom for more
53
information on smears i have created a video all about this subject next we need to remove the speculum
54
so first we will retract the speculum slightly keeping the blades
55
open until we have passed the cervix then we can close the blades
56
and then we draw the speculum gently in the same position or rotate it again and withdraw it completely.
57
To perform the bimanual vaginal examination, we first lubricate two fingers.
58
Again, part the labia using our left hand and insert the fingers of our right hand gently into the vagina.
59
Now, our left hand will be placed on the abdomen so that we can bellow the structures between our two hands.
60
Starting off with the uterus, we want to assess the position, size and mobility of the uterus.
61
so back to some revision here so
62
when we talk about the position of the uterus we refer to version
63
and flexion of the uterus but what are these
64
so these refer to angles created by the curvature of the uterus
65
so the first is how the long axis of the uterus
66
is bent over the long axis of the vagina this refers
67
to version then we've got the angle created by the long axis of uterus, bent over the long axis of the cervix,
68
and this is referred to as flexion.
69
So keeping these two diagrams in mind, here we have got an antiverted uterus, with the uterus bent forwards over the vagina.
70
Then we have a retroverted uterus, with the uterus bent backwards over the vagina.
71
an anti -flexed uterus with the uterus bent forwards over the cervix
72
and a retroflexed uterus with the uterus bent backwards over the cervix.
73
So during a bimanual examination from these two images, you can appreciate how the cervix will be positioned in a different direction
74
and the uterus will be much harder to palpate when in a retroverted position.
75
now we also want to assess ferny masses
76
or cervical excitation cervical excitation refers to acute tenderness on palpation
77
of the cervix these patients might literally jump off the couch
78
so be careful when listing this sign some causes include pelvic inflammatory disease
79
or ectopic pregnancy we will then move over to the right at nexa again feeling ferny masses or adnexal tenderness,
80
a normal ovary will not be palpable in examination and will repeat the same on the left.
81
When talking about adnexal tenderness, this could be secondary to an ovarian cyst accident, such as ovarian cyst structure or ovarian torsion.
82
I hope you found this helpful.
83
If you haven't watched my previous video on the obstetric examination, you can have a look at it here.
84
Let me know what you think in the comments, like and subscribe.
✨ Vídeo recomendado
C12
61 frases
Abdominal Examination - OSCE Guide (Latest) | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C12
100 frases
Epithelial Tissue
Daily ConversationUniversity Students
C14
341 frases
Stop Letting Your Cycle Control Your Life | PMS & PMDD
British AccentDaily ConversationUniversity StudentsWorking Adults
C22
54 frases
Splenectomy: step-by-step
Daily ConversationUniversity Students
C12
26 frases
Hospital-Acquired Infections (HAIs) and Hand Hygiene - Fundamentals of Nursing | @LevelUpRN
Daily ConversationUniversity Students
C11
195 frases
VETERINARY BASICS: How to read a blood test! CBC & Haematology
Daily ConversationUniversity Students
C11
406 frases
Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)
Daily ConversationUniversity Students
C21
80 frases
Dr. Isabelle Ray-Coquard | What Has Changed in Clinical Practice for ovarian Cancer in 2025?
Daily ConversationUniversity Students
C11
91 frases
How To: Ultrasound for Pneumothorax Case Study Video
Daily ConversationUniversity StudentsWorking Adults
B212
89 frases
The Vulva & Vagina Explained: Sex Ed #2
TeensDaily ConversationHigh School Students
C14
56 frases
Obsessive-Compulsive Disorder Explained Clearly (OCD)
Daily ConversationUniversity Students
C21
61 frases
How to Present a Patient: Inpatient Bedside Teaching Rounds (Group 12)
Daily ConversationUniversity Students
Vocabulário e dicas de fala para esta lição
Esta aula de conversação usa o vídeo “Gynaecological Examination”. As palavras que mais se repetem: uterus, examination, speculum, cervix, blade. Este vídeo tem 84 frases e 1203 palavras para praticar shadowing. A fala dura 7:37. O falante fala em ritmo natural, cerca de 158 palavras por minuto, próximo de uma conversa do dia a dia. Apenas 74% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é exigente.
Vocabulário principal deste vídeo
15 palavras do vídeo que vale a pena aprender, com pronúncia e significado:
| Palavra | Pronúncia | Significado |
|---|---|---|
| examination substantivo | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | exame |
| blade substantivo | /bleɪd/ | lâmina, fio |
| bend verbo | /bɛnd/ | dobrar, curvar |
| refer verbo | /ɹɪˈfɜː/ | encaminhar |
| assess verbo | /əˈsɛs/ | estimar, avaliar |
| insert verbo | /ɪnˈsɝt/ | inserir, enxertar |
| finger substantivo | /ˈfɪŋɡɚ/ | dedo (da mão) |
| axis substantivo | /ˈæksɪs/ | eixo |
| vagina substantivo | /vəˈdʒaɪ.nə/ | vagina |
| couch substantivo | /ˈkaʊ̯t͡ʃ/ | sofá, cadeirão |
| inspect verbo | /ɪnˈspɛkt/ | inspecionar |
| angle substantivo | /ˈæŋ.ɡəl/ | ângulo |
| pregnancy substantivo | /ˈpɹɛɡnənsi/ | gravidez, prenhez |
| brush substantivo | /bɹʌʃ/ | brocha, escova |
| inspection substantivo | /ɪnˈspɛkʃən/ | inspeção |
Gramática neste vídeo
As estruturas que o falante mais usa, com as palavras exatas do vídeo:
| Estrutura | No vídeo |
|---|---|
| Voz passiva be + particípio passado — o foco está no que acontece, não em quem faz | is called · has been inserted · is inserted |
| Present perfect have/has + particípio passado — uma ação passada que ainda importa agora | has been inserted · have done · i've also shown |
Pronúncia para ficar de olho
O falante usa 10 contrações e formas reduzidas, como we're, we'll, we've. Diga-as na forma curta, do jeito que você ouve.
- Os sons de “th”: underneath /ˌʌndɚˈniθ/, withdraw /wɪðˈdɹɔ/, thumb /ˈθʌm/, erythema /ˌɛɹɪˈθiːmə/
- Os sons de “sh” e “zh”: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, brush /bɹʌʃ/, inspection /ɪnˈspɛkʃən/, essentially /ɪˈsɛnʃəli/, sheet /ʃit/
- Palavras longas — acerte a sílaba tônica: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, essentially /ɪˈsɛnʃəli/, stability /stəˈbɪlɪti/, mobility /mə(ʊ)ˈbɪlɪti/, inflammatory /ɪnˈflæmət(ə)ɹi/
Sons difíceis para falantes de português:
- Consoante final — sem acrescentar um “i” depois: blade /bleɪd/, bend /bɛnd/, insert /ɪnˈsɝt/, inspect /ɪnˈspɛkt/, bleed /ˈbliːd/
- /l/ final — a língua toca o céu da boca, não vira “u”: angle /ˈæŋ.ɡəl/, verbal /ˈvɜː.bəl/, heel /hil/, vaginal /ˈvæd͡ʒ.ən.əl/, palpable /ˈpælpəbəl/
- /h/ — um sopro suave, diferente do “r”: helpful /ˈhɛlp.fl̩/, heel /hil/
Como praticar com este vídeo
- Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
- Comece na velocidade 0,75×, faça shadowing frase por frase e volte à velocidade normal quando ficar fácil.
- Grave a sua voz e compare com o original, prestando atenção a palavras como examination, blade, bend.
O que é a Técnica de Shadowing?
Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.