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Changing Gloves Between Vaginal and Rectal Examination: Reinstitution of Old Practices for New Diseases
George D. Wilbanks, MD
Rush-Presbyterian-St Luke's Medical Center Chicago
JAMA. 1986;256(14):1893.
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To the Editor.—
Old habits tend to stick! As a resident, I was taught by my mentor, the late Professor Bayard Carter of Duke University, to change gloves between the vaginal and rectovaginal examination. This was because of his experience with rectal involvement from lymphogranuloma venereum, which caused rectal stricture. Such strictures were seen in many indigent clinics throughout the South prior to the antibiotic era. I continued this practice probably mainly out of habit but also because it gives one the chance to examine the left side of the pelvis with the left hand; ie, the pads of the fingers naturally face and can palpate the left side of the pelvis while doing the vaginal examination. In doing the rectovaginal examination, the new glove is placed on the right hand, which allows the pads of the fingers to be facing the right side of the pelvis and makes palpation
. . . [Full Text PDF of this Article]
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