Female Reproductive

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Trace DC18-6

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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4. Normal findings

“Normal/at-baseline” means post-operative recovery is on track, there is no abnormal bleeding, and any prolapse or pessary is stable. Each line states the finding, the comparison to baseline, and the skilled reason a nurse was required — a bare “no complaints” does not qualify.

  • No abnormal vaginal bleeding; specifically, no postmenopausal bleeding.
  • No pelvic pain, or chronic pelvic pain stable and without new fever.
  • A post-operative gynecologic site or vaginal cuff healing without bleeding, infection, or dehiscence.
  • Prolapse and pelvic-floor status unchanged from baseline, with symptoms managed.
  • A pessary in place, comfortable, and without erosion, retention, or abnormal discharge.
  • Vulvar and perineal skin intact without signs of infection (detail in External Genitalia).
  • No infection signs, and the plan appropriate to continue.
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