Male Genitalia Examination Flashcards
How would you introduce this exam?
Clean Hands Your ID Patients ID Explanation Consent Chaperone Undress
How must they be positioned?
Supine with abdomen and genitals exposed
At end get them to stand up and cough to assess for hernias
How would you maintain patients dignity?
Keep them covered at all times when you are not directly examining
What to do after patient has been positioned?
Clean hands and glove
Ask about pain
What is looked for in inspection of the groin?
Skin
Swelling
Scars
Symmetry of hair
What is looked for in inspection of the shaft?
- Circumcised or not?
- Asses foreskin for phimosis (tightness) - ask if they even have trouble retracting foreskin
- Assess glans for inflammation, warts, ulcers or tumour
- Assess meatus for stenosis
- Push meatus to check for discharge
What is looked for in inspection of the scrotum?
Skin for rashes or nodules
Swelling
Scars
Veins - varicocele
What should be done before you palpate?
Ask if they have any pain
What should you do if there is pain?
Examine painless side first
Reassure patient you will be gentle
What are you noting when you palpate a testical?
Size - normal is 16cc
Consistency - soft or firm
Texture - smooth or rough
What do you examine after the testicals?
Epididymis for nodules, swelling or tenderness
What’s after the epididymis?
Spermatic cord for varicocele (bag of worms)
What should you do if you detect a swelling?
Determine if the swelling is separate or part of the testes. done by:
- Can you get above it
- Is it reducible
- Is it fluctuant/fluid containing
- Or is it solid?
- Does it transilluminate if a pen torch is shone on the skin behind the scrotum?
What happens to the light is the mass is cystic?
Light shines through
What happens to the light if the mass is solid?
Light is blocked
