Penis Medical Exam

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Practical Guide to Clinical Medicine
The "daVinci Anatomy Icon" denotes a link to related gross anatomy pictures.
Content and Photographs by Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California 92093-0611.
Send Comments to: Charlie Goldberg, M.D.
This is generally the last part of the complete physical examination. While it may cause the patient (and perhaps you) some embarrassment as well as discomfort, it provides important information and should not be skipped. Explain to the patient what you are going to do (and why) and then proceed.
If they have not already done so, ask the patient to remove their underwear. I believe that this examination is easier to perform and yields more information if it is done with the patient standing while you are seated in front of them. In this position, it is easier to examine the testes, evaluate for inguinal hernias and perform the rectal exam. However, if the patient is unable to stand/unsteady on their feet, it can be performed while they lie on the exam table.
Have the patient stand in front of you and raise their gown to the level of the umbillicus, exposing the entire genital region. Put on a pair of gloves prior to beginning. The gloves do not have to be sterile.
Paraphymosis: Picture on left demonstrates edematous foreskin which has become trapped behind
the head of the penis. Picture on right demonstrates foreskin in appropriate position covering head of penis.
This was achieved by applying steady pressure to the head of the penis, reducing edema, which then
allowed repositioning of foreskin. Note that patient has Foley catheter inserted.
Testicular enlargement caused by hydrocele.
Orchitis: Picture on left demonstrates testicular enlargement caused by infection within the body of the testis.
The inflammation has spread from the testis to the skin of the scrotum, with resulting edema causing fewer skin folds over the right testicle compared with the left. No transillumination is seen (picture on right) as the inflamed testis does not allow the passage of light (as opposed to hydrocele shown above, which readily conducts light). This is not always the case, as sometimes orchitis will cause a "reactive hydrocele" to form, which will transilluminate.
Large right inguinal hernia: Prominently seen in picture on left. Picture on right demonstrates appearance in same patient after manual reduction.
Have the patient turn around and instruct them to rest their chest on the exam table. This gives you an opportunity to perform the exam while providing the patient with something to lean against for support. You can remain seated. Separate the cheeks of the buttocks and look at the peri-anal area. Make note of any skin abnormalities, bleeding sites, fissures or hemerrhoids.
Rectal Fissure and Prominent Skin Tag
The digital rectal exam can provide information about several important organ systems, including:
For additional information see: Digital DDx: Anorectal Symptoms
Before proceeding, provide the patient with a box of tissue paper that they can use for cleaning themselves at the end of the exam. Open a stool guiac card and place it on the exam table next to the patient. Then:
Guaiac Positive (Note blue coloration in boxes)
As you are evaluating the stool, allow the patient to wipe themselves off with the tissue paper that you made available to them earlier. It is generally a nice idea to pull the curtain and give them some privacy while they clean up and dress. To remove your stool-covered glove, take the index finger of your left hand (which should still be clean) and place it under the cuff of the right glove. Then pull that glove down towards your fingers, inverting it in the process.
In the event that the patient cannot stand, this examination can be performed with the patient lying on the exam table. Place them on their side, with knees tucked up towards their chest. Their back should be as close to the edge of the table (i.e. as close to you) as possible. The remainder of the exam is performed as described above. You may either sit or stand.
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https://m.youtube.com/watch?v=kbX9HAxirhw
Перевести · Male Genital Examination - Penis and Testicle Exam - Medical School Clinical Skills RevisionThe male pelvis, or male genital exam is a very important clinica...
https://www.healthline.com/health/penis-exam
Перевести · 30.07.2019 · A “penis exam” is more involved than you might think. Doctors know it as a genitourinary (GU) and rectal exam, which involves your groin, penis head and shaft, scrotum, testicles, anus, rectum ...
https://meded.ucsd.edu/clinicalmed/genital.htm
Перевести · The Penis: First examine the glans (i.e. the head) of the penis. If the patient is uncircumcised, draw back the foreskin so that you can look at the glans in its entirety.
https://www.nycptc.org/x/Michigan_Male_Genital_Exam_Ann_Avery_2.pdf
Examination of Penis Gently grasp the lateral aspect of the penis and lift to inspect all sides Palpate along the shaft Assess for any firm areas or irregularities Assess for any unusual curves Exam at the base of the shaft Look for warts, vesicle, or sores Examination of Penis Examine the urethral meatus Note position and size of opening
Перевести · Male genital examination (A/Prof Carolyn Allan) on Vimeo. Play.
Now, gently run your fingers along your penis shaft and head. Look for lesions or tissue damage. Squeeze lightly to check for any lumps, firmness, or tender areas. If you have a foreskin, move it back to look and feel underneath there, too.
www.healthline.com/health/penis-exam
What did the doctor do to my penis?
What did the doctor do to my penis?
She put on blue latex gloves saying “ I will examine your penis, scrotum, and testes”. She gently grasped shaft of my penis and inspected glans for any abnormalities and hygiene. I was circumcised high and tight with a well defined scar, thus my penis was in perfect condition.
www.medhelp.org/posts/Mens-Health/Erec…
What do you need to know about male genital exam?
What do you need to know about male genital exam?
Male Genital Exam Ann Avery, MD Cleveland Department of Public Health MetroHealth Medical Center STD/HIV Prevention Training Center Penis Shaft Corpus cavernosa Corpus spongiosum Dorsal vein Glans Corona and coronal sulcus Prepuce (foreskin) Frenulum Urethral meatus Penoscrotal junction Median raphe Penis Anatomy Penis Anatomy Scrotum and Testes
www.nycptc.org/x/Michigan_Male_Genital_…
Which is the first part of the penis to be inspected?
Which is the first part of the penis to be inspected?
We first inspect and then palpatethe pubic area, inguinal canals, penis, and scrotum .
www.contemporarypediatrics.com/view/ad…
https://www.contemporarypediatrics.com/view/adolescent-male-genital-examination-whats...
Перевести · 01.07.1999 · The pubic hair and underlying skin should be inspected to evaluatesexual maturity (Tanner stage) and look for evidence of such conditionsas folliculitis, molluscum contagiosum, scabies, or genital warts.Examination of the penis …
Перевести · This video is for educational purposes only. What's new Vimeo Record: video messaging for teams Vimeo Create: quick and easy video-maker Get started for free
https://www.medhelp.org/posts/Mens-Health/Erection-During-Medical-Exam/show/1590579
Перевести · She put on blue latex gloves saying “ I will examine your penis, scrotum, and testes”. She gently grasped shaft of my penis and inspected glans for any abnormalities and hygiene. I was circumcised high and tight with a well defined scar, thus my penis …
It's not a problem and the doctor has seen and will see male erections again it's normal
I agree but I think she enjoyed it.
I am a doctor myself, a 39 years old male, employed in a hospital. Regulations impose a regular medical check-up once a year on all members of the...
https://www.medhelp.org/posts/Mens-Health/MOST-EMBARRASSING-EXAM-EVER/show/1137791
Перевести · Penis exam during a physical. howardrw. I'm 40 and just got a physical exam from an older female doctor. ... Never disregard the medical advice of your physician or health professional, or delay in …
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