EXAMINATION

Have patient lying or standing to start examination.

TECHNIQUE	FINDINGS
Wear gloves on both hands
Inspect pubic hair
Characteristics	EXPECTED:Coarser than scalp hair.
Distribution	EXPECTED:Male hair distribution. Abundant in pubic region, continuing around scrotum to anal orifice, possibly continuing in narrowing midline to umbilicus. Penis without hair, scrotum with scant hair.
Distribution	UNEXPECTED:Alopecia.
Inspect glans penis
Uncircumcised patient Retract foreskin or ask patient to do so.	EXPECTED:Dorsal vein apparent. Foreskin easily retracted. White, cheesy smegma visible over glans.
	UNEXPECTED:Tight foreskin (phimosis). Lesions or discharge.
Circumcised patient	EXPECTED:Dorsal vein apparent. Exposed glans erythematous and dry.
Circumcised patient	UNEXPECTED:Lesions or discharge.
Examine external meatus of urethra (foreskin retracted in uncircumcised patient)
Shape	EXPECTED:Slitlike opening.
Shape	UNEXPECTED:Pinpoint or round opening.
Location	EXPECTED:On ventral surface and only millimeters from tip of glans.
Location	UNEXPECTED:Any place other than tip of glans or along shaft of penis.
Urethral orifice Press glans between thumb and forefinger	EXPECTED:Opening glistening and pink.
	UNEXPECTED:Bright erythema or discharge.
Palpate penis
	EXPECTED:Soft (flaccid penis).
	UNEXPECTED:Tenderness, induration, or nodularity. Prolonged erection (priapism).
Strip urethra
Firmly compress base of penis with thumb and forefinger; move toward glans.	UNEXPECTED:Discharge.
Inspect scrotum and ventral surface of penis
Color	EXPECTED:Darker than body skin and often reddened in red-haired patients.
Texture	EXPECTED:Surface possibly coarse. Small lumps on scrotal skin (sebaceous or epidermoid cysts) that sometimes discharge oily material.
Shape	EXPECTED:Asymmetry. Thickness varying with temperature, age, emotional state.
Shape	UNEXPECTED:Unusual thickening, often with pitting.
Palpate inguinal canal for direct or indirect hernia
With patient standing, ask him to bear down as if for bowel movement. While he strains, inspect area of inguinal canal and region of fossa ovalis. Only gold members can continue reading. Log In or Register to continue Share this: Click to share on Twitter (Opens in new window) Click to share on Facebook (Opens in new window) Like this: Like Loading... Related Related posts: The Healthy Female Evaluation Reporting and Recording Lymphatic System Eyes Stay updated, free articles. Join our Telegram channel Tags: Mosby's Physical Examination Handbook Mar 25, 2017 \| Posted by admin in PHYSIOLOGY \| Comments Off on Male Genitalia Full access? Get Clinical Tree Get Clinical Tree app for offline access Get Clinical Tree app for offline access