ABC Medical Notes.com |
Free Open Access Medical Information |
|
MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd
|
Testicular exmaiantion
Testicular
Checklist P MP F
HELP
H: 'Hello' (introduction and gains consent)
E: Exposure
L: Lighting
P: Positions correctly (supine), asks if the patient
is in any pain
Washes hands
Requests CHAPERONE
Inspection:
Comments on patient's general appearance
(secondary sexual characteristics,
gynaecomastia - if shirt has been removed)
Hair distribution (face, axilla, pubis)
Skin of pubic region and scrotum (scars, colour,
rash, lumps, ulcers)
Examines penis from base to shaft
Prepuce (if present) is examined and retracted
(phimosis, paraphimosis)
Asks patient for permission to retract foreskin
Meatus (hypospadias, epispadias, discharge)
Scrotum (front and back, size, shape, symmetry,
height of testes - left usually lower than right)
Returns foreskin to normal position
Palpation:
Testicles (number, size, consistency, other
masses, epididymis, vas deferens)
Checklist P MP F
Epididymis (location, swellings)
Spermatic cord
Uses correct technique, 'rolling' the testes
between finger and thumb, and covering the
entire surface area of the testes
Examines any swellings if present (size, shape,
fluctuance, trans illuminable, cough impulse)
Tries to palpate 'above' swelling to
determine where it originates from (testes,
inguinal canal)
Examines inguinal lymph nodes
Asks patient to stand and comments on any
changes (varicocele, hernia)
Complete examination:
Examine abdomen
Hernial orifices
Rectal examination for prostate
If a lump was felt, offers to examine the lungs,
liver and spine for bony tenderness
Thanks patient
Offers to help patient get dressed
Washes hands
Presents findings
Offers appropriate differential diagnosis
Suggests appropriate further investigations and
management
OVERALL IMPRESSION