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DeGowin's Diagnostic Examination, 9e
Physical Examination of the Male Genitalia and Reproductive System
Sections: Examination of the Penis, Examination of the Scrotum, Examination of Scrotal Contents, Examination for Scrotal Hernia, Examination of the Testes, Examination of the Epididymis, Examination of the Spermatic Cord, Examination of the Inguinal Regions for Hernia, Zieman inguinal examination, Palpation of prostate and seminal vesicles.
Topics Discussed: epididymis; groin; hernia, inguinal; male genital organs; penis; prostate; reproductive function, male; reproductive system; scrotal hernia; scrotum; seminal vesicles; spermatic cord; testis.
Excerpt:"Inspection and palpation reveal many disorders of the external and internal male reproductive organs and the lower urinary tract. Familiarity with the genital disorders demonstrated by inspection and palpation is necessary for any physician performing a physical examination.Wearing gloves, view the penis in its usual state, then have the patient retract the prepuce revealing the size of the foreskin orifice and the glans. Observe any superficial lesions of the corona or retroglandular sulcus. Palpate lesions for induration and tenderness. Palpate the length of the shaft, ventrally along the corpus spongiosum, and laterally over both corpora cavernosa, feeling for nodules and plaques. Compress the glans anteroposteriorly between the thumb and forefinger to open and inspect the meatus and terminal urethra. If urethral symptoms are present, strip the ventral penis from its base to the glans to collect a drop of urethral discharge for microscopic examination.This procedure reveals direct and indirect inguinal hernias, and hernias of the femoral triangle. With the patient standing, stand at the patient's right side and place the palm of your right hand against the right lower abdomen. Spread your fingers slightly so your long finger lies along the..."
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