Sunday, July 10, 2016

Elements of Gentourinary and Gastrointestinal Exam

Gastrointestinal (Abdomen)

Examination of abdomen with notation of presence of masses or tenderness
Examination of liver and spleen
Examination for presence or absence of hernia
Examination (when indicated) of anus, perineum and rectum, including sphincter
tone, presence of hemorrhoids, rectal masses
Obtain stool sample for occult blood test when indicated


Genitourinary

MALE:
Examination of the scrotal contents (eg, hydrocele, spermatocele, tenderness of
cord, testicular mass)
Examination of the penis
Digital rectal examination of prostate gland (eg, size, symmetry, nodularity,
tenderness)

FEMALE:
Pelvic examination (with or without specimen collection for smears and cultures),
including
Examination of external genitalia (eg, general appearance, hair distribution,
lesions) and vagina (eg, general appearance, estrogen effect, discharge, lesions,
pelvic support, cystocele, rectocele)
Examination of urethra (eg, masses, tenderness, scarring)
Examination of bladder (eg, fullness, masses, tenderness)
Cervix (eg, general appearance, lesions, discharge)
Uterus (eg, size, contour, position, mobility, tenderness, consistency, descent or
support)
Adnexa/parametria (eg, masses, tenderness, organomegaly, nodularity)

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