Urethritis physical examination: Difference between revisions
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*If no discharge is present, the urethra should be gently stripped or milked. | *If no discharge is present, the urethra should be gently stripped or milked. | ||
*Milking, frequently expels a discharge that may be collected on a swab for examination. | *Milking, frequently expels a discharge that may be collected on a swab for examination. | ||
==Images== | ==Images== |
Revision as of 04:06, 11 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
The most common physical finding in urethritis is, urethral discahrge. The entire genital area must be examined to rule out other possibilities.
Physical Examination
In patients with suggestive symptoms for urethritis, through examination of genital area must be done[1][2].
- The genitalia are best examined while the patient is supine.
- Patients should be examined for: inguinal lymphadenopathy, ulcers, or urethral discharge.
- The skin of the entire pubic area, scrotum, groin, and penis should be examined for lesions, and the hair should be examined for nits.
- The testes, epididymis, and spermatic cords should be palpated for masses or tenderness.
- The urethral meatus should be inspected for secretions.
- If no discharge is present, the urethra should be gently stripped or milked.
- Milking, frequently expels a discharge that may be collected on a swab for examination.
Images
Milking in patients with urethrits:
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Mucoid urethral discharge in men with non-gonococcal urethritis.
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Mucopurulent urethral discharge.