Prostatitis physical examination: Difference between revisions

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Revision as of 17:03, 1 March 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]

Overview

Patients with chronic prostatitis are usually well-appearing. Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.^[1]^[2] In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate.^[1]^[3] In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland.^[1]

Physical Examination

Physical examination of patients with acute prostatitis may be remarkable for fever and chills. Patients with chronic prostatitis are usually well-appearing.^[1]^[2]

Appearance of the Patient

Appearance may vary in acute and chronic prostatitis patients^[1]^[2]

Patients with chronic prostatitis are usually well-appearing.
Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.

Vital Signs

Fever may be present

Musculoskeletal

Lower back tenderness may be present^[2]

Genitourinary

In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate^[1]^[3]
In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland^[1]
A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis
Digital rectal exam (DRE) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it.
- A digital rectal exam is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.

Cardiovascular

Tachycardia (infection)

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
↑ ^2.0 ^2.1 ^2.2 ^2.3 Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016
↑ ^3.0 ^3.1 Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.

[pmid20704171-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.

[nid-2] 2.0 ^2.1 ^2.2 ^2.3 Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016

[pmid10839552-3] 3.0 ^3.1 Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.

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[2]

[3]

@@ Line 23: / Line 23: @@
 *In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref>
 *A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce [[sepsis]]
-*Digital rectal exam ([[DRE]]) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it. A digital rectal exam is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.
+*Digital rectal exam ([[DRE]]) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it.
+**A digital rectal exam is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.
 === Cardiovascular ===