Urethritis physical examination: Difference between revisions
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In patients with symptoms suggestive of urethritis, a thorough examination of the genital area must be performed.<ref name="pmid20353145">{{cite journal |vauthors=Brill JR |title=Diagnosis and treatment of urethritis in men |journal=Am Fam Physician |volume=81 |issue=7 |pages=873–8 |year=2010 |pmid=20353145 |doi= |url=}}</ref><ref>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref>. | In patients with symptoms suggestive of urethritis, a thorough examination of the genital area must be performed.<ref name="pmid20353145">{{cite journal |vauthors=Brill JR |title=Diagnosis and treatment of urethritis in men |journal=Am Fam Physician |volume=81 |issue=7 |pages=873–8 |year=2010 |pmid=20353145 |doi= |url=}}</ref><ref>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref>. | ||
*The genitalia are best examined while the patient is [[supine]]. | *The genitalia are best examined while the patient is [[supine]]. | ||
*Patients should be examined for | *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 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 testes, epididymis, and spermatic cords should be palpated for masses or tenderness. | ||
Revision as of 13:49, 3 April 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 possible afflictions.
Physical Examination
In patients with symptoms suggestive of urethritis, a thorough examination of the genital area must be performed.[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.
