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the
external genitals,
the presence of any hernias,
prostate gland.
Equipment
Clean gloves
Examination
practitioner
Examination
practitioner
Health History
Frequency
Difficulty
introduce
self
verify the clients identity
Explain to the client
Perform hand hygiene,
apply gloves
Provide for client privacy.
Request the presence of another person
Cover the pelvic area with a sheet or drape at all times when
not actually being examined.
once a month.
A convenient time is after a warm bath or shower
the normal testicle is smooth and uniform in consistency.
(A) roll the testis gently in a horizontal plane between the thumb
and fingers, feeling for any evidence of a small lump or
abnormality.
(B) Follow the same procedure for palpation in anvertical plane.
(C) Locate the epididymis
Repeat the examination for the other testis;
it is normal to find one testis larger than the other.
Techniques
Inspection
palpation
INSPECTION
Pubic Hair
Inspect the distribution, amount, and characteristics
of pubic hair.
Triangular
abdomen
Scant
Penis
Inspect the penile shaft and glans penis for
lesions, nodules, swellings, and inflammation.
NORMAL FINDINGS-PENIS
Penile skin intact
Appears slightly wrinkled and
varies in color as widely as other body skin
Foreskin easily retractable from the glans penis
Small amount of thick white smegma between the
glans and foreskin
Penis
Inspect
appearance
Positioned at the tip of the penis
Scrotum
Inspect the scrotum for appearance, general size,
and symmetry.
Inspect all skin surfaces by spreading the rugated
surface skin and
lifting the scrotum as needed to observe posterior
surfaces.
Scrotum-normal findings
Scrotal skin is darker in color than that of the rest of
the body and is loose
Size varies with temperature changes (the muscles
contract when the area is cold and relax when the area
is warm)
Scrotum appears asymmetric (left testis is usually
lower than right testis)
Inguinal Area
Inspect both inguinal areas for bulges while the
client is standing, if possible.
First, have the client remain at rest.
Next, have the client hold his breath and strain or
bear down
No swelling or bulges
Swelling or bulge (possible inguinal or femoral
hernia)
PALPATION
Abnormal findings
lesions,
redness,
edema,
pain,
discharge,
fluid-filled
and
displacement of the urinary meatus or
difficulties with voiding.
The
parent
or guardians approval
tell the child what you are going to do.
Preschool children are taught to not allow others to
touch their private parts.
OLDER ADULT
Decreased penis size
Decreased pubic hair
Decreased size and firmness of testes
Urinary frequency, nocturia, dribbling, and
problems with beginning and ending the stream
(prostatic enlargement)