b. Male Genitalia Palpation. Examine as follows:
(1)
Testes. Check the testes for:
(a)
Masses that are tender.
(b) Tumors that won't transluminate.
(c)
Spermatocele (tumor of the testes).
(d) Varicocele (swelling that feels like a bag of worms in the scrotum).
(2)
Epididymis. Check for:
(a) Soft mass of tissue posterior to the testicle.
(b) Epididymitis (inflammation of the epididymis).
(3) Direct inguinal hernia. Check for a bulge. A large bulge is rare. A minor
bulge may only be felt with the finger in the inguinal canal.
(4)
Indirect inguinal hernia. Examine as follows:
(a) Protrusion of abdominal contents through the inguinal canal and
often into the scrotum.
(b) Indirect hernia can resolve on recumbent position.
c. Female Genitalia Inspection. Follow this procedure:
(1)
Ensure proper equipment (speculum, lubricant, gloves) is set up.
(2)
Have the patient void (to avoid discomfort during the examination).
(3)
Be sure a chaperon is available.
(4)
Check the external genitalia using a gloved hand.
(5)
Check for inflammation, discharge, swelling, or ulceration of the
following:
(a) External genitalia (with a gloved hand): labia minora, clitoris,
urethral opening, and vaginal opening.
(b) Internal genitalia (examine with a speculum): vagina and cervix.
MD0579
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