b. Male Genitalia Palpation. Examine as follows:
Testes. Check the testes for:
Masses that are tender.
(b) Tumors that won't transluminate.
Spermatocele (tumor of the testes).
(d) Varicocele (swelling that feels like a bag of worms in the scrotum).
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.
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:
Ensure proper equipment (speculum, lubricant, gloves) is set up.
Have the patient void (to avoid discomfort during the examination).
Be sure a chaperon is available.
Check the external genitalia using a gloved hand.
Check for inflammation, discharge, swelling, or ulceration of the
(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.