A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; furthermore:
- Inspection (viewing) and palpation (palpation) of abdomen (stomach), inguinal region (groin region), etc. (tenderness?, tapping pain?, release pain?, coughing pain?, guarding pain?, hernial orifices?, kidney bearing tapping pain?)
- Inspection and palpation of the genitals.
- Penis and scrotum (scrotum); assessment of pubes hair (pubic hair), penis (penis length: in flaccid state between 7-10 cm; presence of: Indurations (tissue hardening), abnormalities, phimosis/foreskin stenosis?)
- Testicular position and size (by orchimeter if necessary): examination of both testicles (lateral difference or swelling? ) [swelling does not increase with coughing and abdominal pressing (unlike inguinal hernia/inguinal hernia); differential diagnosis: varicocele (synonyms: Varicocele testis; varicocele hernia) – varicose formation in the area of the pampiniform plexus formed by the testicular and epididymal veins, a venous plexus in the spermatic cord; in a high percentage (75-90%), varicocele occurs on the left side; tumors of the testis/epididymis, unspecified; hematocele/blood hernia]
- Palpation of the inguinal ducts
- Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of prostate size, shape and consistency).
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
