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).
- Skin and mucous membranes
- Auscultation (listening) of the heart
- Auscultation of the lungs
- Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?)
- Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation: assessment of the prostate in size, shape and consistency [due topossible secondary disease: prostatitis (prostatitis)].
- Inspection (viewing).
- Gynecological examinationInspection.
- Vagina (vaginal) [vaginal fluoride (vaginal discharge)]
Palpation (bimanual; palpation with both hands) of the internal genital organs:
- Adnexa (appendages of the uterus, i.e., the ovary (ovary) and uterine tube (fallopian tube)). [due topossible sequelae: ascension/inflammation of the female genitals with adnexitis – ascending infection/inflammation of the fallopian tubes and ovary].
- Urological examination[due topossible causes:
- Urethral diverticulum (formation of a blind sac on the urethra).
- Urethral stricture (urethral narrowing).
- Diagnostic/therapeutic procedures such as cystoscopy (urinary bladder endoscopy) or bladder catheter placement]
[due todifferential diagnoses:
- Abacterial urethritis
- Allergic urethritis
- Bacterial urethritis, unspecified
- Viral urethritis]
[due topossible sequelae:
- Man: inspection and palpation of the genitals (penis and scrotum) [cavernitis (inflammation of the corpora cavernosa of the penis); epididymitis (inflammation of the epididymis)]
- Urethral stricture (urethral narrowing).
- Periurethritis (inflammation of the tissues surrounding the urethra).
- Cystitis (inflammation of the urinary bladder)]
Square brackets [ ] indicate possible pathological (pathological) physical findings.