A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing).
- Skin and mucous membranes
- Abdomen (abdomen)
- Shape of the abdomen?
- Skin color? Skin texture?
- Efflorescences (skin changes)?
- Pulsations? Bowel movements?
- Visible vessels?
- Scars? Hernias (fractures)?
- Palpation (palpation) of the abdomen (belly) and inguinal region (groin region) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [cystitis (urinary bladder inflammation)]
- Inspection of the genitals and urethra [urethritis (urethritis)]
- 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, detection of indurations (tissue hardening), if necessary). [Benign prostatic hyperplasia (BPH) – benign enlargement of the prostate gland]
- Inspection (viewing).
- Cancer screening
- Urologic examination [due todifferential diagnoses: bladder stones, urinary tract infections, neoplasms, benign or malignant (benign or malignant), unspecified, prostatitis (prostatitis), urethritis (urethritis), pyelonephritis (renal pelvic inflammation), urolithiasis (urinary stone disease), cystitis (urinary bladder infection), infectious and abacterial]
- Gynecological examination [due todifferential diagnoses: vulvovaginal infections (vaginal infections), uterus myomatosus (uterus enlarged by myomas (benign muscular growths)); ovarian tumor (ovarian tumor)]
- Cancer screening
Square brackets [ ] indicate possible pathological (pathological) physical findings.
