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
- Palpation (palpation) of the abdomen (abdominal) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) [Leading symptom: diffuse lower abdominal pain.]
- Inspection (viewing).
- Neurological examination [due todifferential diagnoses:
- Apoplexy (stroke)
- Parkinson’s disease (so-called: shaking paralysis or tremor paralysis) – is a slowly progressive neurological disease.
- Multiple sclerosis (neurological disease that leads to multiple damage to the central nervous system due to a chronic inflammatory response)]
- If necessary, psychiatric examination [due todifferential diagnoses: psychosomatic complaints].
- Urological examination [due todifferential diagnoses:
- Bladder outlet stenosis (narrowing of the bladder outlet).
- Foreign body in the bladder
- Urethritis (inflammation of the urethra)
- Cystitis (urinary bladder infection)]
[due topossible secondary disease: functional shrinkage bladder]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
