A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
- Inspection (viewing).
- Skin
- Mucous membranes [symptom: painless vesicle, which then ulcerates (called primary lesion)]
- Inguinal region (groin region) [symptom: painful purulent lymph node disease (lymphadenopathy); occurs after several weeks]
- Genital region [symptom: painless vesicle, which then ulcerates (so-called primary lesion)]
- Anal region [due topossible secondary diseases: Chronic proctitis – inflammation of the rectum with chronic anorectal pain, tenesmus (intestinal cramps) and painful bowel movements; rectal stricture – narrowing of the rectum]
- Inspection (viewing).
- Auscultation of the lungs [due topossible sequelae: Pleurisy (pleurisy), pneumonitis (collective term for any form of pneumonia (pneumonia), which does not affect the alveoli (alveoli), but the interstitium or intercellular space)].
- Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knock pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)
- Cancer screening
- If necessary, neurological examination [due topossible secondary diseases: Meningitis (meningitis), meningoencephalitis (combined inflammation of the brain (encephalitis) and meninges (meningitis))].
- If necessary, urological examination [due topossible sequelae: Penile stricture (narrowing of the penis), urethral stricture (narrowing of the urethra)]
Square brackets [ ] indicate possible pathological (pathological) physical findings.
