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
- Physique
- Inspection and palpation (palpation) of the mammae (mammary glands) [gynecomastia?/enlargement of the mammary gland in men].
- Inspection and palpation of the abdomen (abdomen), inguinal region (groin region), etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?)
- Inspection and palpation of the genitals (penis and scrotum); assessment of:
- Pubescence (pubic hair).
- Penis (penis length: between 7-10 cm when flaccid; presence of: Indurations (tissue hardening), anomalies, phimosis / foreskin constriction?)
- Testicular position and size (if necessary by orchimeter).
- 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, if necessary, detection of indurations (tissue hardening)).
- Inspection (viewing).
- Health check – to determine individual health risks.
- Nutritional analysis – to determine the nutritional situation including the determination of the individual micronutrient additional requirements (vital substances).
In square brackets [ ] refers to possible pathological (pathological) physical findings.