Schistosomiasis: Examination

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; further:
    • Inspection (viewing).
      • Skin, mucous membranes, and sclerae (white part of the eye) [pruritus (itching), edema (water retention), generalized urticaria (hives)]
      • Abdomen (abdomen)
        • Shape of the abdomen?
        • Skin color? Skin texture?
        • Efflorescences (skin changes)?
        • Pulsations? Bowel movements?
        • Visible vessels?
        • Scars? Hernias (fractures)?
    • Inspection and palpation of lymph node stations [lymphadenopathy (lymph node enlargement)].
    • Auscultation (listening) of the heart.
    • Examination 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 (rectal) [rectal bleeding].
  • Urological examination [due tosymptoms: Dysuria (difficult (painful) urination), hematuria (blood in the urine), urinary tract infections].
    • Male genital examination wg symptoms:
      • Inspection and palpation of the penis and scrotum (scrotum).
  • Gynecological examination – to exclude genital lesions.

Square brackets [ ] indicate possible pathological (pathological) physical findings.