A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; furthermore:
- Inspection (viewing).
- Skin and mucous membranes
- Auscultation of the lungs
- Palpation (palpation) of the renal bed and abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bed knocking pain?)
- Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation: assessment of the prostate gland in size, shape and consistency[due topossible cause: benign prostatic hyperplasia (benign enlargement of the prostate gland (prostate adenoma)]
- Inspection (viewing).
- If necessary, cancer screening [due topossible cause: malignant tumors (cancers)]
- If necessary, gynecological examination [due todifferential diagnoses:
- Extrauterine pregnancy – pregnancy outside the uterus; extrauterine pregnancy is present in approximately 1% to 2% of all pregnancies: Tubalgravidity (ectopic pregnancy), Ovariangravidity (pregnancy in the ovary), Peritonealgravidity or Abdominalgravidity (pregnancy in the abdominal cavity), Cervicalgravidity (pregnancy in the cervix).
- Pedunculated ovarian cyst (ovarian cyst)]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.