- Ear Barotrauma18:29Paper Chase #1 | Traditional Flu Tests Are Inaccurate4:20What Would I Do Next? | Pneumothorax17:00Ectopic Pregnancy20:59Paper Chase #2 | Rapid Strep Testing Works3:41Intramuscular Medications17:08IVDU Complications25:35Paper Chase #3 | PERC Negative Patients Receive Excessive Testing3:51TXA in the Urgent CareFree Chapter21:52Asymptomatic Hypertension20:00Paper Chase #4 | Penicillin “Allergies” Are Often Not Allergies At All3:32Living with CF with Claire Wineland, Part 215:45Excellence in the Physical Exam Series | Male GU Exam11:44Paper Chase #5 | NG Tubes Don’t Improve Outcomes for SBO4:35The Summary23:06
Both history and GU exam are key components in assessment and treatment of the male genitals. Coming up with a systematic way of performing your exam is a good way to reduce the chance of missing any serious diagnosis like testicular torsion. Understand that even with a thorough exam the absence of key findings such as cremasteric reflex, prehn’s sign, and high riding horizontal testicles there can still be a torsion event. The exam helps to build clinical suspicion along with the history. Doppler ultrasound is 90% sensitive and 98% specific for diagnosing testicular torsion and should be used. Remember other important diagnoses like Fournier’s gangrene, priapism, paraphimosis which are medical emergencies as well. Recurrent Balanitis, Posthitis, or Balanoposthitis may be secondary to underlying diabetes or HIV.