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Excellence in the Physical Exam Series | Male GU Exam

Mike Weinstock, MD and Adrian Durham, DO
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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.

 

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Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF

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