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Lesson 8 MALE AND FEMALE GENITAL

The document outlines a detailed procedure for inspecting and assessing the male and female genitalia and inguinal area, including history taking and physical examination techniques. It emphasizes the importance of infection control, client privacy, and specific observations for abnormalities such as lesions, swelling, and tenderness. The document also includes instructions for palpating the scrotum and checking for hernias, ensuring a thorough examination of the genital and inguinal regions.

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Kuldip Gill
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31 views1 page

Lesson 8 MALE AND FEMALE GENITAL

The document outlines a detailed procedure for inspecting and assessing the male and female genitalia and inguinal area, including history taking and physical examination techniques. It emphasizes the importance of infection control, client privacy, and specific observations for abnormalities such as lesions, swelling, and tenderness. The document also includes instructions for palpating the scrotum and checking for hernias, ensuring a thorough examination of the genital and inguinal regions.

Uploaded by

Kuldip Gill
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Lesson 8 - Family history of nephritis, malignancy

of prostate gland, malignancy of the


FEMALE GENITALS AND INGUINAL AREA
kidney
MALE GENITALS AND INGUINAL AREA
Inspection:
5. Inspect the distribution, amount and
1. Explain the procedure. characteristics of pubic hair
2. Wash hands, apply gloves, and observe - Triangular distribution, often spreading
appropriate infection control procedures. up to the abdomen
3. Provide client privacy. - Scant amount or absence of hair
4. Inquire any history of: 6. Inspect the penile shaft and glans penis for
- age of menstruation, LMP, regularity of lesions, nodules, swellings and
cycle, duration and amount of daily flow, inflammations
painful menstruation, - Penile skin intact, appears slightly
- pain during intercourse, vaginal wrinkled and varies in color as widely as
discharge, history of STD other body skin
- number of pregnancies, number of live - Presence of lesions, nodules, swellings
births, labor or delivery complications, or inflammations
- urgency and frequency of urination, 7. Inspect the urethral meatus for swelling,
blood in urine, painful urination, inflammation, and discharge. Compress the
incontinence glans penis to open the urethral meatus to
inspect for discharge
INSPECTION: - Pink, slitlike appearance; positioned at
1. Inspect the pubic hair and its area for the tip of the penis
swelling, inflammation, parasites and 8. Palpate the penis for tenderness, thickening
lesions. Separate the labia minor and labia or nodules. Use your thumb and first two
majora fingers.
- Well distributed, skin intact, no lesions; - Smooth and semifirm; slightly movable
Labia round, full and relatively over the underlying structures
symmetric in adult females - Presence of tenderness, thickening or
- Scant pubic hair (hormonal problem), nodules; immobility
lice, lesions, scars, swelling, erythema, 9. Inspect the scrotum for appearance, general
varicosities, leukoplakia size and symmetry. Spread the rugated skin
2. Inspect the clitoris, urethral orifice and surface
vaginal orifice when separating the labia - Scrotal skin is darker in color than that
minora. of the rest of the body and is loose; size
- Clitoris does not exceed 1 cm in width varies with temperature changes;
and 2 cm in length; urethral orifice scrotum appears asymmetric (left testis
appears a small slit and in same color is lower than right testis)
with surrounding tissues; no - Discoloration; any tightening of skin
inflammation, swelling, or discharge (edema or mass); marked asymmetry in
- Presence of lesions, presence of size
inflammation, swelling or discharge 10. Palpate the scrotum to assess status of
3. Palpate the inguinal nodes. Use the pads of underlying testes.
the fingers in a rotary motion, noting for - Testicles are rubbery, smooth and free
enlargement or tenderness of nodules and masses
- No enlargement or tenderness - Testicles are enlarged, with uneven
- Enlargement and tenderness surface (tumor)
11. Inspect both inguinal areas for bulges while
the client is standing. First have the client
remain ate rest. Next, have the client hold
MALE GENITALS AND INGUINAL AREA
his breath and strain or bear down as
1. Explain the procedure. though having bowel movement. Bearing
2. Wash hands, apply gloves, and observe down may make hernia more visible.
appropriate infection control procedures. - No swelling or bulges
3. Provide client privacy. - Swelling or bulge (inguinal or femoral
4. History taking: hernia)
- Bladder control, urinary incontinence, 12. Palpate the hernia.
frequency, urgency, abdominal pain - No palpable bulge
- STD history - Palpable bulge in area
- Any swelling that could indicate
presence of hernia

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