HEALTH ASSESSMENT - Genitalia

Assessing Female Genitalia

		Normal Findings	Deviation from Normal
1.	• Pubic Hair • Labia majora • Labia minora	Evenly distributed on the sides of the labia majora Covered with pubic hair, the folds cover the labia minora Dark pink, smooth, moist, hairless	Presence of lesions or inflammation
2.	• Clitoris • Introitus (Vaginal orifice)	Small, cylindrical mass on the anterior end of the minora Irregular, slit like structure	Enlarged Imperforation, laceration, inflammation
3.	• Vagina – insert gloved finger and ask client to bear down and assess presence of mass	Smooth vaginal wall, dark pink in color; bluish in pregnancy no mass, no warts,	Presence of cystocoele, rectocoele, purulent, foul smelling discharge
4.	Cervix and internal Os • Locate the cervix with water based lubricant • Insert water lubricated speculum	Cervix positioned posteriorly; not dilated in non pregnant women, non tender upon manipulation	Cervix located anteriorly, with pain upon moving, presence of purulent discharge

Assessing Male Genitalia

		Normal Findings	Deviation from Normal
1.	• Penis Inspect for the development of the penis and the skin and the hair at its base • Glans Penis Observe for size, shape and lesions	Hanging freely, movable, smooth, visible veins, non erect state is flaccid and non tender Size and shape vary, appearing rounded, broad or even pointed	Visible lesions, stricture, phimosis, warts, chancre, Chancres, warts
2.	• Urethral Meatus • Squeeze the glans between thumb and finger	Urethral opening is slit like located in the central part of the glans Free of discharge	Hypospadias, epispadias, Presence of discharges
3.	• Scrotum • Contours • Skin	Located on both sides of the penis, left side maybe slightly larger and hangs lower Non tender, no mass, no lesions Thin, rugated with little hair dispersion, intact skin	Enlarged scrotal sac, Rashes, lumps, tenderness, dilated veins, symmetry
4.	Inspect the inguinal and femoral areas for bulges. Ask the client to turn head and cough or to bear down as if to move bowel	Free from bulges	Bulges that appear in the external inguinal ring or at the femoral canal
5.	Palpate for inguinal hernia and inguinal nodes. Ask the client to shift his weight to the left for palpation of the right inguinal canal and vice versa. Palpate through he inguinal ring	Bulging or masses are not normally palpated	Presence of bulge or mass appears when the client coughs or bears down
6.	Palpate for inguinal nodes.	No mass upon bearing down	Enlarged or tender nodes may indicate an inflammatory process or lesions in the penis or scrotum
7.	Palpate for femoral hernia . Palpate on the front of the thigh in the femoral canal area . Ask the client to cough or bear down. Feel the bulges	No mass upon bearing down	Presence of bulge or mass
8.	Palpate for inguinal nodes.	No mass upon bearing down	Enlarged or tender nodes may indicate an inflammatory process or lesions in the penis or scrotum