Prostatitis physical examination: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(27 intermediate revisions by 7 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Prostatitis}}
{{Prostatitis}}
{{CMG}} {{AE}} {{Maliha}}
{{CMG}} {{AE}} {{Maliha}}, {{USAMA}}
==Overview==
==Overview==
Patients with chronic prostatitis are usually well-appearing. Patients with acute prostatitis may appear ill and have systemic symptoms such as [[fever]], [[chills]], and [[nausea]].
==Physical Examination==
==Physical Examination==
Physical examination of patients with acute prostatitis may be remarkable for [[fever]] and [[chills]]. Patients with chronic prostatitis are usually well-appearing.<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref><ref name=nid>Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016</ref>
Physical examination of patients with acute prostatitis may be remarkable for [[fever]] and [[chills]]. Patients with chronic prostatitis are usually well-appearing.<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref><ref name=nid>Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016</ref>


===Appearance of the Patient===
===Appearance of the Patient===
Patients with chronic prostatitis are usually well-appearing. Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref><ref name=nid>Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016</ref>
Appearance may vary in acute and chronic prostatitis patients<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref><ref name=nid>Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016</ref>
*Patients with chronic prostatitis are usually well-appearing.
*Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.


===Vital Signs===
===Vital Signs===
*Fever may be present
*Elevated temperature may be present
 
===Musculoskeletal===
*Lower back tenderness may be present<ref name=nid>Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016</ref>


===Genitourinary===
===Genitourinary===
*In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref>
*In acute prostatitis, [[palpation]] of the [[prostate]] reveals a [[tender]] and enlarged [[prostate]]<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171 }} </ref><ref name="pmid10839552">{{cite journal| author=Stevermer JJ, Easley SK| title=Treatment of prostatitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3015-22, 3025-6 | pmid=10839552 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839552 }} </ref>
*In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref>
*In chronic prostatitis, palpation of the [[prostate]] reveals a tender and soft (boggy) [[prostate gland]]<ref name="pmid20704171">{{cite journal| author=Sharp VJ, Takacs EB, Powell CR| title=Prostatitis: diagnosis and treatment. | journal=Am Fam Physician | year= 2010 | volume= 82 | issue= 4 | pages= 397-406 | pmid=20704171 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20704171  }} </ref>
*A [[prostate massage]] should never be done in a patient with suspected acute prostatitis, since it may induce [[sepsis]]
*[[Digital rectal exam]] ([[DRE]]) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it.
**A [[digital rectal exam]] is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.
 
=== Cardiovascular ===
*Tachycardia (infection)


==References==
==References==
Line 20: Line 33:


[[Category:Disease]]
[[Category:Disease]]
[[Category:Emergency mdicine]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Urology]]

Latest revision as of 23:51, 29 July 2020

Urinary Tract Infections Main Page

Prostatitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Prostatitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-Ray

CT scan

Echocardiography and Ultrasound

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Future or Investigational Therapies

Case Studies

Case #1

Prostatitis physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Prostatitis physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Prostatitis physical examination

CDC on Prostatitis physical examination

Prostatitis physical examination in the news

Blogs on Prostatitis physical examination

Directions to Hospitals Treating Prostatitis

Risk calculators and risk factors for Prostatitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]

Overview

Patients with chronic prostatitis are usually well-appearing. Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.

Physical Examination

Physical examination of patients with acute prostatitis may be remarkable for fever and chills. Patients with chronic prostatitis are usually well-appearing.[1][2]

Appearance of the Patient

Appearance may vary in acute and chronic prostatitis patients[1][2]

  • Patients with chronic prostatitis are usually well-appearing.
  • Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.

Vital Signs

  • Elevated temperature may be present

Musculoskeletal

  • Lower back tenderness may be present[2]

Genitourinary

  • In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate[1][3]
  • In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland[1]
  • A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis
  • Digital rectal exam (DRE) is done in cases other than acute bacterial prostatitis to localize the pathology and palpate it.
    • A digital rectal exam is a procedure performed in the office setting. The patient bends on a table or lays on one side with knees touching chest. The physician wears gloves, applies a lubricant to the gloved finger and enters it into the rectum to feel the prostate normally located in front of the rectum.

Cardiovascular

  • Tachycardia (infection)

References

  1. 1.0 1.1 1.2 1.3 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
  2. 2.0 2.1 2.2 Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostatitis-disorders-of-the-prostate/Pages/facts.aspx#sec6. Accessed on March 4, 2016
  3. Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.