Genitourinary system
For hands, mouth, tongue, abdomen,
and eyes see b Respiratory system,
Cardiovascular system, and Gastrointestinal system. The external genitalia are
examined for any evidence of ambiguity, congenital abnormality, and size. For
this examination you should have a chaperone present for both sexes. In the older
child you must ensure privacy and preserve the child’s dignity with the
appropriate use of covers and gowns. Examine once only.
·
In boys: development of the penis, testes,
scrotum, and pubic hair can be staged
using a standardized system (Tanner scale). Look at the state of the foreskin.
Is there evidence of infection or discharge. Locate the position of the penile
meatus. Have both testes descended?
·
In girls: Tanner stage the pubic hair. Is
there evidence of fused labia, enlarged clitoris, or infection with discharge
or bleeding?
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