Prostatitis physical examination: Difference between revisions

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==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]].<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> 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>
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> 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> A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce [[sepsis]]<ref name=wik>Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016</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]].<ref name=wik>Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016</ref>


==Physical Examination==
==Physical Examination==

Revision as of 18:54, 4 March 2016

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

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.[1][2] 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.[4]

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

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.[1][2]

Vital Signs

  • Fever may be present

Back

  • Lower back tenderness may be present[2][4]

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[4]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 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 2.3 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. 3.0 3.1 Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.
  4. 4.0 4.1 4.2 Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 4, 2016