Abnormal findings are charted as a chain — finding, severity, comparison to baseline, the risk it creates, and the skilled action taken.
Acute severe testicular pain, often with swelling and a high-riding testis — concerning for testicular torsion, a surgical emergency.
An inability to void with suprapubic distension and discomfort — concerning for acute urinary retention requiring urgent decompression (bladder management in Urinary/Renal).
Perineal or scrotal pain out of proportion to the exam with discoloration, crepitus, and systemic toxicity — concerning for Fournier’s gangrene, a life-threatening necrotizing infection (route to External Genitalia).
An irreducible, tender inguinal hernia, possibly with nausea and vomiting — concerning for incarceration or strangulation.
A post-operative complication — significant bleeding, infection, or catheter obstruction after urologic surgery.
A new, firm, or painless testicular or scrotal mass — warranting evaluation for malignancy.
Signs of a urinary or genital infection — requiring evaluation (urinary infection in Urinary/Renal).
New or worsening retention symptoms in prostatic disease — requiring management and possible catheterization.
