Assessment of organs of pelvis
Assignment 3.2- Assessment of organs of pelvis
The presenting complaint: Patient reports that he is unable to pass urine independently therefore a suprapubic catheter had to be inserted.
Nursing diagnosis based on your findings:
Impaired urinary elimination related to anatomical obstruction as evidenced by inability to void independently and presence of suprapubic catheter.
This assessment has been adopted from Weber, Kelly and Sprengel’s (2010) Health assessment in nursing (4th ed.) pp.483-520.
Inspection and Palpation
Inspect the base of the penis and pubic hair. Patient’s hair is short, black, coarse and wiry no abnormalities were noted. Hair covers entire groin area and slightly extends to the medial thighs.
Inspect the skin of the shaft. Patient’s penile shaft has no rashes, lesions, or lumps. A rash was noted when the foreskin was retracted.
Palpate the shaft. No abnormalities such as tenderness, hardened areas were palpated during inspection.
Inspect the foreskin. The foreskin is intact and this area is black (same color as penis).
Inspect the glans. The glans are rounded shape, normal in size and there are no lesions or redness, or nodules. No nits or lice at the bases of the pubic hairs. The urethral meatus is centrally located.
Palpate for urethral discharge. No urethral discharge was noted or voiced.
Scrotum
Inspection
Scrotal skin (anterior and posterior) are same color as penis with some pubic hair in different areas. The scrotum is normal in size (between 4 cm long, 2cm wide), shape (ovoid) and falls just below the penis. No swelling, rashes, lesions, lumps, or bulges were noted.
Palpation
On palpation testes are equal bilaterally in shape and size, smooth had a rubbery feel, was mobile. Free from lesions, rashes, non-tender to pressure. Epididymis no complains of pain nor tenderness when touched.
Spermatic cord and vas deferens were the same on both sides. No tenderness/pain, no swelling
The presenting complaint: Patient reports that he is unable to pass urine independently therefore a suprapubic catheter had to be inserted.
Nursing diagnosis based on your findings:
Impaired urinary elimination related to anatomical obstruction as evidenced by inability to void independently and presence of suprapubic catheter.
This assessment has been adopted from Weber, Kelly and Sprengel’s (2010) Health assessment in nursing (4th ed.) pp.483-520.
Inspection and Palpation
Inspect the base of the penis and pubic hair. Patient’s hair is short, black, coarse and wiry no abnormalities were noted. Hair covers entire groin area and slightly extends to the medial thighs.
Inspect the skin of the shaft. Patient’s penile shaft has no rashes, lesions, or lumps. A rash was noted when the foreskin was retracted.
Palpate the shaft. No abnormalities such as tenderness, hardened areas were palpated during inspection.
Inspect the foreskin. The foreskin is intact and this area is black (same color as penis).
Inspect the glans. The glans are rounded shape, normal in size and there are no lesions or redness, or nodules. No nits or lice at the bases of the pubic hairs. The urethral meatus is centrally located.
Palpate for urethral discharge. No urethral discharge was noted or voiced.
Scrotum
Inspection
Scrotal skin (anterior and posterior) are same color as penis with some pubic hair in different areas. The scrotum is normal in size (between 4 cm long, 2cm wide), shape (ovoid) and falls just below the penis. No swelling, rashes, lesions, lumps, or bulges were noted.
Palpation
On palpation testes are equal bilaterally in shape and size, smooth had a rubbery feel, was mobile. Free from lesions, rashes, non-tender to pressure. Epididymis no complains of pain nor tenderness when touched.
Spermatic cord and vas deferens were the same on both sides. No tenderness/pain, no swelling