FEMALE GENITOURINARY SOAP NOTE FULL
SOLUTION GUIDE
◉ cultural considerations for GU exam
Answer: 1. gender of examiner
2. touch and consent norms
3. language barriers
4. beliefs about modesty and body
5. perceptions of illness and sexual health
◉ How can we make pt more comfy during GU exam?
Answer: 1. ask permission to perform exam
2. explain what is involved (discuss/explore pt's refusals, try to
optimize comfort)
3. use appropriate draping and undraping
4. gloves!!!
5. plan ahead (all materials ready b4 exam)
6. chaperone
do 1-2 when pt is fully clothed
,◉ What roles does a chaperone have in GU exam?
Answer: 1. objective observer
2. assistant
3. protect provider against false allegations
◉ trauma-informed care strategies (7)
Answer: 1. build rapport first
2. offer chaperone
3. explain each step
4. maximize pt control
5. nonjudgemental approach
6. use inclusive language
7. screen privately for trauma
◉ male anatomy
Answer:
◉ male inguinal canal
Answer: landmarks include ASIS and pubic tubercle
◉ components of male physical exam (3)
Answer: 1. inspect
, 2. palpate
3. evaluating for hernias
◉ What position should provider be for male inspection?
Answer: sitting
◉ How should pt be positioned for male exam?
Answer: kids under 9 - laying down
ages 9+ - standing
◉ How to assess sexual maturity for adolescents
Answer: Tanner stages of sexual maturity
◉ male GU inspection
Answer: 1. skin, prepuce (foreskin) glans - ulcers, scars, nodules,
inflammation, smegma
2. urethral meatus - discharge
3. scrotum skin - hair, contour, lesions, symmetry, veins, bulging
masses, asymmetry
◉ techniques for male GU inspection
Answer: 1. ask pt to retract foreskin
SOLUTION GUIDE
◉ cultural considerations for GU exam
Answer: 1. gender of examiner
2. touch and consent norms
3. language barriers
4. beliefs about modesty and body
5. perceptions of illness and sexual health
◉ How can we make pt more comfy during GU exam?
Answer: 1. ask permission to perform exam
2. explain what is involved (discuss/explore pt's refusals, try to
optimize comfort)
3. use appropriate draping and undraping
4. gloves!!!
5. plan ahead (all materials ready b4 exam)
6. chaperone
do 1-2 when pt is fully clothed
,◉ What roles does a chaperone have in GU exam?
Answer: 1. objective observer
2. assistant
3. protect provider against false allegations
◉ trauma-informed care strategies (7)
Answer: 1. build rapport first
2. offer chaperone
3. explain each step
4. maximize pt control
5. nonjudgemental approach
6. use inclusive language
7. screen privately for trauma
◉ male anatomy
Answer:
◉ male inguinal canal
Answer: landmarks include ASIS and pubic tubercle
◉ components of male physical exam (3)
Answer: 1. inspect
, 2. palpate
3. evaluating for hernias
◉ What position should provider be for male inspection?
Answer: sitting
◉ How should pt be positioned for male exam?
Answer: kids under 9 - laying down
ages 9+ - standing
◉ How to assess sexual maturity for adolescents
Answer: Tanner stages of sexual maturity
◉ male GU inspection
Answer: 1. skin, prepuce (foreskin) glans - ulcers, scars, nodules,
inflammation, smegma
2. urethral meatus - discharge
3. scrotum skin - hair, contour, lesions, symmetry, veins, bulging
masses, asymmetry
◉ techniques for male GU inspection
Answer: 1. ask pt to retract foreskin
