Sequence of areas to examine

It seems common to collect vitals and then start with the head.

I prefer to save the genitourinary exam for last.

How about the middle? If you examine the upper and lower extremities before the back, chest, and abdomen, the patient could at least keep a shirt or gown on while the extremities are examined.

Some might start with lower extremities because if pulses are strong there, they are probably strong everywhere.

Some patients might prefer to keep their socks and shoes on at first but take off their shirt.

What is your preference?

General role play examination with the guy in just briefs, briefs off for genital examination and finally the very intimate internal and prostate with sperm extraction. Aim to make it all last a while.

When i do an extensive neurological exam of male genitals, I alternate these maneuvers with more general parts of the exam to distract the patient and have him relax between the neuro procedures.

It seems common to collect vitals and then start with the head.

I prefer to save the genitourinary exam for last.

How about the middle? If you examine the upper and lower extremities before the back, chest, and abdomen, the patient could at least keep a shirt or gown on while the extremities are examined.

Some might start with lower extremities because if pulses are strong there, they are probably strong everywhere.

Some patients might prefer to keep their socks and shoes on at first but take off their shirt.

What is your preference?

this is assuming you remove your socks for an exam. its 50/50 for me. Would be smart to examine the extremities first, but my feet are almost always examined last.

my most vivid physical exam was when I was 18 and the last five minutes I was barefoot, and babinski and capillary refill were the two very last things i received.