I live in a wooded/mountainous area where ticks are present. I take a lot of steps to minimize tick bites, but nothing is 100%.
Last week I was traveling on business. I had removed a tick from my hip before I left home, but the first morning I had an itchy spot on my lower back/waist band area that was indicative of a tick bite.
Being far from home and away from anyone I knew, I went to the local urgent care clinic. Since I was in the desert southwest, at first they doubted that I had a tick bite, but I assured them that I had just gotten in from the east coast.
Before long a Hispanic nurse in her early-to-mid forties took me to the exam room and had me undo my belt and lower my jeans and underwear a couple of inches. The nurse took a close look and confirmed that it was indeed a tick (duh), swabbed the area with alcohol and pulled the tick with a pair of tweezers.
She asked about other bites and I told her about the one on my hip that I had removed the day before. She asked to see the bite so I pulled the waistband off my underwear down just far enough to show her. She said "no sign of infection, but you should keep an eye on it for about 6 weeks."
She asked if I had any other bites and I almost said "no" but caught myself and said "not that I'm aware of." So she said "I'd like to take a quick look just to make sure you don't have any other bites. Would that be okay?" I said "sure" and was instructed to remove my shirt. She checked my scalp, back and armpits. Then she asked me to remove my pants and socks. I did and she checked under the waistband of my underwear (in the back) and the backs of my legs. She then had me sit on the exam table and she checked my feet and between my toes.
She then said "ticks seem to like confined, warm areas, which is why you so often find them under your waistband or in your armpits." (Of course I knew this, living in tick country, but she possessed what was considered "specialty" knowledge in this area). She then said "given that, it would be prudent if I checked your genital area and buttocks. Would that be okay?" (I guess the new thing is got medical professionals to always get permission).
I said "better safe than sorry." So when she stepped back I stood up and removed my underwear and stood naked. She first checked my buttocks, then had me lean over on the table like I was greeting a rectal exam. She then asked me to get up on the table and lie back. First she checked through my pubic hair, then gripped the tip of my penis with her fingertips, pulling one way, then the other. Laying my penis up toward my belly, she then checked my scrotum. When she was done, she asked me to raise my knees, put my feet together and let my knees fall outward, telling me that she needed to check my perineum. As she did, she found one more tick and easily removed it.
When she was done, as I sat on the table naked, she went through the warning signs of tick borne diseases and asked how long I was going to be in town. Since it was only two more days, she encouraged me to make a follow up visit with my primary care provider or have a significant other check the bite areas when I got back home. She then wrote me a script for doxycyclene.
It was a little strange that there was no offer of a drape or gown, and this was about the most casual/nonchalant nudity that I've had in a medical setting since getting out of the service.
I'm back home now but haven't made a follow up appointment.