Question re Hernia Exam

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Did a routine physical on a 31 yo new pt. Per hx no problems with GU ROS. I

did not do a hernia check. I did talk about testicular self checks. I would do

testicular checks with a return visit or if any concerns expressed. At the end

of the visit did tell me he had this testicular check done when he had his exam

years ago (he was tested for STD then). I then offered to do the exam to be

thorough; pt prefers to come in at a later date for this exam or come in if any

symptoms.

Question: Do you include this exam all the time with your routine physicals? I

did not do it with the neg ROS; pt new to me and also partly bec IMP solo

without chaperone. How would you have handle this. Would not want to do a less

than thorough exam and not serve pt with best care. Any opinions. (If female

cpe, pap and pelvic almost always expected as soon as scheduled.)