TY  - CHAP
M1  - Book, Section
TI  - History and Physical Examination in Pediatric Urology
A1  - DiSandro, Michael
A2  - McAninch, Jack W.
A2  - Lue, Tom F.
PY  - 2020
T2  - Smith & Tanagho's General Urology, 19e
AB  - In  pediatric  urology,  there  are  many  technological  advances  that  have  created  the  illusion  that  the  physical  exam  is  not  as  important  as  it  once  was.  For  example,  with  testicular  torsion,  we  now  have  extremely  sensitive  scrotal  ultrasonography.  This  has  allowed  us  to  observe  testis  flow  with  high  precision,  and  has  led  to  the  development  of  new  signs  such  as  the  whirlpool  sign  (Esposito  et  al,  2014),  which  now  makes  the  sensitivity  and  specificity  of  scrotal  ultrasound  higher  than  it  has  ever  been  (Agrawal  et  al,  2014).  In  the  late  1990s,  surgical  decisions  relied  heavily  on  the  physical  exam,  but  today,  they  rely  heavily  on  diagnostic  imaging.  This  is  a  good  thing  in  that  it  leads  to  overall  better  outcomes,  but  it  does  jeopardize  the  existence  of  the  well-performed  history  and  physical  exam,  and  the  nuances  that  can  be  learned  from  the  exam.  This  chapter  summarizes  the  art  of  the  history  and  physical  exam  in  a  way  that  it  can  be  used  to  compliment  new  technologies,  rather  than  be  usurped  by  them.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1171187521
ER  -