Perfect exam

Just wondering... Which tests does the perfect medical exam has for you? a complete list, please

I like to shoot the works. Make the "patient" get naked. Do blood pressure, pulse, and (rectal) temp. Examine her chest and breasts. Do a gyno exam but be careful not to hurt her--ditto for the rectal exam. I like to examine the feet and toes too.

My dream medical exam (as the patient) would be similar to the long ones I had when I was a kid, with a few add-ons; so for this purpose, imagine I'm seeing a new doctor for the first time. First would be the BP check, height, weight and so forth. Next the nurse would give me both chest X-ray and EKG, and perhaps test my lungs with the machine you breathe in and out of (my add-ons). Eventually, I'm led to an exam room and told to undress to whatever level my hypothetical doctor wants (down to shorts; shorts and gown; gown with no shorts; whatever is his normal procedure. A thorough, methodical exam follows: no quick look in the ears, nose and throat, reflexes, chest, belly, "cough-cough"/rectal, out the door in five minutes. Instead:

Ears, nose, throat and eyes thoroughly tested. Several minutes on the lungs, sitting up, lying down, inhaling, exhaling, saying "E" or "99;" equally methodical heart exam, including all the peripheral pulses auscultated, both sitting up and lying down; several minutes on the belly exam; genitals examined standing and lying down, and it's a bet that even after my genitals are examined, I'll still be completely naked as he bends and flexes my arms and legs, then has me stand up for more orthopedic examination, plus nervous system. One-on-one with the doctor for an hour, maybe longer, before he finally lets me get dressed.

Once I was checked from head to toe. I was stripped naked by a beaufiful female doctor and was chrcked thoroughly. She checkrd my heart and lungs fo half an hour and then proceeded to my rectal exam.

A perfect exam would begin with an enema. The doctor should go on with a physical after that the doctor should tell me to get naked and sit on a gynecological chair. Then she exams my genitals and then do an anal exam in knee chest position, including a digital exam, a rectoscopy and a speculum insertion

A complete exam should be just that, the patient should start naked, or at least in their underwear (which come off early in the exam)

-Height and weight, done naked for accuracy

-Eyes/ears/nose/mouth

-Rectal temp

-Auscultation of the entire torso, then another couple minutes after exercise to get the heart rate up

-Palpation of the entire belly, sides and underarms

-Underwear comes off if the patient is not already naked

-Bone exam, this includes walking around the exam room, bending over, posture check, spine exam, and other exams of the like

-Complete and thorough genital exam, examination of the penis both soft and hard, examination of the scrotum, both the skin and the testicles, hernia exam

- Extensive rectal and prostate exam

-Head to toe skin exam

-EKG

-Ultrasound of the torso, scrotum, and rectum.

The entire exam should take about an hour and a half to two hours.

Hmmmm. A perfect exam....

OK,

1. Called in and told to strip completely.

2. Height, weight, vitals with rectal temp (me lying flat on my belly)

3. Turn over and sit up, then Full, complete, unrushed HEENT

4. Palpate the glands in my neck

5. Shrug shoulders against resistance. (Practitioner pushing against my shoulders.)

6. Examines arms for deformities, oddities and strength, palpates glands under the arms.

7. Auscultation & palpation of neck, heart and lungs, front and back

8. Sit straight and to check spinal alignment.

9, Lay back, auscultation of neck, chest, and abdomen, followed by palpitation of the same and the addition of the groin While I'm on my back, check cremasteric reflex bilaterally

10. Sit up again, checks strength and reflexes of legs against resistance

11. Checks all reflexes. (Arms, legs, feet)

12. Lie on my back and carefully and thoroughly checks penis, scrotum, and testicles

13. Has me stand up. Checks spinal alignment, both standing and bent over

14. Has me walk heel to toe back and forth to check my gait and stability.

15. Sits in front of me. again palpates the groin for masses, (Hand on small of my back for resistance.) hernia check bilaterally.

16. Again checks penis, Lifts up scrotum and checks each testicle thoroughly

17. Has me bend over the end of the table for a deep prostate exam and massage. Collects some prostatic fluid on a slide, and checks it with a microscope on the desk.(I'm still standing there in the nude.)

18. Spend a few minutes discussing the results, then told to dress and go to the Lab, X-ray, etc.

An excellent summary but not only all this Doc S. but additional to obtaining the prostatic fluid sample, full ejaculation for a complete semen sample would be the perfect conclusion?

Rebound tenderness and the bi manual exam for sure

Breast exam, abdominal exam, and then a very detailed pelvic exam including an extra thorough external exam, speculum exam and pap smear, bimanual exam, recto-vaginal exam, and finally, the cherry on the cake, rectal exam.

I started to write but after reading some of the lists, I'm now weak-kneed.. Awesome detail.

I'm called back into the exam room. I sit on the exam table and the nurse takes my medical history. She then gives me a gown and tells me to undress to my underwear. She leaves and I follow directions and strip until I'm only in my boxers and put on the gown which opens in the front and barely covers my body. I sit on the exam table and wait. The nurse comes back in and tells me to walk over to the scale to get my weight. I do so and I feel really exposed as I stand there with my bare feet on the scale. Then I return to the exam table and sit while the nurse takes my blood pressure on my left arm as well as takes an oral temperature. Then the doctor knocks and enters to begin the exam. The doctor shakes my hand and says that her nurse is going to stay in the room and help her. I agree and we begin. The doctor checks my ears nose and throat. Then the doctor steths my back while asking me to breath in and out deeply. She then opens the front of my gown and steths the my chest to check my heartbeat. The cold stethoscope goes all over my chest and gives me chills. Then the doctor has me lay down on the exam table. I lay back, flat on my back while she opens my gown exposing my body which is only covered by my underwear now. She listens to my abdomen with her stethoscope and then pushes into my abdomen firmly for a long time to make sure she doesn't miss anything. Then she puts on gloves and comes back over, and while my gown is still open and I am laying vulnerable on the table, pulls my underwear down to my knees and uses her gloved hands to inspect my penis and testicles. I get goosebumps as she gently feels my privates. I am then instructed to get up, take my underwear off entirely and lay front side down on the table. I do so and she takes her gloved hand and puts a finger in my rectum. For what seems like an eternity, she probes my hole and visually examines the rest of my body. The exam is then done and I am instructed to come back for a follow up exam.