PCM: Breast/Pelvic/Scrotal/Rectal

=Objectives=

Understand the process and significance of the male prostate exam

 * A health prostate is approximately 4 cm in diameter and protrudes less than 1cm into the rectum.
 * Benign Prostate Hyperplasia (BPH) is a common condition in older males. In exam, one should note an obliterated sulcus (ie can't feel the seem between the lobes), greater than 1cm protrusion into the rectum, or a rubbery consistency.
 * Prostate cancer - hard stones or nodules are suggestive. Assymetric lobes are concerning.
 * Understand that prostate specific antigen (PSA) is detected in a patient's blood in both normal and cancer patients. The test's utility is controversial.  A range less than 4ng/mL is considered normal.  4-10 is border line.  Over 10ng/mL indicates a higher likelihood of cancer.

=Checklists=
 * These videos and checklist may be password protected (passwords should not be posted on this wiki).
 * Breast Exam Checklist and Breast Exam Video
 * Male Genitalurinary Exam and male genital exam video
 * Female Pelvic Checklist and Female Pelvic Exam Video