Hydrocele Physical Examination Form
Document the findings of a hydrocele-focused physical examination. Use this form to record relevant clinical details and examination results.
Patient Full Name
*
First Name
Last Name
Date of Examination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Laterality
*
Right
Left
Bilateral
Estimated Size of Hydrocele
*
Please Select
Small (<5 cm)
Moderate (5–10 cm)
Large (>10 cm)
Transillumination Test Result
*
Positive (transmits light)
Negative (does not transmit light)
Consistency
*
Soft
Tense
Fluctuant
Tenderness
*
Absent
Mild
Moderate
Severe
Associated Symptoms
Pain
Redness
Fever
Scrotal swelling
Other
Examiner Notes
Submit Examination
Should be Empty: