Cystitis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2], Usama Talib, BSc, MD [3]

Patients with cystitis are usually well-appearing. Common physical examination finding of cystitis includes suprapubic tenderness. A focused physical examination is helpful in confirming the suspicion of cystitis and in ruling out alternate pathology.

The following features can be found during a physical examination of a patient with cystitis. The patient must be in supine position to facilitate a proper examination.^[1]

• Patients with cystitis are usually normal in appearance and not in distress.^[2]

• Fever rarely present^[3][4]

• Skin examination of patients with cystitis is usually normal.

• HEENT examination of patients with cystitis is usually normal.

• Neck examination of patients with cystitis is usually normal.

• Pulmonary examination of patients with cystitis is usually normal.

• Tachycardia

• Suprapubic tenderness^[2]

• Back examination of patients with cystitis is usually normal.

• Suprapubic tenderness^[2][5][6]
• Urethral discharge (if the cause is urethritis)

• Patient is usually oriented to persons, place, and time.

• Extremities examination of patients with cystitis is usually normal.

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