RT Book, Section A1 DiSandro, Michael A2 McAninch, Jack W. A2 Lue, Tom F. SR Print(0) ID 1171187521 T1 History and Physical Examination in Pediatric Urology T2 Smith & Tanagho's General Urology, 19e YR 2020 FD 2020 PB McGraw Hill PP New York, NY SN 9781259834332 LK accesssurgery.mhmedical.com/content.aspx?aid=1171187521 RD 2024/03/29 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.