This is attempted by elevating the flank with one hand while palpating deeply with the other. Normally the kidneys are not palpable. Look for enlargement or distention. Palpate for tenderness or rigidity. Palpate the shaft for tenderness or lesions.
Sebaceous cysts are a common lump found on the skin.
With the patient standing inspect the area of the inguinal canal while he bears down or strains as if having a bowel movement. After inspecting, insert a finger into the lower scrotum. Ask patient to cough. If a hernia is present, you should feel intestine push against your finger. They should feel smooth, rubbery, but free of nodules.