The physical examination of the adolescent and young adult male should include:

• Vital Signs, including screening for early hypertension
• Height, Weight, BMI
• Vision acuity, Hearing
• Skin Exam: Assess for acne, acanthosis nigrans (indicator of diabetes), atypical nevi (pre-skin cancer), tattoos, piercings, signs of abuse or self inflicted injury. 
• Cardiac Exam: Assess for murmur (supine and standing), displaced PMI (signs of cardiomegaly)
• Musculoskeletal: Examine back for scoliosis, symmetry of extremities [Include separate section on pre-participation exam]
• Breast Exam: Assess for gynecomastia (breast development)
• Tanner Staging: Pubic hair, genitalia
• Testicular Exam: hydrocele, varicocele, undescended testis, masses, hernias, signs of STIs (discharge, lesions), instruction for self-exams**
• Cardiac Exam (assessing for
• Psychiatric Exam (Mental Status Exam): Note mood, affect, insight, judgment, and assess for suicidality/homicidality/self-inflicted injuries