Peds GU Flashcards
Why can the first urine turn the diaper pink?
First urine is concentrated, contains urates, can turn the diaper pink.
T/F If there are signs of discharge or dysuria, the NP should milk the penis to get a sample.
False. Have the PATIENT milk the penis.
Pubertal development before the age of _____ in males is considered precocious puberty.
9 years
When can you usually retract the foreskin during an exam?
Approximately 6 years of age
Why should you not palpate the inguinal ring before puberty?
Generally NOT recommended prior to puberty due to tenderness of ring and low yield.
What could forcible retraction of the foreskin cause?
Tissue damage and later cause adhesions.
What is the cremasteric reflex?
Retraction of the testes into the inguinal canal and abdomen; stimulated by cold, touch, emotional excitement, exercise.
What position works best for GU exam on females prior to puberty?
Frog-legged or with knees to chest.
Pubic hair before the age of _____ in females should be considered precocious puberty.
7 years
In prepuberty, what do you use to examine the GU structures?
Labial traction
What constitutes delayed puberty in males and females?
No signs of secondary sexual characteristics by age 13 in girls and age 14 in boys.
What is the most common cause of delayed puberty in males?
Constitutional delay (familial condition involving delayed bone and physical maturation but normal hormone levels).
In infants and young children, where do you palpate the bladder?
Slightly above the symphysis pubis.
T/F Any testicular mass is almost always a malignancy.
True. Any testicular mass is to be worked up because it is almost always a malignancy.
