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AHA Final > Module 12 - GU Assessment > Flashcards

Module 12 - GU Assessment Flashcards

1
Q

Structure of Female GU system - External Genitalia

A
  • Vulva (external genitalia)
  • Pubis
  • Symphis pubis (adipose tissue covering pubis)
  • Labia minora
  • Labia majora
  • Frenulum (transverse fold)
  • Clitoris (stimulation)
  • Urethral meatus
  • Skene’s gland (ducts)
  • Vaginal orifice
  • Hymen (crescent shaped that is visible/absent)
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2
Q

Structure of Female GU system - Internal Genitalia

A
  • Vagina
  • Cervix
  • Rectouterine pouch (between rectum and cervix)
  • Uterus
  • Fallopian tubes
  • Ovaries
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3
Q

Function of the Female GU System

A
  • Reproduction
  • Menstruation/Ovulation cycle
  • Release of urine
  • Sex
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4
Q

Health History - Female GU

A
  • Menstrual history
  • Obesterical history
  • Menopause
  • Self care - checkups/pap smears
  • Urinary symptoms
  • Vaginal discharge
  • Past history
  • Sexual activity
  • Contraceptive use
  • STI contract
  • STI risk reduction
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5
Q

Inspection/Palpation of Female GU

A
  • Skin colour
  • Hair distribution
  • Labia majora
  • Lesions
  • Urethral opening
  • Vaginal opening
  • Perineum
  • Anus
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6
Q

Palpation of Urinary Bladder

A
  • Empty bladder is not palpable
  • Start at kidneys and work down to bladder
  • Supine position
  • Assess for tension and distension
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7
Q

Palpation of inguinal lymph nodes

A
  • “Femoral Triangle” area
  • Roll fingers horizontally over the inguinal ligament and vertically over the femoral artery (inner thigh)
  • Palpate horizontal and vertical groups of superficial inguinal nodes
    Abnormal: Swelling, Tenderness, Pain, Indirect/Direct Inguinal Hernia and Femoral Hernia
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8
Q

Assessment of Bladder output

A
  • 1500 mL/day
  • Moderate distension and urge to urinate with 200–250 mL
  • Assess for discoloration/foul smells as could indicate infection or dehydration
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9
Q

Assessment of Indwelling Urinary Catheter

A
  • Monitor for signs and symptoms of catheter UTI
  • Risk factors: prolonged catheterization, female gender, diabetes, malnutrition, old age, and impaired immunity
  • Date of catheter insertion
  • Ensure proper anchor, tubing and bag placement
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10
Q

Abnormal urine - What could it mean?

A
  • Medication side effects
  • Melanin
  • Liver disease
  • Some foods
  • Blood in urine
  • Dehydration
  • Excess fluids
  • Hepatitis
  • Urinary tract infection
  • Kidney stones
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11
Q

Abnormal Findings - Female

A
  • Pediculosis pubis (crab lice)
  • Herpes simplex virus—type 2 (herpes genitalis)
  • Syphilitic chancre - ulcer
  • Red rash (contact dermatitis)
  • HPV warts
  • Abscess of Bartholin’s gland (infected cyst)
  • Urethritis (inflammationn of urethra)
  • Urethral caruncl (urethra lesions)
  • Cstocele (bladder prolapse)
  • Rectocele (rectal prolapse)
  • Uterine prolapse
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12
Q

Structure of Male GU System - External

A
  • Penis
  • Glans (tissue)
  • Scrotum
  • Shaft (corona)
  • Urethra
  • Foreskin
  • Inguinal groin
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13
Q

Structure of Male GU System - Internal

A
  • Testis
  • Epididyimis (sperm storage)
  • Vas deferense (duct)
  • Spermatic cord
  • Prostate gland
  • Cowper’s gland
  • Ejaculatory duct
  • Lymphatic vessels
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14
Q

Function of Male GU

A
  • Reproduction
  • Transport
  • Produce sperm
  • Discharge semen
  • Release urine
  • Sex
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15
Q

Health History Male GU

A
  • Frequency, urgency and nocturia
  • Dysturia
  • Hesitancy and Straining
  • Urine colour
  • Past GU history
  • Penis pain, lesions, discharge
  • Scrotum - self care, behaviours
  • Sexual activity
  • STI contact
  • STI risk reduction
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16
Q

Inspection/Palpation of Male GU

A
  • Skin
  • Glans
  • Urethral meatus
  • Pubic hair
  • Urethral discharge
  • Shaft
    Scrotum:
  • Skin
  • Testis
  • Epididymis
  • Spermatic cord
    Note: Any mass or trans-illumination (shine a flashlight in darken room to scrotum. Normal contents are not trans-illuminated)
17
Q

Abnormal Male - Lesions

A
  • Tinea cruris (fungal infection)
  • Genital herpes (HSV-2 infection)
  • Syphilitic chancre
  • Genital warts
  • Carcinoma
18
Q

Abnormal Male - Penis

A
  • Phimosis (inability to retract skin)
  • Paraphimosis (foreskin pulled back and stuck)
  • Hypospadias (urether is not on top)
  • Epispadias (urethra ends in opening of penis)
  • Urethral stricture (restricted urine flow)
  • Priapism (prolonged erection)
  • Peyronie’s disease (scar tissue)
19
Q

Abnormal Male - Scrotum

A
  • Absent testis (cryptorchidism)
  • Small testis
  • Testicular torsion
  • Epididymitis
  • Varicocele
  • Spermatocele
  • Early-stage testicular tumour
  • Diffuse tumour
  • Hydrocele
  • Scrotal hernia
  • Orchitis
  • Scrotal edema

AHA Final (6 decks)

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