Introduction to Urology Flashcards Preview

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Flashcards in Introduction to Urology Deck (24)
1

What 5 things will be on your genitourinary history?

1. abdomen/flank
2. suprapubic
3. perineal/scrotal
4. voiding
5. sexual

2

What 5 things do we examine in the abdomen/flank?

1. pain
2. nausea/vomiting
3. distention
4. prior surgeries
5. duration of symptoms

3

What 4 things do we examine in the suprapubic region?

1. pain
2. fullness
3. distention
4. length of symptoms

4

What 4 things do we examine in the perineal/scrotal region?

1. pain
2. swelling
3. length of sympthoms
4. laterality

5

What 4 things do we examine with voiding?

1. irritative symptoms (dysuria, urgency, frequency).
2. obstructive symptoms (hesitancy, intermittency, weak stream, incomplete emptying).
3. hematuria (gross vs microscopic, initial vs. terminal, clots vs. no clots, prior surgery, stones, trauma, anticoagulants, prior malignancies).
4. urinary incontinence (urge, stress, overflow, mixed, function)

6

What things do we examine in male sexual function?

- erectile dysfunction (ED)
- premature ejaculation
- anejaculation/retrograde ejaculation
- curvature
- pain
- hematospermia
- medications/alcohol/drugs
- medical problems

7

What things do we examine in female sexual function?

- dyspareunia
- cystocele "dropped bladder"
- pre/post menopausal
- prior surgeries
- medications

8

What should you feel for in the abdominal/flank area?

- masses: liver, spleen and kidney
- tenderness
- rigidity
- hernias: inguinal right vs. left or ventral.

9

What should you examine in the anus and perineum?

- fissures
- edema
- hemorrhoids
- sphincter tone
- warts

10

For what should we examine in the testes?

- tenderness
- symmetry
- hydrocele
- mass
- hernias

11

For what should examine in the epididymis?

- enlarged
- indurated
- tender
- mass
- spermatocele

12

For what should we examine the penis?

- circumcised
- phimosis
- paraphimosis
- peyronies
- warts

13

What is phimosis?

- the foreskin cannot be fully retracted over the glans penis.

14

What is paraphimosis?

- urologic emergency in which the retracted foreskin of an uncircumcised male cannot be returned to its normal anatomic position.

15

What is peyronie's disease?

- development of fibrous scar tissue inside the penis that causes curved, painful erections.

16

What should we examine with regard to the urethral meatus?

- size
- location
- hypospadius
- lesion
- discharge

17

How do we grade (size) the prostate?

1. + median sulcus
2. - median sulcus
3. moderate growth of sulcus
4. large growth of sulcus

18

For what should we examine on the prostate?

- texture: firm, hard, boggy
- nodules: size, location, symmetry

19

Should you ever examine the prostate if the pt has a fever, chills, and bacteria, RBCs, and WBCs in the urine?

- NO, bc the patient likely has prostatitis and you can cause sepsis.

20

Should you examine the prostate after severe pelvic trauma with blood at the tip of the penis (urethral meatus)?

- YES, bc the urethra may have torn.
*may also do RETROGRADE URETHROGRAM

21

What should we look for on the female external genitalia?

- rash
- warts
- lesions

22

What should we look for at the female urethral meatus?

- size
- caruncle
- tenderness

23

What are the 3 grade of a female cystocele? (he said just know that when a pt's bladder drops, it's called a cystocele)

- grade 1= no real evidence of prolapse
- grade 2= partial prolapse of ant. vagina
- grade 3= complete vaginal prolapse

24

What else besides cystocele should you examine in the female vagina?

- discharge
- foreign bodies
- distended bladder
- further gyn exam if necessary