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Clinical Assess 3 > Male > Flashcards

Flashcards in Male Deck (30):
1

Prostate and Rectal Exam steps

Inspection

  • Anus

Palpation

  • Rectum
  • Prostate

Additional

  • Check for occult blood
  • Clean up patient

2

Compare/Contrast Inguinal Hernias: Direct versus Indirect

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3

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

  • Palpable mass at side of finger outside of inguinal canal
  • No scrotal mass

Direct hernia

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4

Male Inspection (4 items)

  1. Tanner stage
  2. Penis
  3. Foreskin
  4. Scrotum

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5

Identify:

  • Urgent and frequent urination
  • nocturia
  • double voiding
  • split stream
  • straining

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  • Benign prostatic hyperplasia (BPH)
  • Hydronephrosis secondary to BPH

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6

Testicular cancer is the most common cancer in American males between the ages of __________

15 and 34

7

Is testicular cancer treatable?

Highly treatable

8

Male palpation

  1. Penis
  2. Scrotum---testes

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9

Guaiac negative means what?

Occult blood test negative

10

Male Tanner Staging:

  • Prepubertal
  • Villus hair only

Stage 1

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11

Common hernia sites: Name the hernia

  • (in inguinal canal)

Indirect inguinal hernia (in inguinal canal)

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12

_______ is a Swollen male breast tissue caused by a hormone imbalance.

gynecomastia

13

Signs/symptoms of Hydronephrosis secondary to Benign Prostatic Hyperplasia (BPH)

  1. Urgent and frequent urination
  2. nocturia
  3. double voiding
  4. split stream
  5. straining

14

The need strain or push (called _______) to initiate and maintain urination in order to more fully evacuate the bladder

Valsalva maneuver

15

Identify the Inguinal Hernia: Direct versus Indirect

History

  • Men over 40
  • Large, painless groin mass for many years

Direct hernia

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16

What is a secondary complication of Benign prostatic hyperplasia (BPH)?

hydronephrosis

17

Common hernia sites: Name the hernia

  • (external opening to femoral canal)

Femoral hernia

 

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18

Clinical staging of prostatic carcinoma. Identify the stage:

  • Tumor has extended beyond the prostatic capsul to involve adjacent structures

C

Extensive carcinoma

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19

_________ occurs when a portion of the small intestine enters the inguinal canal

  • inguinal hernia

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20

Male Tanner Staging:

  • Enlargement of penis (length at first); further growth of testes
  • Thicker, curlier hair spreads to the mons pubis

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Stage 3

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21

Male Tanner Staging:

  • Adult genitalia

  • Adult-type hair with spread to medial thigh

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Stage 5

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22

Male Tanner Staging:

  • Enlargement of scrotum and testes; scrotum skin reddens and changes in texture
  • Sparse growth of slightly pigmented hair at base of penis

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Stage 2

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23

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

  • Palpable mass at tip of finger in inguinal canal
  • Large mass in scrotum

INdirect hernia

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24

Identify the Inguinal Hernia: Direct versus Indirect

History

  • Most common
  • Painless scrotal mass

INdirect hernia

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25

Presentation of testicular cancer

  1. Mass or swelling in either testicle
  2. Dull ache in the back or lower abdomen
  3. Gynecomastia (Swollen male breast tissue caused by a hormone imbalance)
  4. Testicular discomfort/pain
  5. a feeling of heaviness in the scrotum

26

Clinical staging of prostatic carcinoma. Identify the stage:

  • Tumor is confined to the prostate

A and B

Local carcinoma

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27

Common hernia sites

  1. Indirect inguinal hernia (in inguinal canal)
  2. Femoral hernia (external opening to femoral canal)
  3. Direct inguinal hernia

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28

Clinical staging of prostatic carcinoma. Identify the stage:

  • Lymph node or distant metastases are present

D

Extensive carcinoma

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29

Male Tanner Staging:

  • Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker

  • Adult type hair but no spread to medial thigh

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Stage 4

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30

Male Tanner Staging:

  • Approximate age of onset

  • Approximate age of completed development

Onset: 10-13 y

Complete: 14-18 y

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