Male Exam/DRE Flashcards Preview

Male/Female Health > Male Exam/DRE > Flashcards

Flashcards in Male Exam/DRE Deck (40)
Loading flashcards...
1

What are the three history questions?

Have you noticed changes in urination, dedication, or sexual function?

2

2 beginning steps after the history taken?

Palpate an inspect hair
Palpate lymph nodes

3

What do you look for when inspecting the hair?

Lice, nits, lesions, or rashes

4

Next what to inspect after lymph nodes?

Urethral meatus

5

What should the meatus look like?

Pink, glistening, slit-like, and smooth

6

If the meatus is bumpy what could it be?

HPV infection

7

If meatus is red?

STD or UTI

8

Why do we inspect meatus first before the penis?

Not to move any discharge down as to block the opening.

9

What do we do after inspecting the meatus?

Palpate penis shaft for lumps or lesions

10

What do we do after palpating penis?

Strip the urethra

11

Why do we strip the urethra?

To move any discharge out.

12

What is normal when we strip the urethra?

Single clear drop of fluid

13

What is abnormal when we strip the urethra?

More than a single drop, purulent

14

If there is copious amounts of purulent discharge, then what could it be?

gonorrhea

15

What has a cloudy discharge?

chlamydia

16

After stripping the urethra, then what?

Inspect scrotum and testicles for redness, swelling or lesions.

17

Which testicle is usually lower? Why?

Left
Longer spermatic cord

18

After inspecting the testicles, then what?

Palpate the testicles

19

If there are lumps in the testicles what do you think?

Testicular cancer - aggressive

20

What do you do after palpating the testicles?

transilluminate

21

When you transilluminate the testicles, what are you looking for? What is bad?

A cherry red glow
Any dark spots are considered cancer

22

What do you do after transilluminating the testicles?

Hernia check

23

What is the first hernia check.

Have patient bear down and inspect or look for bulging.

24

What is the second hernia check?

Use small finger to take scrotal skin up into the INGUINAL CANAL at a 45 degree angle away from penis. Patient turns away and coughs.

25

If you feel a warm, soft, bulge at the tip of your finger what kind of hernia is it?

indirect hernia

26

If you feel a warm, soft, bulge at the abdominal side of finger what kind of hernia is it?

Direct hernia

27

What do you do after checking for hernias?

cremasteric reflex

28

What are you looking for in the cremasteric reflex?

Ispilateral testicle to rise

29

Why are the testicles innervated higher than expected?

Because embryologically they develop up where ovaries are in females.

30

After the cremasteric reflex then what do you do?

DRE exam