Flashcards in Male Exam/DRE Deck (40)
What are the three history questions?
Have you noticed changes in urination, dedication, or sexual function?
2 beginning steps after the history taken?
Palpate an inspect hair
Palpate lymph nodes
What do you look for when inspecting the hair?
Lice, nits, lesions, or rashes
Next what to inspect after lymph nodes?
What should the meatus look like?
Pink, glistening, slit-like, and smooth
If the meatus is bumpy what could it be?
If meatus is red?
STD or UTI
Why do we inspect meatus first before the penis?
Not to move any discharge down as to block the opening.
What do we do after inspecting the meatus?
Palpate penis shaft for lumps or lesions
What do we do after palpating penis?
Strip the urethra
Why do we strip the urethra?
To move any discharge out.
What is normal when we strip the urethra?
Single clear drop of fluid
What is abnormal when we strip the urethra?
More than a single drop, purulent
If there is copious amounts of purulent discharge, then what could it be?
What has a cloudy discharge?
After stripping the urethra, then what?
Inspect scrotum and testicles for redness, swelling or lesions.
Which testicle is usually lower? Why?
Longer spermatic cord
After inspecting the testicles, then what?
Palpate the testicles
If there are lumps in the testicles what do you think?
Testicular cancer - aggressive
What do you do after palpating the testicles?
When you transilluminate the testicles, what are you looking for? What is bad?
A cherry red glow
Any dark spots are considered cancer
What do you do after transilluminating the testicles?
What is the first hernia check.
Have patient bear down and inspect or look for bulging.
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.
If you feel a warm, soft, bulge at the tip of your finger what kind of hernia is it?
If you feel a warm, soft, bulge at the abdominal side of finger what kind of hernia is it?
What do you do after checking for hernias?
What are you looking for in the cremasteric reflex?
Ispilateral testicle to rise
Why are the testicles innervated higher than expected?
Because embryologically they develop up where ovaries are in females.