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Patient Assessment > Male Genital > Flashcards

Flashcards in Male Genital Deck (28):
1

What can cause persistent erections?

MS, Sickle cell, DM, spinal cord injuries, leukemia

2

What are some things that cause increase temp of scrotum?

tight pants, briefs, hot baths, high temp environments, prolonged sitting

3

What is contracture of penis?

peyronie disease

4

What are risk factors for penile cancer?

lack of circumcision
phimosis
HPV infection
increased age
smoking
HIV infection
UV light for psoriasis

5

What are risk factors for testicular cancer?

undescended testicle
personal hx of testicular CA
abnormal testicle development - klinefelter
age 20-54
White race

6

How do you examine the penis?

Retract the foreskin if patient is uncircumcised.
Glans of the penis (color, smegma); urethral meatus for discharge
Palpate penis for tenderness, induration.
Strip the urethra for discharge.

7

What is the white stuff that is in uncircumsized penises?

smegma

8

What do you always need to do after palpate and striping the penis?

reposition the foreskin

9

What are the four characteristics you need to note for the scrotum?

color, texture, symmetry, thickness

10

How do you do the cremasteric reflex?

stroke thigh with blunt instrument and same side testical will rise

11

soft swelling in area of internal ring, and is palpable within the inguinal canal, when in comes down canal and touches fingertip on exam.

indirect hernia

12

How are indirect hernias likely to occur?

bilaterally

13

a bulge in the area of Hesselbach triangle, and is palpable medial to the canal, pushing against side of finger on exam. It is usually easily reduced.

direct hernia

14

What is a mass that transilluminates but does not change in size?

fluid filled hydrocele

15

What is a mass that does not transilluminate but changes in size?

hernia

16

What is a mass that does not illuminate or change in sixe?

incarcerated hernia - Surgical emergency

17

What is testicular torsion?

twisting of testes on spermatic cord

18

What is hypospadias?

congenital defect where urethral meatus located on ventral surface of glans penis

19

What is variocele?

bag of worms - dilation of veins of the pampiform plexus

20

What is klinefelter syndrome?

XXY

21

What does the cremasteric reflex help to do?

regulate testes temp

22

What is smegma?

collection of sebacaous material

23

Which side has the lower scrotal sac?

left

24

What is the term for the testes failing to descend?

cryptorchidism

25

What can phimosis be related to?

DM

26

What can cause testes insensitivity?

syphilis or DM

27

What is absent in testicular torsion?

cremasteric reflex

28

What is the most common type of hernia?

indirect