Male Genitalia Flashcards Preview

Clinical Med > Male Genitalia > Flashcards

Flashcards in Male Genitalia Deck (46):
1

What are the two erectile tissues in the penis?

Corpus cavernosum

2

What is the corpus spongiosum?

Body that carries the urethra

3

What is the structure that is felt at the back of the testes?

Epididymitis

4

Where does lymphatics from the penis drain? The testes?

Penis = superfifical inguinal nodes

Testes = abdominal lymph nodes

5

When is a standing exam when performing a male genitalia exam absolutely necessary?

Hernias or varioceles

6

What is smegma? When does it appear problematic (but isn't actually)?

Waxy secretions that are secreted by the glans of the penis.

May appear problematic if circumcised and adhesions form

7

What are you assessing for when compressing the glans of the penis?

Nodules, plaques, or scarring

8

What is hydrospadias? What are the complications from this?

incomplete closure of the urethra

Loss of sperm
UTIs

9

What is the appropriate technique used to palpate the glans of the penis?

Thumb and first two fingers

10

What is the balanitis?

Remnant of the foreskin gets infected with yeast

11

What is peyronie's disease?

Scarring around the tunica of the penis

12

What should you consider when a pt has bloody penile discharge?

Neoplasm or urethritis

13

What should you consider when a pt has purulent penile discharge?

STIs or prostatitis

14

What is the giveaway for UTIs/STDs?

Dysuria

15

What is the sign for prostatitis?

Tender in the perineal area, and no dysuria

16

Why should you not try and manipulate the prostate if you suspect infection?

Spread the infection

17

Painless lesions are indicative of what?

Syphilis

18

Vesicular lesions are indicative of what?

Herpes virus

19

What is the most common cause of genital warts?

HPV

20

What are the signs of herpes?

Painful vesicular lesions on the penis

21

What is the best way to identify herpes lesions as such?

Seeing multinucleated cells on a Giemsa stain

22

Are syphilis lesions painful?

No

23

What is chancroid?

Haemophilus Ducreyi STI characterized by painful sores on the genitalia. Chancroid is known to spread from one individual to another solely through sexual contact.

24

What is the causative agent of syphilis?

Treponema pallidum

25

What is the treatment for syphilis?

Penicillin

26

What is the diagnostic technique for a hydrocele? What is the treatment? What does this differentiate against?

Transillumination of the scrotum.

Self limiting.

Differentiates against scrotal hernia

27

What is the sign of scrotal edema as opposed to a hydrocele or hernia?

Crosses both sides of the scrotum

28

What is the treatment for epidermoid cysts?

Self-limiting. Leave alone

29

Why are spermatoceles usually found in pts who have had a vasectomy?

Sperm have no where to go

30

What differentiates a spermatocele vs testicular CA?

Bump is on the epididymis

Also, transilluminates

31

Where is pain felt with acute epididymitis?

Behind the testicle

32

How much time is there to diagnose and treat a testicular torsion before loss of the testicle?

6 hours

33

What are the signs of testicular torsion versus acute epididymitis?

Loss of cremaster reflex

Sudden onset

34

Generally, how long do infectious processes take to develop, as opposed to vascular ones?

vascular = sudden

Infectious = slow

35

Which way do testicles tend to torse?

Medially

36

Where do direct hernias occur?

Directly through the abdomen

37

Where do indirect hernias occur?

Through the spermatic cord

38

Where do femoral hernia occur?

Below the inguinal ligament, and lateral to the inguinal canal

39

What are the borders of Hasselbach's triangle?

Inguinal ligament
Rectus abdominis
Inferior epigastric artery

40

True or false: femoral hernia rarely enter the scrotum

False-they never enter the scrotum

41

Who are more likely to develop femoral hernias, men or women? How about to indirect hernias?

Femoral, women more likely

Inguinal, men

42

If your finger is hit on the pad when in the inguinal canal, what type of hernia? What about just the tip?

Pad = direct

tip = indirect

43

What are the ages that testicular CA usually develops?

15-34 yo

44

Who is more likely to get testicular CA, white or black men?

White (x4)

45

What are the two risk factors for testicular CA?

family hx
Cryptorchidism

46

Should you screen for testicular CA?

no