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H and P Exam 2 > Male Genitouterine Exam > Flashcards

Male Genitouterine Exam Flashcards

1
Q

Nocturia

A

Waking up at night with the urge to urinate

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2
Q

Urinary Incontinence

A

involuntary leakage of urine

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3
Q

Dysuria

A

pain with urination

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4
Q

Hematuria

A

blood in the urine

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5
Q

Renal Calculi

A

Kidney Stones

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6
Q

Circumcision

A

Removal of Foreskin from Penis

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7
Q

Consistency of Testicle should feel like what?

A

A hard boiled egg

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8
Q

Where is the epididymis located and What does it feel like?

A

Located on top of testicle and posterolateral

Feels nodular and cordlike

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9
Q

What do Spermatic Cords feel like?

A

The inside of a BIC pen

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10
Q

Genital Herpes

A
  • Caused by Herpes Simplex 2 virus (Usually HSV 2)
  • Begins with painful vesicles that become ulcerated
  • Often recurrent
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11
Q

Molluscum Contagiosum

A
  • Umbilicated vesicular-like lesions
  • Contagious, usually painless
  • Benign viral condition; self-limited (6-12 months)
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12
Q

Primary Syphilitic Chancre

A

A small red macule enlarges and develops through a papular stage, becoming eroded to form a typical round, painless ulcer. If untreated, the ulcer usually heals after 4-8 weeks.

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13
Q

Gonorrhoeae

A

The typical purulent urethral discharge can often be demonstrated during examination by “milking” the urethra. The patient alse has associated meatitis.

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14
Q

Chlamydia Trach-matis

A

Most common cause of Gonorrhoea: Non gonococcal urethritis with mucopurulent discharge. Although the discharge is often more watery than gonorrhoea, gonorrhoea must always be excluded by gram stain and culture.

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15
Q

Peyronie’s Disease

A
  • Idiopathic condition resulting in fibrosis in the corpora cavernosa
  • Palpable, nontender plaques just beneath the skin, along the dorsum of the shaft of the penis
  • may result in penile curvature, painful erections, occasionally erectile dysfunction
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16
Q

Carcinoma of Penis

A
  • Begins as a firm nodule or ulcer that does not heal
  • Usually nontender
  • More common in uncircumsized males
17
Q

Indirect Inguinal Hernia

A
  • Goes through the inguinal canal: above inguinal ligament, near its midpoint (the internal inguinal ring)
  • often into the scrotum
  • The hernia comes down the inguinal canal and touches the fingertip.
  • Most common, all ages, both sexes
  • Often in children, may be in adults
18
Q

Direct Inguinal Hernia

A
  • Does not go through the inguinal canal, simply protrudes through the superficial ring
  • Less common
  • Occurs in men over age 40, rare in women
  • Above inguinal ligament, close to the pubic tubercle (near the external inguinal ring)
  • Rarely into the scrotum
  • The hernia bulges anteriorly and pushes the side of the finger forward
19
Q

Femoral Hernia

A
  • Least Common
  • More common in women thatn men
  • Below the inguinal ligament: appears more lateral than an inguinal hernia and may be hard to differentiate from lymph nodes
  • Never into the scrotum
  • Inguinal canal is empty
20
Q

Variocele

A 
Varicose veins of scrotal vessels
Usually on the left
Feels like a soft “bag of worms”
May slowly collapse if scrotum elevated while patient supine
May be assoc. with infertility
21
Q

Hydrocele

A

Benign, nontender, fluid-filled mass within the tunica vaginalis
Transilluminates - red glow

22
Q

Spermatocele

A

Painless, mobile mass just above the testis
Usu. smaller than a hydrocele
Contains sperm
May transilluminate

23
Q

Acute Epididymitis

A

Infection of the epididymis
Local pain & swelling
Primarily in adults
Often assoc. with UTI or prostate infection

24
Q

Acute Orchitis

A

Inflammation or infection of the testis
Testicular swelling & tenderness
Similar in appearance to epididymitis
Complication of mumps & other viral infections

25
Q

Testicular Torsion

A 
Due to twisting of the spermatic cord
Intense pain
Red,  swollen, tender scrotum
Testis may be pulled upwards
Surgical emergency!
26
Q

Testicular Tumors

A

Firm, painless testicular nodule

Does not transillum-inate

27
Q

Internal Hemorrhoids

A

painless

28
Q

External Hemorrhoids

A

painful

29
Q

Internal hemorrhoid prolapse

A

protrudes from anus

30
Q

External hemorrhoid thrombosis

A

develops blood clot, painful

31
Q

Anal Fissure

A

Anal fissure is a tear in the inside lining of the wall of the anus
May be caused by the passage of very hard stools
Symptoms – severe pain as stool passes
Also, itching, burning, bleeding & wet discharge
Diagnosed by history & anoscopy

32
Q

Perirectal Abscess

A

swelling and erythema of buttocks

33
Q

Perianal Condylomata

A

HPV – human papillomavirus infection

Usually sexually transmitted

34
Q

Rectal Carcinoma

A

Not always within reach of finger during Rectal Exam

35
Q

Prostatitis- Acute and Chronic

A 
Enlarged, tender prostate gland
Much more tender during acute infection, often with fever & chills 
Examine carefully
Avoid spread of infection
Treat with antibiotics
36
Q

Benign Prostatic Hypertrophy (hyperplasia)

A

BPH more common with increasing age
Symmetrical enlargement of gland
Slowing of urine stream with difficulty starting stream

37
Q

Carcinoma of Prostate

A

Enlarged, firm nodule or area of hardness
Irregular contour, median sulcus obscured
Usually a slow-growing tumor
Metastasizes locally and to bone

H and P Exam 2 (2 decks)

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