Flashcards in Male Genitouterine Exam Deck (37)
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1
Nocturia
Waking up at night with the urge to urinate
2
Urinary Incontinence
involuntary leakage of urine
3
Dysuria
pain with urination
4
Hematuria
blood in the urine
5
Renal Calculi
Kidney Stones
6
Circumcision
Removal of Foreskin from Penis
7
Consistency of Testicle should feel like what?
A hard boiled egg
8
Where is the epididymis located and What does it feel like?
Located on top of testicle and posterolateral
Feels nodular and cordlike
9
What do Spermatic Cords feel like?
The inside of a BIC pen
10
Genital Herpes
- Caused by Herpes Simplex 2 virus (Usually HSV 2)
- Begins with painful vesicles that become ulcerated
- Often recurrent
11
Molluscum Contagiosum
- Umbilicated vesicular-like lesions
- Contagious, usually painless
- Benign viral condition; self-limited (6-12 months)
12
Primary Syphilitic Chancre
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.
13
Gonorrhoeae
The typical purulent urethral discharge can often be demonstrated during examination by "milking" the urethra. The patient alse has associated meatitis.
14
Chlamydia Trach-matis
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.
15
Peyronie's Disease
- 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
16
Carcinoma of Penis
- Begins as a firm nodule or ulcer that does not heal
- Usually nontender
- More common in uncircumsized males
17
Indirect Inguinal Hernia
- 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
Direct Inguinal Hernia
- 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
Femoral Hernia
- 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
Variocele
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
Hydrocele
Benign, nontender, fluid-filled mass within the tunica vaginalis
Transilluminates - red glow
22
Spermatocele
Painless, mobile mass just above the testis
Usu. smaller than a hydrocele
Contains sperm
May transilluminate
23
Acute Epididymitis
Infection of the epididymis
Local pain & swelling
Primarily in adults
Often assoc. with UTI or prostate infection
24
Acute Orchitis
Inflammation or infection of the testis
Testicular swelling & tenderness
Similar in appearance to epididymitis
Complication of mumps & other viral infections
25
Testicular Torsion
Due to twisting of the spermatic cord
Intense pain
Red, swollen, tender scrotum
Testis may be pulled upwards
Surgical emergency!
26
Testicular Tumors
Firm, painless testicular nodule
Does not transillum-inate
27
Internal Hemorrhoids
painless
28
External Hemorrhoids
painful
29
Internal hemorrhoid prolapse
protrudes from anus
30
External hemorrhoid thrombosis
develops blood clot, painful
31
Anal Fissure
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
Perirectal Abscess
swelling and erythema of buttocks
33
Perianal Condylomata
HPV – human papillomavirus infection
Usually sexually transmitted
34
Rectal Carcinoma
Not always within reach of finger during Rectal Exam
35
Prostatitis- Acute and Chronic
Enlarged, tender prostate gland
Much more tender during acute infection, often with fever & chills
Examine carefully
Avoid spread of infection
Treat with antibiotics
36
Benign Prostatic Hypertrophy (hyperplasia)
BPH more common with increasing age
Symmetrical enlargement of gland
Slowing of urine stream with difficulty starting stream
37
