Male Genitouterine Exam Flashcards Preview

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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

Carcinoma of Prostate

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