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PD II > Male GU > Flashcards

Male GU Flashcards

1
Q

Shaft of penis columns

A
  1. Corpus Spongiosum - contains the urethra
    forms bulb of penis ends as cone shaped glans and base the corona.
  2. 2 Corpora Cavernosa
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2
Q

vas deferens

A

Cordlike structure, extends from the epididymis passes through the external inguinal ring into abdomen and pelvis.

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3
Q

Sperm passes

A

from testesand epididymis through vas deferens into urethra

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4
Q

Penile lymphatics

A

penile and scrotal surfaces drain into the inguinal lymph nodes

lymphatics from the testis drain into the abdominal lymph nodes

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5
Q

spermatic cord contents

A
  1. arteries: tesicular, deferential, cremaster
  2. Nerves - nerve to cremastersympathetic nerves.
    (genital branch of the genitofemoral nerve)

vas deferens
pampiniform plexus
lymphatic vessels
processus vaginalis

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6
Q

Inguinal canal

A

lies parallel to the inguinal ligament

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7
Q

external ring

A

triangular slitlike structure above and lateral to the pubic tubercle

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8
Q

Internal Ring

A

Internal opening, 1cm above the midpoint of the inguinal ligament

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9
Q

testes function

A
  1. produce sperm and testosterone
  2. 80% of testicular mass contains seminiferous tubules where spermatogenesis begins
  3. Endocrine cells located in tissue between seminiferous tubules - leydig or interstitial cells - produce testosterone.
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10
Q

ROS male GU

A

Urinary - pain, dysuria, change in flow, color
Penile discharge or lesions
Genital rashes
scrotal enlargement
groin mass or swelling
ED
Infertility

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11
Q

Hypospadia

A

urethral opening on the ventral side of the penis shaft

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12
Q

Epispadius

A

urethral opening on the dorsal aspect of the penis shaft

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13
Q

Balantitis

A

inflammation of the glans penis (pften Candida)

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14
Q

Condylomata acuminata

A

secondary syphilis

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15
Q

Phimosis

A

cannot retract foreskin over glans

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16
Q

Paraphimosis

A

entrapment of retracted foreskin behind coronal sulcus

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17
Q

Hydrocele

A

collection of fluid between the 2 layers of the tunica vaginalis- painless gradually enlarging mass - **translumination

must evaluate with tesiticular sonogram - 10% of testicular tumors are associated with hydrocele

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18
Q

Varicocele

A

dilation of the pmpiniform plexis from incompetent valves

**almost always of the left side

varicocele on the right side should raise suspicion of malignancy or abdominal mass

surgical correction - most common 15-25 year olds

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19
Q

epipdymitis

A

ages 19-35

spread of infection to the bladder
common from gonorrhea and chlamydia

amiodarone can cause

20
Q

Prehn’s sign

A

lifting of testicle relieves pain = epidiymitis but not with testicular torsion

21
Q

Acute Orchitis

A

testicular pain and swelling, blood in semen
cause from mumps in childhood

** treated with antibiotics

22
Q

Incarcerated hernia

A

hernia cannot be returned to the abdominal cavity

23
Q

stangulated hernia

A

blood supply is cut off to the entrapped hernia

**extreme tenderness, vomitting and nausea— surgery req.

24
Q

Testicular cancer

A

one of highest cure rates - 90%

most common in ages 15-40 mostly caucasians

95% of testicular tumors are malignant

25
Q

Risk factors for testicular cancer

A

cryptoorchidism, inguinal hernia, mumps orchitis

26
Q

testicular torsion

A

medical emergency
needs intervention within 6 hours to save testicle

27
Q

Peyronie’s disease

A

palpable non-tender indurated thickening plaque of the tunica albuginea of the corpora
deveates erection which causes pain

28
Q

Priapism

A

associated with sickle cell - spinal cord injuries, leukemia and drugs
painful sustained erection

29
Q

Fournier’s

A

idiopathic gangrene of scrotum and perineyum
sub q emphysema

30
Q

gynecomastia causes

A

kleinfelter’s syndrome, prolactinoma, idopathic, drugs

31
Q

Obstructive BPH

A

hesitancy, intermittency, incomplete voiding, weak urinary stream, straining

32
Q

Irritative BPH

A

FRrequency, nocturia, urgency

33
Q

Prostate Cancer

A

1 non skin cancer found in men

80% >65 yr. old

Highest incidence in af. americans

34
Q

physical findings and symptoms of protate cancer

A

usuallyy silent, bone pain/pathologic fractures, firm/nodular area or hard fixed prostateon D rectal exam

35
Q

Behcet syndrome

A

painfull with minimal adenopathy

**Not an STD

Genital sores, inflamed eyes, and rashes

36
Q

HSV II

A

painful ulcer, tender with non-fulctuant inguinal adenopathy

37
Q

Chancroid

A

painful ulcer with tender fluctuant inguinal adenopathy

38
Q

syphilis

A

non painful ulcer with mild tender adenopathy

39
Q

granuloma - c. granulomatous (klebsiella)

A

non painful, bleeds easily firm inguinal adenopathy ** can mimic LVG

40
Q

LVG: chlamydia

A

non painful ulcer, tender unilateral fluctuant adenopathy

41
Q

Neurosyphilis

A

asymptomatic, sub acute meningitis - fever stiff neck

42
Q

Tabes Dorsalis

A

effects posterior column (proprioception) and dorsal roots (loss of reflexes, loss of pain and temp sensation)

43
Q

Prostate attributes

A

3 lobes surrounding urethra

posterior bi-lobed portion palpated via anterior rectal wall.

seminal vesicles not palpable

44
Q

rectal carcinoma

A

may feel a discrete hard mass, or may palpate a rectal shelf, indicative of a deeper lesion

45
Q

anorectal junction

A

pectinate or dentate line - is the boundary between somatic and visceral nerve supplies

PD II (4 decks)

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