Male GU Flashcards Preview

assessment final > Male GU > Flashcards

Flashcards in Male GU Deck (23):
1

Fermoral hernia

1. more likely to present as emergency with bowel incarceration or strangulation
2. least common
3. below inguinal ligament and more lateral than inguinal hernia
4. never into scrotum
5. inguinal canal is empty

2

Indirect hernia

1. most common
2. above inguinal ligament, near its midpoint
3. often into scrotum
4. comes down the inguinal cana and touches fingertip

3

Direct hernia

1. less common, usually in men older than 40
2. above inguinal ligament, more medial
3. rarely into scrotum
4. bulges anteriorly and pushes the side of the finger
5. linked to straining and heavy lifting

4

Phimosis

tight prepuce, cannot be retracted

5

Paraphimosis

tight prepuce that once retracted cannot be returned

6

Balanitis

inflammation of the glans

7

Balanpothitis

inflammation of glans and prepuce

8

Common transillumination scrotal masses

1. hydrocele
2. spermatocele

9

Hydrocele

1. usually seen in kids 1-2 years old
2. accumulation of fluid from abdomen into scrotum

10

Scrotal masses that dont transilluminate

1. hematocele
2. tumor
3. torsion
4. epididymitis

11

Varicocele

1. abnormal tortuosity and dilation of veins within spermatic cord
2. most common on left side
3. often visibile only when standing
4. "Bag of worms"

12

Torsion

1. surgical emergency
2. twisting of testis on spermatic cord
3. acute onset pain
4. vomiting and anorexia common
5. fever and dysuria uncommon
6. no cremastic reflex on affected side

13

Epididymitis

1. acute testicular pain or swelling
2. can occur cuz prostatitis, UTI, TB, or STD
3. epididymis may be enlarged, hard and tender causing pain
4. waddle walk
5. may be blood in semen, d/c from penis, enlarged groin lymph nodes
6. Tx with antibiotic therapy (rocephin and azithromycin)

14

DRE positions

1. modified lithotomy
2. sims' position
3. left lateral
4. standing, hips flexed

15

Colorectal CA risk factors

1. age over 40
2. PH of colon polyps, Crohn's, UC > 10 yrs, ovarian, breast, endometrial CA
3. FH colon CA
4. high fat, low fiber diet
5. exposure to asbestos, acrylics, and other carcinogens

16

Prostate CA risk factors

1. age over 50
2. US resident
3. diet high in animal fat
4. ETOH use
5. FH prostate CA
6. PSA > 4ng/ml

17

Colorectal CA prevention test

1. colonoscopy
2. age 50 and every 10 yrs or age 45 for AA
3. flex sig 5-10 yrs
4. CT colonography every 5 yrs

18

Colorectal CA detection test

FIT- fecal immunochemical test

19

Examination of prostate

1. normally rubbery and nontender

20

Normal prostate features

1. about 2.5 cm from side to side
2. prominent median sulcus
3. rubbery and smooth
4. no tenderness
5. pt. will feel the urge to urinate when you palpate

21

BPH findings on DRE

1. symmetrical enlargement
2. marked protrusion into rectal lumen
3. smooth
4. median sulcus may be indistinguishable
5. rubbery, boggy, or elastic consistency

22

Prostate CA findings on DRE

1. asymmetric
2. hard
3. discrete nodule
4. median sulcus obscured

23

Prostatitis findings

1. swollen
2. firm
3. very tender