Flashcards in Quiz 1 - Male GU Deck (60)
What questions should be asked in regard to male sexual function?
change in libido?
quality of erections
what are obstructive urinary symptoms?
what are we inspecting for with an external genitalia exam?
lower abdomen (hair pattern), inguinal hernias
scrotum, prepuse (ask pt to retract foreskin for exam)
glans penis, meatus
shaft (lesions, d/c, induration)
what special test is used to evaluate a scrotal mass?
it can help differentiate fluid vs solid structures
what is a normal prostate size?
what will be palpated during a prostate exam if, prostatitis?
it will feel boggy and tender to palpation.
what will be palpated during a prostate exam if, benign prostatic hyperplasia?
enlargement, rubbery, nontender
what will be palpated during a prostate exam if, carcinoma?
hard nodules or areas
what does a scrotal ultrasound assess?
when would you order a uroflowmetry?
when you are concerned the patient has an obstruction.
how do you assess night time erectile function?
Rigiscan for night time tumescence (erectile function)
what is TRUS? when is it used?
transrectal ultrasound - used for visualizing the size of the prostate and to see how efficient a patient is at voiding urine from the bladder
what is a red flag symptom of erectile dysfunction?
prolonged erection > 4 hrs/
what are red flag symptoms of hematospermia?
symptoms lasting > 1 mo
what are red flags of urethral d/c?
what are red flag symptoms of scrotal pain? what is important to rule out?
IMPORTANT ** r/o testicular torsion **
which penile condition affects the dorsal side of the penis and which affects the ventral side of the penis?
epispadias - congenital malformation of the urethral meatus on the UPPER DORSAL side of the penis
hypospadias - congenital malformation of the urethral meatus on the LOWER VENTRAL side of the penis
what is balanitis
inflammation of the glans penis
what is posthitis
inflammation of the foreskin
what is balanoposthitis
inflammation of both the glans penis and foreskin
what is balanitis xerotica obliterans (BXO)?
lichen sclerosis of penis
what area on glans penis
- generally due to chronic inflammation
what is the difference between phimosis and paraphimosis? What are key factors we should know regarding each of these?
phimosis: foreskin cannot be retracted
DO NOT FORCE RETRACTION
paraphimosis: foreskin stuck in retracted position
CAN LEAD TO GANGRENE or NECROSIS
list the causes of penile lesions?
carcinoma in situ
squamous cell carcinoma of the penis
pearly penile papules
What causes genital herpes? What do they look like?
How do you DX?
HSV 1 & 2
lesion appearance - clusters of vesicles that erupt and form superficial ulcers with erythematous base
primary - outbreak is generally most painful eruption
recurrent - not as painful as first outbreak.
Diagnosed by clinical evaluation, TZANCK TEST, viral culture
what causes genital warts? what do they look like? what potential, though low, do they carry? what risk factors are associated with genital warts?
HPV (6 & 11 account for 90% of infections)
PAINLESS - can be bothersome due to location, soft, irregular surface ** may be dormant OR undetectable!!
*cancer causing potential
risk factors - associated with use of birth control due to increased sexual contact w/o the use of barriers, multiple sex partners and early sexual activity
what causes syphilitic cancres? how do they appear? what testing is done?
solitary PAINLESS lesion
NON-EXUDATIVE, INDURATED EDGE, NON-TENDER (key words!)
serological testing is done as well as lymph exam - region LA will be present, nontender
painless lesion of the penis is ____ until proven otherwise
what causes chancroid? how do they appear? what testing is done?
PAINFUL, non-indurated ulcers, irregular edges, red borders. GRAY/YELLOW exudate.
PCR testing is done, as well as lymph exam - regional TENDER LA will be present
men who are uncircumcised are at greater risk for developing what conditions?
carcinoma in situ
squamous cell carcinoma