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64 Cards in this Set
- Front
- Back
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describe the male genitourinary system structures pt 1
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how often does the avg adult void urine?
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5-6 qd
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polyuria
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excessive urine
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oliguria
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diminished urine output
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nocturia
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occurs w/ frequency and urgency
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dysuria
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burning while peeing
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hesitancy
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straining
loss of force dribbling urine residual |
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true incontinence is..
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loss of urine without warning
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urge incontinence is..
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sudden loss of continence as with acute cystitis
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stress incontinence is..
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incontince r/t strain and loss of sphyncter control
coughing laughing sneezing |
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a bulge or swelling in the scrotum ; dragging or heaving feeling in scrotum
could mean.. |
hernia
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nocturnal enuresis
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incontinence after kid is too old!
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phimosis
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inability to retract foreskin
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paraphimosis
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inability to return foreskin to original position
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hypospadias
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ventral location of meatus
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epispadiias
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dorsal location of meatus
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when examining the penis some discharge comes out. what to do?
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get a sample and do a smear/culture
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while examining the scrotum you find a sebaceous cyst. what to do?
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squeeze it! NOO. lol
this is common. they are yellowish 1cm nodules, firm non tender and often multiple |
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testes should feel...
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oval
firm rubbery smooth equal movable slightly tender to pressure |
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when palpating spermatic cord.. use this technique and be aware of these abnormal findings
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cord between thumb/forefinger
go up the length should be smooth and non tender abdnormal soft swollen torous cord |
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normally no scrotal contents are present. if you do find a mass note:...
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tenderness
proximal/distal to testi can you place your finger over it does it reduce when lying can you hear bowel sounds over it |
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how should a male stand if you are palpating his inguinal canal?
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for the right side ask him to shift weight onto left leg
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where to place your hands to check inguinal canal
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index finger low on the right scotal half.
palpate up the length of cord to a trianguar slitlike opening if it admits your finger insert and have them bear down normally no change hernia: mass will bump your fingertip |
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how often should men examine testis
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every month
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most common age for testi cancer
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between 15-40
undecended at greater risk white males 4x as likely |
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a poor stream on a infant boy could mean..
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malignancy! just kidding
neurogenic bladder |
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infant boy uncircumsized firs three months. should you examine the penis with foreskin pulled back?
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no. too tight. might rip :-0
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cryptorchidism
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undescended testes
common in premature infants most decend by 3 months |
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hydrocele
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cystic collection of serous fluid in the nuica vaginalis surrounding the testies
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blue urine
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medication side effect
asparagus dye after prostate sx |
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dark grey urine
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urine contains melanin
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endocervical
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the spindle-shaped, flattened canal of the cervix, the neck of the uterus. aka cervical canal
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lithotomy position
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a common position for surgical procedures and medical examinations involving the pelvis and lower abdomen
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melena
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black stools
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stetorrhea
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excessive fat in stool
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what is a common cause of intense intching around anus in children?
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pinworms
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what would you call this gross looking thing?
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prolapsed rectum
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what is this?
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prolapsed rectum
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what color is a normal cervix?
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pink and even
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chadwicks sign
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cervix looks blue
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position of cervix normally
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midline anterior or posterior
projects 1-3 cm into vagina |
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normal size of cervix
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2.5 cm
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describe the female genitalia
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describe the female genitalia
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describe the female external genitalia
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describe external female genitalia
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describe the external female genitalia
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list the external genitalia of the female client
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vulva
mons pubis labia majora/minora clit vestibule urethral meatus skenes glands vaginal orifice vartholins glands |
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list the female clients internal genitalia
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vagina
cervix anterior/posterior uterus fallopian tubes |
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what culture is ovarian cancer prevelent in?
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industrialized nations
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what culture is cervical cancer prevelent in?
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black women>white women
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what culture is uterine cancer more prevelent in
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white women>black
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nursing hx to take for female GU exam
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menstrual hx
menarchy amenoria last menstrual cycle pregnancies abortions number of births vaginal discharge active sex life age of first intercourse number of partners birth control STD pain/burning with intercourse/urination difficulty starting/stopping urine stream stress incontinence especially w/ post menopausal aging self care behaviors anual pelvic pap smear family history |
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4 points to teach about for women and GU
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risk factors for cervical cancer
importance of routine pelvic exams changes in menopause cervical cancer vaccine |
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cystocele
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the wall between a woman’s bladder and her vagina weakens and allows the bladder to droop into the vagina
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vaginismus
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aginismus is an involuntary spasm of the muscles surrounding the vagina. The spasms close the vagina.
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what kind of lubricant do you use for a speculum?
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warm water
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what position should a woman be in for GU exam
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initially sittin gup
then lithotomy elevate head and shoulders to maintain eye contact educational mirror |
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how to access vaginal pol
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rub blunt end of patula over vag wall and under/lateral to cervix
whipe specimine on slide and spray with fixative immediately if mucosa is dry, moisten with saline |
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how to obtain endocervical specimine with cytobrush
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insert brush into os
may feel slight pinch may be scant bleeding rotate brush in one direction |
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cervix consistancy
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should feel smooth and firm, as the onsistency of the tip of the nose. it softens and feels velvety at 5-6 wks of pregnancy
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cervix contour
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evenly rounded
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mobility of cervix
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move cervix from side to side. nomrally no pain.
if its immobile, suspect malignancy |
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what should ovaries feel like
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walnuts!
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