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99 Cards in this Set
- Front
- Back
Perineum is the anterior ____
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defect in pelvic diaphragm
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Roof of perineum is
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Pelvic diaphragm
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UG triangle points ____
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anteirorly
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Anal triangle points ____
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Posteriorly
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Line between anal and UG triangle bases
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Between 2 tuberosities
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Scarpas fascia continuous as
-Penis -Scrotum -Perineum -Attaches to: |
-Dartos
-Dartos -Colles' -perineal body |
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Colles fasica behind
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Scrotum/labia majora
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Trauma to perineum can break ___ extravagating blood under the perineum deep to:
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-Urethra
-Corpus spongiosum --Dartos/colles |
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Perineum is superificial fascia of
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UG diaphragm
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2 muscles forming UG diaphragm
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1. Sphincter uretrhae
2. Deep transverse perineus m. |
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Superficial space of perineum
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Everthing below [superficial to] perineal membrane (superficial fascia of UG diaphragm)
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Roots of external genitalia connected to
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Perinial membrane
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Colles fascia in relation to superficial space
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superficial
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Deep space of perineum
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IS the UG diaphragm
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Anterior recess of ischioanal fossa is between
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UG diaphragm and pelvic diaphragm
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Anterior recess of ischioanal fossa is continuous with
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fat around anus
--Absess of anus can get into here & become very large |
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Pudendal canal located near
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Deep space/anteiror recess
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Bulbospongiosus (female)
-O -I -A -N -V |
-Perineal body
-Perineal membrane -Compress vestibular bulb; constrict vagina orifice -Deep branch of perineal (from pudendal) -Perineal a. |
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Bulbospongiosus (male)
O -I -A -N -V |
-Central tendon point & mid bulbl of penis
-Perineal membrane, dorsal corpus spongiosum -Compress bulb of penis, compress spongy urethra --Expels last urine from urethra; expels semen -Deep branch of perineal from pudendal -perinal a. |
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Ischiocavernosus
-O -I -A -N -V |
-Medial ischical tuberosity/ramus
-Corpus cavernosum/crus of penis/clitoris -Compress corpus cavernosum -Deep branch of perineal -Perineal |
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In males, ___ and ____ combine to form the base of the penis
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Labia majora and minora
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Bulb is made of
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Corpus spongiosum
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Superficial transverse perineus
-O -I -A -N -V |
Medial ishcial ramus
Contralateral m. & perineal body -Fix perineal body -Deep branch of perineal Perineal --Separate from deep by perineal membrane |
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Deep transverse perineus
-O -I -A -N -V |
Same as superficial
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What creates perineal body
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Joining of superifical and transvere perineus
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Perineal body is attachment for
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External anal sphincter
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Crura of penis/clitoris covered by
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Ischiocavernosum
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Erectile tissue
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Cavernosum
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Perineal n.
-Source -Branches |
-Pudendal
-Deep (muscular) -Posterior scrotal/labial |
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Bulb of vestibule in female = in male
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Bulb of penis
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Bartholin's gland
-Location -Function -Complications --Symptoms |
Back of bulb of vestibule (female)
-Moisten vaginal orifice -Site of infection --Majora and minora will swell |
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Urethral glands in females called
--Symptoms if infected |
Skenes
--Minora swelling (not majora) |
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Tissue crura are made of
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Corpus cavernosum
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Deep vein of the penis drains the ___ of the penis
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Dorsum
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Deep veins communicate with
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Pelvic veins
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Anus attaches to:
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Perineal membrane (perineal body)
Coccyx |
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Puborectalis [pelvic diaphragm] function
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Pulls rectoanal junction to an angle
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Deep external anal sphincter continuous with
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Puborectalis (part of pelvic diaphragm)
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Superifical external anal sphincter continuous with
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perineal body (anteriorly)
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Subcutaneous external anal sphincter
--Contain ____ muscle fibers |
intermixed with fibers from above
--Corrugator cutis anis |
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Corrugator cutis anis
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Longitudinal fibers, insert into skin creating dimpling around anus
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Corrugator cutis anis innervated by __NS
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ANS
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Damage to ____ could damage Corrugator cutis anis
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Hypogastric plexus
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Presentation of damage to Corrugator cutis anis
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Dimpling goes away
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Ischioanal fossa continuous with
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Pubis bone
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Ischioanal fossa filled with
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fat
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Roof of ischioanal fossa
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Pelvic diaphragm
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Superficial portion of external anal sphincter connected to:
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Perineal body
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Inferior rectal nn. branch from
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Pudendal n.
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Inferior rectal a. branches from
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Pudendal n.
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External anal sphincter
-O -I -A -N -V |
-Perineal body
-Anal canal -Constricts anal canal -Inferior rectal |
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Hypogastric innervates
1. 2. |
Corrugator
Internal anal sphincter |
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What forms inferior hypogastric plexus
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Hypogastric nn.
Sacral splanchnic Pelvic splanchnic |
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Superior hypogastric plexus
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Intermesenteric plexus
Lumbar splanchnic nn. |
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Deep Perineal n. innervates
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Muscles of UG diaphragm
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Superficial perineal innervates
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Muscles of superficial space
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Trauma to anus can have impact to
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Genitals in front
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Content of pudendal canal
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Pudendnal n, a, v,
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Pudendal n. roots
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S2-4
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3 urethra segments in males
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Prostatic
Membranous Spongy |
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Suspensory ligament of penis is from:
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Deep fascia of penis
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Dorsal a. and n. of penis are from ____ space
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Deep space &pudendal canal
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Deep dorsal vein drains to ____; passes between
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Prostatic plexus; arcuate pubic ligament & free margin of UG diaphragm (transverse perineal ligament)
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Fundaform forms ____; comes off ____
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Base of penis/labia majora; superficial fascia
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Sitting on a bike seat can compress:
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Pudendal n.
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How cancers of tip of penis can get into pelvic cavity
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Prostatic plexus
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Crura formed by corpus ____
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cavernosum
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Glans penis formed by corpus ____
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Spongiosum
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Albuginea thicker in corpus ____
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Cavernosum
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Deep. a of the penis supplies
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Crura
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A. of the bulb supplies
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Corpus spongiosum
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Difference in thickness of corpus cav/spong allows
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Ejaculate to be pushed out urethra
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Which layer of urethra has sphincter?
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membranous
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Bump in prostatic urethra
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Seminal colliculus
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Opening in seminal colliculus
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Utricle
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Utricle is leftover
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Vagina
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Opening on either side of urethra for the:
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Ejac duct
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____ contains orifice for ejaculatory duct
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Urethral sinus
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Dorsal n. and a. of penis under ____ fascia
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SUnder Buck's fasica
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Superficial dorsal v. in ____ fascia
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Dartos
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Foreskin aka
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Prepuce
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Urethra --> ____ --> Urethral orifice
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Navicular fossa
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Prepuce is mostly ____ fascia
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Dartos
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Narrowest part of the urethra is
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Navicular fossa where urethra enters glans penis
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Navicular fossa is an expansion of
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Urethral orifice
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Round ligament of uterus extends to
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Labia majora
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Vestibule is inside
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Labia minor
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Introitus aka
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Hymen
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Greater vestibular gland aka
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Bartholin's gland
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Direct connection of glans clitoris and ____ isn't clear in females
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Corpus spongiosum
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Artery to the crus of the penis aka
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Deep artery of the penis
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Transverse perineal membrane is the ____ aspect of the UG diaphragm
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Anterior
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External genital drain to ____ & ____ nodes
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Femoral and inguinal
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There is a channel that follows ____ v. flowing into pelvic cavity to the internal iliac nodes
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Deep dorsal v.
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Superficial fascias to ___ node
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Inguinal
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Anything deep to superficial fascia to ____ node
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Internal iliac
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Testicles drain to
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arotic nodes
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Swelling ininguinal nodes think (2)
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Foot
STD |
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Never put a ____ in penis if there is blood in urethral opening
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Foley catheter
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