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38 Cards in this Set
- Front
- Back
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epididymis
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soft, comma-shaped; located on posterolateral and upper aspect of the testis in 90%; storage, maturation, and transit of sperm
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vas defens
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begins at tail of epididymis, ascends spermatic cord, travels through inguinal canal, and unites with seminal vesicle to form ejaculatory duct
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fibrinolysin
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liquifies coagulated semen
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major timeperiod of fetal external genetalia
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8-9 weeks
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phimosis
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foreskin is tight and can't be retracted; may occur in first 6 years of life
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balanitis
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inflammation of the glans; occurs only in uncircumcised and often assocaited with phimosis
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priapism
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prolonged penile erection; usually idiopathic-can occur with leukemia or hemoglobinopathies
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lumps in scrotal skin
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commonly caused by sebaceous cysts (epidermoid cysts)-may enlarge and discharge oily material
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unusual thickening of the scrotum caused by edema causes
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general fluid retention-cardia, renal, or hepatic disease
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chordee
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hocked, downward bowing of the penis
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precocious puberty in males
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enlarged penis without enlargement of testese-also occurs with adrenal hyperplasia and some CNS system lesions
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where do femoral hernias occur
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at fossa ovalis, where femoral artery exits the abdomen; more common in females
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indirect inguinal hernia
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most common hernia; soft swelling in area of internal ring, pain on straining, hernia comes down in canal and touches fingertip on exam
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direct inguinal hernia
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males>females, >40 yrs; through external inguinal ring in region of Hesselbach triangle; rarely enters scrotum; usually painless and easily reduced
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femoral hernia
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least common; females>males; right side>left; pain may be severe
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paraphimosis
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inability to replace foreskin to its usual position after retracted behind glans; circulation impairment can lead to edema or gangrene of the glans
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hypospadias
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congenital defect in which urethral meatus is located on the ventral surface of the glans, penile shaft, or perineal area
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primary hypospadias
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orfice ventral, but within substance of glans
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secondary hypospadias
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orfice along the ventral shaft of the penis
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tertiary hypospadias
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orfice located at the base of the penis
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epispadias
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orfice on dorsal surface
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lesion of primary symphilis
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most commonly on glans, but can be located on foreskin; painless, indurated borders with a clear base
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herpes in men
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appears as superficial vesicles on glans, shaft, or base of penis; painful; inguinal lymphadenopathy in primary infection
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where are condyloma acuminatum generally located
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soft, reddish lesion due to papovavirus; prepuce, glans penis, and penile shaft; may be within urethra
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lymphogranuloma venereum
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caused by chlamydia; initial lesion painless erosion at or near coronal sulcus; local lymph nodes involved; draining sinus tract if untreated
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molluscum contagiosum
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caused by poxvirus; pearly gray, umbilicated, smooth, dome-shaped, discrete margin lesions; usually on glans penis
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peyronie disease
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fibrous band in the corpus cavernosum, generally unilaterally and results in deviation of erect penis
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penile carcinoma
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generally squamous, tends to occur in uncircumcised men with poor hygiene; painless ulceration that fails to heal
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hydrocele
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nontender, smooth, firm mass due to fluid accumulation in the tunica vaginalis; common in infancy
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spermatocele
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cystic swelling occuring on the epididymis
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varicocele
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abnormal tortuosity and dilation of veins in the pampiniform plexus within the spermatic cord; left side most common, may be painful
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varicocele sizes
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small-only palpated during Valsalva maneuver; moderate-easily palpable witout maneuver; large-causes visible bulging of scrotal skin
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orchitis
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acute inflammation of the testis; uncommon except with mumps in adolescent or adult
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epididymitis
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associated with UTIs; exquitely tender, overlying scrotum erythematous; scrotal elevation may relieve pain
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chronic form of epididymitis
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firm and lumpy and may be slightly tender, vasa deferentia may be beaded
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testicular torsion
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adolescents most common; acute onset accompanied by nausea and vomiting; testicle exquisitely tender, scrotal discoloration often present; absence of cremasteric reflex on side of acute swelling
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testicular tumor
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irregular, nontender, mass fixed on testis; doesn't transilluminate; most common tumor in males 15-30; most malignant
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Klinefelter syndrome
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XXY chromosome inheritance; hypogonadism-small scrotum, female distribution of pubic hair, and sometimes gynecomastia
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