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26 Cards in this Set
- Front
- Back
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What are some causes of lack of libido? |
psychogenic causes such as depression, endocrine dysfunction, or side effects from meds |
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What are some causes of ED? |
May be from psychogenic causes, especially if early in the morning. May also reflect decreased testosterone, decreased blood flow in the hypogastric artery, impaired neural innervation, and DM
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Premature ejaculation is common in ____. What are some causes of reduced or absent ejaculation affecting middle aged or older males? Lack of orgasm is usually caused by what? |
Young men Meds, surgery, neurologic deficits, or lack of androgen psychogenic
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Yellow d/c could indicate what type of infection? White d/c? |
gonorrhea nongonococcal urethritis from chlamydia |
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What are some symptoms of disseminated gonorrhea? |
rash, tenosynovitis, monoarticular arthritis, meningitis, not always with urogenital symptoms |
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An ulcer on the penis could indicate what? Warts on the penis? Swelling of the scrotum? Pain in the scrotum? |
herpes, syphilitic chancre
HPV
mumps orchitis, scrotal edema, testicular CA
testicular torsion, epididymitis, orchitis |
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What infections can transit from the oral-penile route?
What may follow anal intercourse?
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gonorrhea, chlamydia, syphilis, and herpes
symptomatic or asymptomatic proctitis |
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What is phimosis?
What is paraphimosis? |
a tight prepuce that cannot be retracted over the glans
a tight prepuce that once retracted, cannot be returned and edema ensues
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What is balanitis?
What is balanoposthitis? |
inflammation of the glans
inflammation of the glans and prepuce |
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What does pubic or genital excoriations suggest? |
lice (crabs) or sometimes scabies |
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What is the congenital, ventral displacement of the meatus of the penis? |
hypospadias |
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What would you suspect with profuse yellow d/c?
Scanty white d/c?
Definitive diagnosis requires what? |
gonococcal urethritis
nongonococcal urethritis
gram stain and culture |
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What does induration along the ventral surface of the penis suggest?
What does tenderness in the indurated area suggest? |
a urethral stricture or possible carcinoma
periurethral inflammation secondary to urethral stricture |
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What are some abnormalities on the skin of the scrotum? |
rash, epidermoid cyst, rarely skin CA
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What are epidermoid cysts? |
dome-shaped white or yellow papules or nodules formed by occluded follicles filled with keratin debris of desquamated follicular epithelium
They are common, frequently multiple, and benign.
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What does a poorly developed scrotum on one or both sides suggest?
Common scrotal swellings include? |
cryptorchidism (an undescended testicle)
indirect inguinal hernias, hydrocele, scrotal edema, and rarely testicular CA |
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What does tender, painful scrotal swelling suggest? |
acute epididymitis, acute orchitis, torsion of the spermatic cord, or a strangulated inguinal hernia |
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A painless nodule in the testis raises the possibility of? |
Testicular CA
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When palpating the spermatic cord, if multiple tortous veins are palpable or visible (especially in the L) indicates what? |
vericocele |
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Why might the vas deferens feel thickened or beaded?
What does a cystic structure in the spermatic cord suggest? |
chronic infection
a hydrocele of the cord |
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In transillumination, swelling containing serous fluid, such as a hydrocele, lights up what color? |
a red glow |
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What does a bulge that appears with straining suggest? |
a hernia |
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A bulge near the external inguinal ring suggests?
A bulge near the internal inguinal ring suggests? |
A direct inguinal hernia
An indirect inguinal hernia |
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What should you suspect if you get the pt to lie does and you can get your fingers above the mass in the scrotum? |
hydrocele |
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What can be heard over a hernia but not a hydrocele? |
Bowel sounds |
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What is an incarcerated hernia?
Strangulated hernia?
When should you suspect a strangulated hernia? |
its contents cannot return to the abd cavity
when the blood supply to the entrapped content is compromised
when there is tenderness, N/V |
