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81 Cards in this Set
- Front
- Back
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which part of the penis contains the urethra?
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corpus spongiosum
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which part of the penis expands to form the glans penis?
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corpus spongiosum
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formed by the secretion of sebaceous material and desquamation of skin cells
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smegma
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spermatogenesis requires a temperature of what?
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37 C (98.6 F)
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place where sperm are stored, matured and transited
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epididymis
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organ that produces the majority of ejaculatory fluid
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prostate
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what enzyme is found in ejaculatory fluid that liquefies coagulated sperm?
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fibrinolysin
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which part of the penis becomes engorged during erection?
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2 corpora cavernosa
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at how many weeks gestation do the genitalia differ between male and female?
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12 weeks
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when do testes normally descend?
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3rd trimester
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risk factors for penile carcinoma (2)
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uncircumcised with poor hygeine, condylomata acuminata
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risk factors for testicular carcinoma (1)
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cryptorchidism with elevated testicle temp
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what is the male escutcheon pattern?
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pubic hair growth narrowing midline to the umbilicus
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Def: tight foreskin s.t. it cannot be retracted
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phimosis
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causes of phimosis (4)
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congenital, recurrent infections, inflam of glans/prepuce, tearing of preputial ring
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Def: inflammation of prepuce and glans
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balanoposthitis
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Def: inflammation of glans
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balanitis
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in whom is balantis most commonly seen?
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poorly controlled diabetics (candida)
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Dx: pinpoint or round opening of urethra
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meatal stenosis
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causes of priapism (2)
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leukemia, hemoglobinopathies
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when is reddened scrotal skin an expected finding?
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red-haired men
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which testicle tends to hang lower? why?
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the left because it has a longer spermatic cord
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lumps in scrotal skin caused by sebaceous cysts are called
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epidermoid cysts
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location of indirect hernia
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inguinal canal
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location of direct hernia
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medial to external canal in Hesselbach triangle
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which hernia is more common in women?
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femoral
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what is the most common type of hernia in women?
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indirect
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Dx: testis insensitive to painful stimulus (2)
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syphilis, DM neuropathy
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location of epididymis
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posterolateral surface of testis
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Dx: beaded or lumpy vas deferens (2)
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DM, inflam changes (TB)
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who should do genital self exam? (2)
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young men, those at risk for STDs
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Dx: hooked, downward bowing of penis
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chordee
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Dx: dribbling or reduced force/caliber of urine stream (1)
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stenosis of urethral meatus
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with what chrom abnormalities is hypospadias associated? (2)
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47XXY, 47XYY
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when is edema of newborn scrotum a common finding?
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after breech delivery
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Dx: feeling of smoothness disappears as you palpate spermatic cord over inguinal canal
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peritoneum passing through the ring
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Dx: mass in scrotum that neither changes in size nor tranilluminates
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incarcerated hernia
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Dx: penis is swollen, tender with ecchymotic lesions
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sexual abuse
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what 2 positions help push the testes into the scrotum during exam of young male?
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tailor position ("indian style"), sit in chair with heels on the chair
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Dx: hard, enlarged, painless testicle
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tumor
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Dx: acute swelling in scrotum with discoloration (2)
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torsion of spermatic cord, orchitis
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Dx: acute, painful swelling without discoloration and thickened/nodular epididymis
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epididymitis
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Dx: enlarged penis without enlargement of testes (3)
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precocious puberty, adrenal hyperplasia, CNS lesions
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where do femoral hernias occur?
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fossa ovalis
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difference between strangulated and incarcerated hernias?
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incarcerated is non-reducidble, strangulated is non-reducidble without BS
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what 2 conditions can result as a result of phimosis?
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edema, gangrene
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congenital defect in which urethral meatus in on the ventral (underside) of glans, shaft or perineal area
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hypospadias
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congenital defect in which the urethral meatus is on the dorsal (top) of glans, shaft
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epispadias
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hypospadias increases the risk of what condition?
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undescended testicle
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when does the syphilis chancre appear after infection?
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2 weeks after exposure
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most common location of syphilis chancre
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glans
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Dx: painless lesion with indurated borders and clear base
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syphilis chancre
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Dx: superficial vesicles, painful
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HSV
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Dx: soft, reddish lesion
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condyloma acuminatum
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Dx: initially painless erosion at or near coronal sulcus
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lymphogranuloma venerum
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cause of lymphogranuloma venerum
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chlaymdia
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Dx: draining sinus tracts
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lymphogranuloma venereum
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cause of molluscum contagiosum
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a poxvirus
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Dx: pearly gray lesion, umbilicated, smooth, dome shaped
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molluscum contagiosum
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Dx: deviation of penis during erection, painful
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Peyronie disease
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cause of Peyronie disease
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fibrous band in the corpus caverosum
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Dx: painless ulceration that fails to heal
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carcinoma
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Dx: nontender, smooth, firm mass in scrotum that transilluminates
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hydrocele
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Dx: cystic swelling on epididymis that transilluminates
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spermatocele
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on what side is a varicocele most common?
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left
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grade: varicocele palpated only during Valsalva
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small
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grade: varicocele easily palpated without Valsalva
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moderate
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grade: varicocele causing visible bulging of scrotal skin
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large
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varicocele is commonly associated with what condition?
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reduced fertility
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orchitis results in ___ 50% of the time
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testicular atrophy
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cause of orchitis in adolescents or adults
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mumps
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cause of orchitis in elderly
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bacterial migration from prostatic infection
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epididymis is associated with what other conditions? (2)
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UTI, STI
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Dx: tender epididymis, erythematous scrotum, scrotal elevation relieves pain
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epididymis
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cause of chronic epididymis
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TB
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should differentiation epididymis from what condition?
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testicular torsion
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Dx: acute onset, N/V, tender testicle, scrotal discoloration
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testicular torsion
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lymph drainage of testicle
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retroperitoneal nodes
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most common age group for testicular tumor
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15-30
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Dx: XXY
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Klinefelter
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Dx: hypogonadism, female distribution of hair, gynecomastia
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Klinefelter
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