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34 Cards in this Set
- Front
- Back
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GU History points:
Abdomen/Flank Supra_____ Perineal/Scrotal V______ S______ |
GU History points:
Abdomen/Flank Suprapubic Perineal/Scrotal Voiding Sexual |
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Abdomen/Flank points:
P___ Nausea/Vomiting D_________ P____ Surgeries D_______ of symptoms |
Abdomen/Flank points:
Pain Nausea/Vomiting Distention Prior Surgeries Duration of symptoms |
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Suprapubic points:
Pain F_______ D_________ Length of S______ |
Suprapubic points:
Pain Fullness Distention Length of Symtoms |
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Perineal/Scrotal points
Pain S_______ Length of Symptoms L_________ |
Perineal/Scrotal points
Pain Swelling Length of Symptoms Laterality |
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What feature is found 90% of the time on the left side of the scrotum
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varicocele
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what are 3 irritative voiding symptoms?
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Irritative Symptoms:
Dysuria Urgency Frequency |
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what are 4 obstructive voiding symptoms?
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Obstructive Symptoms:
Hesitancy Intermittency Weak Stream Incomplete Emptying |
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What questions do you ask regarding a hematuria history?
Hematuria: G____ vs. M__________ Initial vs. T_______ Clots vs. ________ Prior S______ S_____ Trauma Anti__________ Prior Malignancies |
What questions do you ask regarding a hematuria history?
Hematuria: Gross vs. Microscopic Initial vs. Terminal Clots vs. No Clots Prior Surgery Stones Trauma Anticoagulants Prior Malignancies |
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What questions should you ask regarding
Urinary Incontince: U___ S_____ O___flow Mixed Functional |
What questions should you ask regarding
Urinary Incontince: Urge Stress Overflow Mixed Functional |
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What is stress incontinence?
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any valsalva maneuver (cough) will cause leak.
Really, a bladder neck problem |
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What is urge incontinence?
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When you have to go, go HAVE TO GO.
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What is Functional incontinence?
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Functional incontinence occurs when a person does not recognize the need to go to the toilet, recognize where the toilet is, or get to the toilet in time.
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What is the definition of premature ejaculation?
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less than 2 minutes
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What is mixed incontinence?
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Stress and urge incontinence often occur together in women.
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95% of the time hematospermia is not cancer. What is it?
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prostatitis
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What are pertinent parts of the male sexual history?
Erectile D__________ P________ Ejaculation Anejaculation/Retro_____ Ejaculation Curvature Pain Hemato_______ Medications/Alcohol/Drugs Medical Problems/Prior Surgeries |
What are pertinent parts of the male sexual history?
Erectile Dysfunction Premature Ejaculation Anejaculation/Retrograde Ejaculation Curvature Pain Hematospermia Medications/Alcohol/Drugs Medical Problems/Prior Surgeries |
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What are important parts of the female sexual history?
Dys________ C________ “dropped bladder” Pre/Post M_________ Prior Surgeries Me_________ |
What are important parts of the female sexual history?
Dyspareunia Cystocele “dropped bladder” Pre/Post Menopausal Prior Surgeries Medications |
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What are you looking for in abdominal/Flank male exam?
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Abdominal/Flank:
Masses: liver, spleen and kidney Tenderness Rigidity Hernias: inguinal right vs left or ventral |
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What are you looking for in anus and perineum male exam?
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Anus and Perineum;
Fissures Edema Hemorrhoids Sphincter Tone Warts |
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What are you looking for in testes exam?
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Testes:
Tenderness Symmetry Hydrocele Mass Hernias |
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What are you looking for during epididymis exam?
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Epididymis:
Enlarged Indurated Tender Mass Spermatocele |
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What characteristics do you note in penis exam?
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Penis
Circumcised Phimosis Paraphimosis Peyronies Warts |
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What characteristics do you note during urethral meatus exam?
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Urethral Meatus
Size Location Hypospadius Lesion Discharge |
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What are the 3 components to a DRE?
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Grade, Texture, and Nodules
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Grade (size):
Explain the grades |
1. + median sulcus
2. - median sulcus 3. moderate growth of sulcus 4. large growth of sulcus |
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What are the adjectives to describe Testure of prostate in DRE
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Texture:
Firm Hard Boggy |
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How do you describe nodules noted on prostate during DRE?
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Nodules:
Size Location Symmetry |
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Nerves responsible for erectile dysfunction run thru the ______ capsule
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prostatic
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What percent of prostate cancers are not diagnosed with DRE?
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~60%
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80% of prostate cancer is on what part of the prostate?
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peripheral
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What do you note about the external genitalia of the female?
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External Genitalia
Rash Warts Lesions |
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What do you notice about the Urethral Meatus of the female?
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Urethral Meatus
Size Caruncle Tender |
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How do you grade a cystocele?
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Cystocele: Graded 1,2 and 3
Grade 1: No real evidence of prolapse Grade 2: Partial prolapse of ant.vagina Grade 3: Complete vaginal prolapse |
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What do you note on vaginal exam?
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Vaginal discharge
Foreign bodies Distended bladder Further gyn exam if necessary |
