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14 Cards in this Set
- Front
- Back
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Health hx-Male
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-Sexual orientation, sexual response -penile d/c, lesions -scrotal pain, swelling or lesions -STI/STD
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Penis Exam
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-Inspect skin -Retract foreskin (prepuce) -Check for chancres, carcinomas, excoriation or inflammation (smegma is normal).
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Paraphimosis
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Foreskin that cannot be returned -edema ensues
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Phimosis
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Tight prepuce that cannot be retracted
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Palpation of penis
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-Btwn your thumb and 1st 2 fingers, note tenderness.
-Induration suggests urethral stricture or CA. -Tenderness in the indurated area suggests periurethral inflammation secondary to a urethral stricture. |
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Inspection of Scrotum
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Note any lump, swelling, veins.
Epidermoid cysts -benign dome shaped white/yellow nodules. |
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Palpate testis and epididymis
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btwn thumb and 1st 2 fingers.
Locate epididymis-it feels nodular and cordlike |
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Transillumination
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Evaluates scrotal swelling. Light glows red with swelling, containing serous fluid. normal testicle, a tumor and most hernias do not glow red.
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Testicular exam
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Perform after shower/bath 1.Stand in front of mirror-check swelling
2.Examine each testicle separately. 3. Cup testicle btwn thumb and forefinger-gently roll. One testicle may be larger-normal. 4. Find epididmysis. Soft tube-like, back of testicle, collects sperm-not abnormal lump. 5. If lump/pain found-see MD ASAP |
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Indirect inguinal hernia
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Most common. Bulge near the internal inguinal ring
-Pushes downward toward your finger -above inguinal ligament. Often in scrotum. |
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Direct inguinal hernia
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-Usually in men >40. Bulge near external inguinal ring. Bulges anteriorly and pushes side of finger forward.
-Above inguinal ligament. Rarely into scrotum. -From straining/heavy lifting. |
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Femoral hernia
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Least common. More common in women. Below the inguinal ligament-more lateral than inguinal hernias. Never in scrotum.
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If findings suggest a hernia, gently....Unless......
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try to return it to the abdominal cavity.; mass is tender or pt reports n/v.
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List frequency, age, and sex most affected by the 3 types of hernias. |
indirect- most common, all ages (but mostly children), both sexes. direct- less common, usually men >40, rare in women femoral- least common, more often found in women than in men |
