Health Assessment - Male Gu

Front 1

Describe functions of the: Glans penis, Corpora cavernosa/spongiosum, Corona, Urethra, Foreskin

Back 1

-sexual arousal; distal end of shaft, corpus spongiosum expands into cone of erectile tissue –dorsal penis, ventral –shoulder where glans joins shaft –transverses corpus spongiousum; meatus forms a slit at gland tip –over glans, skin hood

Front 2

Describe functions of the: Rugae, Cremaster muscle(best temp for sperm?), Testes, Epidymis, Vas deferens, spermatic cord, ejaculatory duct, Scrotum, Kidney, Ureter

Back 2

-folds of skin – controls size of scrotum by responding to temp (3 C below abdominal temp) – produce sperm and testost – stores sperm until mature – duct from epidid to ejact duct – protective sheath around vas deferens – connects seminal vesicle empties into urethra – sac with testes – filters blood removes waste – tube connecting kidney to bladder

Front 3

Describe functions of the: Inguinal area or groin, Inguinal ligament, inguinal canal (internal ring, external ring), Femoral canal

Back 3

-juncture of the lower abdominal wall and the thigh; diagonal borders anterior superior iliac spine & symphysis pubis. – poupart’s ligament b/w landmarks – superior to ligament narrow tunnel b/w layers of ab muscles (-opening above midpoint ligament – just above & lateral to pubis) – inferior to ligament; parallel w/femoral artery

Front 4

Describe functions of the: Prostate, seminal vesicles, bulbourethral gland(cowper’s)

Back 4

-produces 20% of semen, secretes thin milky alkaline that helps sperm viability – produce 70% of semen; like rabbit ears above prostate – inferior to prostate secretes mucus to neutralize vaginal secretions

Front 5

Undescended testicles are a precursor to? What are some other risk factors? (5) Which is most important?

Back 5

-testicular cancer – 15-40, mumps, family history, inguinal hernia, DES, cancer in other testicle –undescended testes!!!

Front 6

In aging male, when does testosterone production decline?

Back 6

-55-60.

Front 7

For subjective data, what is dysuria, oliguria, pyuria?

Back 7

-burning in urin(as with acute cystitis, prostatitis, urethritis) – diminished quantity(<400ml/24h) –pus with urin

Front 8

True incontinence, Urgency incontinence, Stress incontinence

Back 8

-loss of urine without warning – sudden loss as with acute cystitis, - loss of urine with physical strain d/t weakness of sphincter

Front 9

Hesistancy and straining may indicate?

Back 9

-progressive prostatic obstruction

Front 10

When do adolescents start to change around penis & scrotum, have wet dreams, homosexual?

Back 10

-12 to 13 years old (9.5 to 13.5)

Front 11

Which testicle is typically lower than the other?

Back 11

-left

Front 12

-Explain the following terms of abnormalities: Phimosis, Paraphimosis, Hypospadias, Epispadias, Urethritis

Back 12

-unable to retract foreskin(congential or acquired from adhesions secondary to infection) – unable to return foreskin to original position – ventral location of meatus(congenital defect important to catch at birth because circumcision will extend urethra) – dorsal location of meatus(foreskin constriction impedes blood flow) –red edges, everted, edematous, purulent

Front 13

Edema in the scrotum may be due to what?(4)

Back 13

-heart failure, renal failure, local inflammation, obstruction of portal vein or inguinal lymphatics

Front 14

What is it called when testicles disappear into abdomen when palpating? What are scrotum abnormalities? Orchitis, Epididymitis**, hydrocele, spermatocele, varicocele

Back 14

-Cryptorchidism – hernia, tumor, orhcitis(swollen testis, moderate pain, no transillum), epididymitis(severe pain relieved by elevation(phren’s sign), very tender, redness, enlarged), hydrocele(collection of serous fluid, heavy feelings), spermatocele(retention cyst, obstruction of tubules), varicocele(dilated varicose veins in spermatic cord incompetent valves)

Front 15

In what cases would the tests glow red with transillumination?

Back 15

-hydrocele and spermatocele d/t serrous fluid

Front 16

What might a bulge in the inguinal area be an indication of?

Back 16

-hernia(at inguinal ring or femoral canal) with enlarged lymph nodes

Front 17

Consistency of the penis should be? Granulation indicates? If discharge occurs, what should observer do?

Back 17

-firm pressure, slow squeeze, no granulation –Peyron –milk it

Front 18

Why auscultate inguinal area?**

Back 18

-Bowel sounds will confirm hernia

Front 19

Compare Indirect Inguinal, Direct Inguinal, and Femoral Hernias for: Course, S&Sx, Frequency, Cause

Back 19

-sac herniates via internal inguinal ring; directly behind and through external inguinal ring; through femoral ring and canal; -pain w/ straining, swelling, increased ab pressure(helps to lie down); painless, round swelling close to pubis(helps to be supine); severe pain, strangulated – most common of hernias, common in infants and 16-20; less common, men >40; less common 4% all hernias, more in women – congenital; acquired weakness from heavy lifting,, atrophy, obesity; acquired d/t increased ab pressure, muscle weak, or frequent stooping

Front 20

What antiemetic was used in the 40’s and 50’s that increased risk of testicular cancer, and other cancer in women?

Back 20

-DES )( Diethylstilbertrol)

Front 21

Describe the appearance of genital herpes(HSV 2) Infection lasts how long? Recurrent?

Back 21

-cluster small vesicles w/ erythema, erupt on gland on foreskin -7-10 days -3to 10 days w/milder symptoms

Front 22

Describe appearance of genital warts? Color? Location? Cause?

Back 22

-soft, pointed, moist, fleshy, painless papules (Cauliflower), can be gray, pale yellow, pink or white – shaft of penis, behind corona, around anus (grapes clusters) -HPV virus

Front 23

Explain testicular torsion-What, when, which side? and varicocele (when, which side?)

Back 23

-twisting of spermatic cord, causing ischemia and engorgement REQUIRES SURGERY; late childhood, early adolescence; left side
-dilated tortuous varicose veins in spermatic cord d/t incompetent valves ;young males, early adolescents; left side

Front 24

The nurse is aware that which of the following statements is true regarding the incidence of testicular cancer?
A. Testicular cancer is the most common cancer in men aged 30-50 yearrs
B. The early symptoms of testicular cancer are pain and induration
C. Men with a history of cryptochidism are at greatest risk for development of testicular cancer
D. Nonwhite men are four times more likely to develop testicular cancer than white men

Back 24

C

Front 25

Which of the following topics will be least embarrassing to a male patient?
A. Elimination (urination)
B. Sexual function
C. Reproduction
D. Sexually transmitted infection exposure

Back 25

depends

Front 26

Peyronie’s disease is characterized by what? Associated with? Most common in ?

Back 26

-hard, nontender, subcutaneous plaques on dorsal/lateral surface of penis –painful bending of penis during erection –men, over 45, men with diabests, gout, Dupuytren’s

Front 27

What is dehiscence? Evisceration?

Back 27

-separation of layers of a surgical wound – protrusion of internal organ through wound or surgical incision

Front 28

NC/AT means?

Back 28

-normocephalic, atraumatic