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24 Cards in this Set
- Front
- Back
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Epispadias
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urethral opening is on dorsal surface of penis
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Hypospadias
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urethral opening is on ventral surface of penis
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Phimosis
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Abnormally tight foreskin that cannot be retracted over glans penis
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Peyronie disease
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Subcutaneous fibrosis of dorsum of penis
Etiology unknown |
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Paraphimosis
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swelling after foreskin has been forcebly retracted from glans penis
Can --> urethral obstruction |
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Balantis
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Inflammation of the glans penis
associated with poor hygeine rare in circumsised men |
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Syphilis - infectious cause
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Treponema pallidum
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Progression of syphilis
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primary: chancre on glans penis or prepuce
heals within 2-6 weeks if untreated, can progress to secondary or tertiary syphilis |
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Gonorrhea - infectious cause
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gram negative, diplococci
Neisseria gonorrhoeae |
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Clinical features of gonorrhea
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aute purulent urethritis
extends to prostate and seminal vesicles can also involve epididymis rarely affects testes |
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Clinical presentation of chlamydia?
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can cause epididymitis
should be suspected if there aer no bacteria in purulent urethral discharge |
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Bowen disease?
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Men after 5th decade
Seen in uncircumsised men with poor hygeine Single erythematous plaque on shaft of penis o on scrotum May progress to invasive carcinoma (<10%) |
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Erythroplasia of Queyrat
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Men in their 5th decade
Seen in uncircumsised men with poor hygeine Can progress to invasive squamous cell carcinoma (10%) |
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Bowenoid papulosis
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Seen in men younger than those with Bowen disease
Associated with HPV 16 See wart-like lesions Pre-malignant but rarely progresses to invasive carcinoma |
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What is the most common type of penile cancer?
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Squamous cell carcinoma
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What is penile cancer often associated with?
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HPV 16, 18, 31, 33
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What is condyloma Acuminatum?
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benign epithelial proliferation
SEssile/pedunculated papillary excrescence involving coronal sulcus or the inner surface of prepuce |
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What is the histology of condyloma acuminatum?
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Branching stromal papillae covered by hyperplasic stratified squamous epithelium
Hyperkeratosis Vacuolation of superficial epithelial cells Orderly maturation of cells |
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Cryptorchidism
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developmental failure of a testis to descend into scrotum
Associated (even after correction) with increased risk of germ cell tumors, tesetcular atrophy and sterility |
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causes of cryptorchidism
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usually idiopathic
trisomy 13 hormonal abnormalities |
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Hydrocele?
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serous fluid filling and distending the tunica vaginalis
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causes of hydrocele?
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usually idiopathic
congenital in origin d/t persistence of continuity of tunica vaginalis with peritoenal cavity secondary to infection lymphatic blockage by tumor |
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Hematocele?
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accumulation of blood distending tunica vaginalis
caused by trauma or tumor |
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varicocele?
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varicose dilation of multiple veins of spermatic cord
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