Nurs 209 Test 3 Male And Female Genitalia, And Anal & Rectal Assessment

Front 1

Atonic
(Male Genitalia Assessment)

Back 1

The inability of the scrotum being able to contract towards the body.
(usually in Older Adults)

Front 2

Phemosis
(Male Genitalia Assessment)

Back 2

the foreskin of the penis can NOT be retracted
-may have trouble urinating
-the foreskin can be surgically removed to treat

Front 3

Paraphimosis
(Male Genitalia Assessment)

Back 3

The foreskin of the penis can be retracted, but it is not able to return the foreskin to normal position

Front 4

Urethral Meatus
(Male Genitalia Assessment)

Back 4

position of the opening on the penis

Front 5

What are the 2 types of malpositioned urethral meatus?
(Male Genitalia Assessment)

Back 5

-Espadias - urethral meatus on dorsal surface of penis
-Hypospadias- Urethral meatus on ventral surface of penis

Front 6

Chance sores
(Male Genitalia Assessment)

Back 6

syphilis, ulcerations
frequent site for Cancer, scaly,nodular

Front 7

Peyronie's Disease
(Male Genitalia Assessment)

Back 7

-Penis bending with erection
-may have discharge with palpation
-pain during intercourse
-hard, non-tender, sebaceous plaques (dorsal or lateral with erection)

Front 8

Sebaceous Cysts
(Male Genitalia Assessment)

Back 8

-round
-movable
-under skin
-non-tender
-blocked hair follicles and sweat glands

Front 9

Hydrocele
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 9

collection of fluid inside scrotum, outside of testes
-painless
-will transllumanate

Front 10

Scrotal Hernia
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 10

intestines have herniated through into the scrotum, swelling present
-hear bowel sounds in scrotum

Front 11

Epididymitis
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 11

Acute inflammation of the epididymis (inflamed)
-may be unilateral
-indicates infection - WBCs and Bacteria in urine
-sudden onset of scrotal pain

Front 12

Early Testicular Tumor
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 12

-painless
-firm, nodule, or harder than normal section of the testes (solitary nodule)
-most common in 18-35, white
-most are malignant

Front 13

Crytorchidism
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 13

the failure of one or both testes to descend
-usually descend testes is removed because it is a risk for cancer

Front 14

Testicular Tersion
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 14

The twisting of the spermatic cord, cuts off blood flow
-one testes is higher and owling than the other (Normally left)
-cord feels thick, swollen, and tender
-cremaster reflex is absent form affected side
-emergency situation requiring surgery, testis can become gangrenous in a few hours
-sudden onset of testicle pain

Front 15

Small Testie
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 15

small and soft testes (Rare but may be firm)
-autrophy as with cirrhosis, hypopituitary, following estrogen therapy, klinefelters syndrom

Front 16

Varicocele
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 16

-abnormal dilation of vessels in testes
-feels like a "bag of worms"

Front 17

Spermatocele
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 17

-sperm filled cyst, usually on the Vas Deference
-can transiliuminate

Front 18

Diffuse Tumor
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 18

-enlarging testes, feels heavy
-does NOT trasilluminate
-Firm palpation does NOT cause sicking discomfort as a normal testes would
-this tumor will maintain the shape of the testes

Front 19

Orchitis
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 19

-acute inflammation of the testes
-acute to moderate pain with sudden onset (tender from swelling
-Does NOT transilluminate

Front 20

Scrotal Edema
(Condition of Scrotum)
(Male Genitalia Assessment)

Back 20

-normally accompanied by edema in the lower extremities
-pitting with palpation
-tenderness

Front 21

What will NOT transilluminate?
(Male Genitalia Assessment)

Back 21

swelling, masses, tumor, hernia

Front 22

What will transilluminate?
(Male Genitalia Assessment)

Back 22

spermatocele & hydrocele

Front 23

Amenorrhea
(Female Genitalia Assessment)

Back 23

the absence of mensuration
-3 missed periods in a row

Front 24

Dysmenorrhea
(Female Genitalia Assessment)

Back 24

Menstrual cramps (dull or throbbing pains in the lower abdomen)

Front 25

Para
(Female Genitalia Assessment)

Back 25

Number of children

Front 26

Gravida
(Female Genitalia Assessment)

Back 26

Number of pregancies

Front 27

What position does the patient have to be in for a female genitalia assessment?
(Female Genitalia Assessment)

Back 27

Lithotomy position
-feet in stirupps

Front 28

What helps the patient relax before palpation?
(Female Genitalia Assessment)

Back 28

To help patient relax, touch the inner thigh before touching the patient for palpation, also explain to the patient what to expect

Front 29

What type of direct lighting is used in the female genitalia assessment?
(Female Genitalia Assessment)

Back 29

goose neck lamp

Front 30

Labia Majora and Labia Minora in:
-Middle aged adults
-Older Adults
-Nulliparous
-Multiparous
(Female Genitalia Assessment)

Back 30

-Middle aged adults - fat & Plump
-Older Adults- Atrophic
-Nullparous - well approximated
-Multiparous - shrivedled or gaping

Front 31

Atrophic
(Female Genitalia Assessment)

Back 31

A wasting or decrease in size of body organ

Front 32

Nulliparous
(Female Genitalia Assessment)

Back 32

Never had children or been pregnant

Front 33

Multiparous
(Female Genitalia Assessment)

Back 33

Have been pregnant and have given birth

Front 34

Chadwick's Sign
(Female Genitalia Assessment)

Back 34

During pregnancy mucous membranes turn dark blue
-cyanotic vulva

Front 35

Urethral orifice/meatus
(Female Genitalia Assessment)

Back 35

-Slit like or inverted "V"
-Above the Virginia
-same color as mucus membranes
-midline

Front 36

Varicosities
(Female Genitalia Assessment)

Back 36

Visible blood vessels

Front 37

Skene's Gland
(Female Genitalia Assessment)

Back 37

Lubricating gland
-4cm on anterior vaginal wall down orfice

Front 38

Bartholin's gland
(Female Genitalia Assessment)

Back 38

Sebaceous Gland - on each side of vagina
-end of vagina opening

Front 39

Perineum definition
-Nullipaous
-multiparous
(Female Genitalia Assessment)

Back 39

Skin in between vagina and rectum
-Nullipaous - firm & muscular
-multiparous- thick, rigid, scaring

Front 40

Episitomy
(Female Genitalia Assessment)

Back 40

-surgical cut made at opening of the vagina during childbirth
-aids difficult delivery
-prevents rupture of tissues

Front 41

Stress incontinence
(Female Genitalia Assessment)

Back 41

will expel urine when asked to strain

Front 42

Cystocele
(Female Genitalia Assessment)

Back 42

Bladder pushes through vaginal wall (bladder herniates into vagina)
-due to child birth

Front 43

Rectocele
(Female Genitalia Assessment)

Back 43

Rectal tissue herniates through into the vaginia
-due to childbirth or hysterectomy

Front 44

Uterine Prolapse
(Female Genitalia Assessment)

Back 44

Portion of the uterus protrudes from opening of the vagina

Front 45

Normal pH of the Vagina
(Female Genitalia Assessment)

Back 45

3.5-4.1

Front 46

Tenesmus
(Anal & Rectal Assessment)

Back 46

Painful straining at stool with out results

Front 47

Melena
(Anal & Rectal Assessment)

Back 47

Blood in stools

Front 48

Pruitus Anal
(Anal & Rectal Assessment)

Back 48

Rectal itching, usually red, excoriated from DM, Pinworms

Front 49

Skin Tags
(Anal & Rectal Assessment)

Back 49

Outgrowths of skin

Front 50

Perirectal Abscess
(Anal & Rectal Assessment)

Back 50

puss filled sac from infection around anal opening
-very painful, red, swollen, hard

Front 51

Anal Fissure
(Anal & Rectal Assessment)

Back 51

Splits in the tissue of the anal canal caused by trauma; swollen skin tags (Sentinel tag) present below fissure very painful, itches/bleeds

Front 52

Anorectal Fistula
(Anal & Rectal Assessment)

Back 52

Small round opening in the skin around anal openings, this suggests a tract from the rectum to the skin, drains fluid; abscess may precede fistula

Fistula - openings communication between 2 things

Front 53

Renal Prolapse
(Anal & Rectal Assessment)

Back 53

Occurs when the mucosa of the rectum telescopes through anal opening (have patient strain) it appears as a red, doughnut-like mass with folds

Front 54

External hemorrhoids
(Anal & Rectal Assessment)

Back 54

-usually painless, caused by varicose veins
-can contain clotted blood & very painful, swollen, itch, bleeds
-can be internal or external (have patient strain to allow internal hemorrhoids to emerge)

Front 55

Pilonidal Cyst
(Anal & Rectal Assessment)

Back 55

Congenital disorder characterized by small dimple or cyst/sinus, that contains hair, it is located midline in the sacrococcygeal area, & palpate sinus tract

Front 56

What are the 2 types of renal polyps?
(Anal & Rectal Assessment)

Back 56

Predunculated (on a stalk)
Sessile (Flat against wall)

Front 57

Grey-tan stool
(Anal & Rectal Assessment)

Back 57

Means it has NO bile pigment (problem with gallbladder or liver)

Front 58

Yellow stool
(Anal & Rectal Assessment)

Back 58

An increase in fat

Front 59

Maroon, tarry black, or red stool
(Anal & Rectal Assessment)

Back 59

Indicates blood

Front 60

What types of occult blood test are MOST sensitive?
(Anal & Rectal Assessment)

Back 60

Hematest and occultest

Front 61

What types of occult blood test are less sensitive and more reliable?
(Anal & Rectal Assessment)

Back 61

guaiac & hemoccult