Phys Di Male Genetalia

Front 1

Age at which is pubic hair/descended testes abnormal?

Back 1

9

Front 2

Tanner: No pubic hair

Back 2

1

Front 3

Tanner: Slight pigmentation, longer straight hair, often downy & at base of penis; sometimes on scrotum

Back 3

2

Front 4

Tanner: Dark, pigmented, curly hair at base of penis

Back 4

3

Front 5

Tanner: Pubic hair is adult in type, but not in extent (no further than inguinal fold)

Back 5

4

Front 6

Tanner: Hair is spread to medial surface of thighs, but not upward

Back 6

5

Front 7

Tanner: Pubic hair is spread along linea alba (up midline of pelvic area) to umbilicus

Back 7

6

Front 8

Tanner: Testes, scrotum, penis – all same size

Back 8

1

Front 9

-enlargement of scrotum & testes.
-Scrotum skin becomes redder, thinner & wrinkled.
-Penis is no larger, or scarcely so

Back 9

2

Front 10

Enlargement in penis, especially in length.
Further enlargement of testes
Descent of scrotum.

Back 10

3

Front 11

-Continued enlargement of penis & sculpturing of glans.
-Increased pigmentation of scrotum.
-“Not quite adult” stage

Back 11

4

Front 12

Scrotum ample, with penis reaching nearly to bottom of scrotum

Back 12

5

Front 13

White cheesy materal on glans & fornix of foreskin in uncircumcised males

Back 13

Smegma

Front 14

Smega formed by:
Normal?

Back 14

Secretion of sebaceous material by glans & destruction of epithelial cells

Front 15

Normal variation of testicular size:

Back 15

L lower than R because has longer spermatic cord

Front 16

Unexpected findings or nodularity in spermatic cord may indicate

Back 16

old inflammatory changes

diabetes

Front 17

Epididymis located:

Back 17

Posterolateral surface of testis

Front 18

VERY tender testis w/ gradual onset, +/- red scrotum, pain may be relieved w/ scrotal elevation, possible fever & dysuria

Back 18

Epididymitis

Front 19

-Epididymitis usually associated w/
-Must be differentiated from:

Back 19

-Inflammation often associated w/ UTI
-Torsion

Front 20

Acute onset of testicular pain, vomiting, scrotal discoloration, no fever/dysuria

Back 20

Torsion

Front 21

Urethral meatus located on ventral surface of glans, shaft or perineal area

Back 21

Hypospadius

Front 22

Prolonged erection, often painful, idiopathic

Back 22

Priapsim

Front 23

Priapsim associated with:

Back 23

SIckle cell
Desyrel 9Trazodone), Cialis, Viagra
Trauma

Front 24

Fibrous band in corpus cavernosum leading to deviatino of penis during erection

Back 24

Peyronie dz

Front 25

Painless ulcer on penis that doesn't heal

Back 25

Penile cancer

Front 26

Inability to retract foreskin back over glans d/t stenosis of preputial orific

Back 26

Phimosis

Front 27

Inability to replace foreskin after retraction + balanitis

Back 27

Paraphimosis

Front 28

Balanitis

Back 28

inflammation of the foreskin and head of the penis

Front 29

Painless ulcer (chancre)

Back 29

Syphilis

Front 30

Diagnostic test of any man that complains of testicular pain:

Back 30

Ultrasound

Front 31

Purulent, yellow/green d/c at urethral opening, inflamed meatus, hx of unprotected sex last 2-4 d; +/-frequency/urgency

Back 31

Gonorrhea

Front 32

Clear to mucopurulent d/c at meatus, meatus may be stuck together in morning, dysuria, frequency

Back 32

Chlamydia

Front 33

__% of males are asymptomatic w/ chlamydia

Back 33

10

Front 34

Urethral d/c, dysuria, urethral irritation & frequency; 10-50% asymptomatic

Back 34

Trich

Front 35

Soft, reddish lesion; arises b/c of infection w/ papiloma virus

Back 35

Condylmoa acuminatum

Front 36

-Lesions of secondary syphilis,
-Occur 6-12 weeks after infection.
-Flat, round, or oval papules covered by gray exudate.

Back 36

-Condyloma latum

Front 37

Painful penile vesicle --> then ulcer

Back 37

Herpes

Front 38

-Lesions pearly gray, often umbilicated, smooth, & dome shaped, with discrete margins.
-Usually on glans penis, but may be in suprapubic area or on thighs.

Back 38

Molluscum contagiosum

Front 39

-Initial painless erosion at coronal sulcus of penis
-Then lymph nodes swollen

Back 39

Lymphogranuloma venereum

Front 40

Lymphogranuloma venereum caused by ____ organism

Back 40

Chlamydial

Front 41

Tx Lymphogranuloma venereum w:

Back 41

Tetra/doxycycline to prevent blocked lymph drainage

Front 42

Cystic swelling on epididymis, smaller, will transilluminate

Back 42

Spermatocele

Front 43

unilateral Acute inflammation of testis, usually complication of mumps in adolesc or adult

Back 43

Orchitis

Front 44

Fluid accumulated in tunica vaginalis; will transilluminate

Back 44

Hydrocele

Front 45

Abnormal tortuosity & dilation of veins in spermatic cord; "bag of worms"

Back 45

Vericocele

Front 46

Irregular, nontendor mass fixed on penis, doesn't transilluminate

Back 46

Testicular Tumor

Front 47

most common age of testicular tumor

Back 47

15-30

Front 48

Unusual thickening of scrotum (Pitting edema) may indicated

Back 48

Testicular CA

Front 49

-Hernia medial to the inferior epigastric vessels
-In Hesselbach's triangle
-Cannot move into the scrotum.

Back 49

Direct hernia

Front 50

-Hernia can remain in canal, exit external ring, or enter scrotum
-Touches fingertip on exam

Back 50

Indirect

Front 51

Deep inguinal ring is ____ to epigastric a.
____ hernias pass through this

Back 51

-Inferior
-Indirect

Front 52

___ hernia bulge directly through wall, medial to epigastric a.

Back 52

Direct

Front 53

___ hernia through femoral ring, cana, & fossa ovalis; inguinal canal empty on exam

Back 53

Femoral

Front 54

Gonorrhea
-Gram (__)
-Shape
-AKA

Back 54

neg
Red eyed love bugs (2 diplococci)

Front 55

Chlamydia
-Gram
-Color
-Cytologic feature:

Back 55

-Neg
-Blue
-Inclusion bodies

Front 56

Obese middle age man, works hard physical labor job, mass felt in middle of inguinal canal

Back 56

Direct hernia

Front 57

Child, mass felt in scrotum

Back 57

Indirect hernia

Front 58

Middle age/elderly woman w/ many children; mass felt below the inguinal ligament

Back 58

Femoral hernia

Front 59

Rectal inspection
-Sacrococcygeal area look for:

Back 59

Lumps, rashes, inflammation

Front 60

Perianal inspecion, look for:

Back 60

Warts, hemorrhoids, fissures

Front 61

Vericose veins originatine above anorectal junction, painless, not palpable, +/- bleeding

Back 61

Internal hemorrhoid

Front 62

Case when internal hemorrhoid IS painful

Back 62

Thrombosis

Front 63

Vericose vein originating below anorectal line, protusion, itching, bleeding, pain

Back 63

External hemorroid

Front 64

Shiny blue masses on exam =

Back 64

Thrombosed

Front 65

Prostate should not protude ___ into rectum

Back 65

> 1 cm

Front 66

Enlargement of prostate classified by amount of protrusion:
-Grade 1
-2
-3
-4

Back 66

1-2
2-3
3-4
>4

Front 67

Prostate produces:

Back 67

Major volume of ejaculate

Front 68

Hesitancy, decr force of stream, urgency, freq; Prostate feels smooth, rubber, symmetric & enlarged

Back 68

Benign prostatic hypertrophy

Front 69

+/- fever, urethral d/c, irritative voiding, suprapubic pain, perineal pain, prostate acutely tender, enlarged

Back 69

Prostatitis

Front 70

Hard, irregular, +/- nodule; obstructive symptoms, low back pain

Back 70

Prostate CA
-Back pain = mets to bone

Front 71

Feeling of heaviness in perineum

Back 71

Benign prostatic hypertophy

Front 72

If seminal vesicles are palpable =

Back 72

Inflammation

Front 73

Back 73

Chlamydia

Front 74

Back 74

CondylomaAcuminatum

Front 75

Back 75

Direct

Front 76

Back 76

Epididymitis

Front 77

Back 77

Gonhorrhea

Front 78

Back 78

herpes

Front 79

Back 79

Hydrocele

Front 80

Back 80

Hydrocele

Front 81

Back 81

Indirect

Front 82

Back 82

Paraphimosis

Front 83

Painless

Back 83

Cancer

Front 84

Back 84

Peyronie

Front 85

Back 85

Phimosis

Front 86

Back 86

Sebaceous cyst

Front 87

Back 87

Smegma

Front 88

Back 88

Spermatocele

Front 89

Back 89

Syphilis

Front 90

Back 90

Syphilis Condyloma Latum

Front 91

Back 91

2

Front 92

Back 92

3

Front 93

Back 93

4

Front 94

Back 94

5

Front 95

Back 95

Torsion

Front 96

Back 96

Varicoele