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33 Cards in this Set
- Front
- Back
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male anatomy review- parts of the penis?
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Corpus spongiosum- Contains the urethra
Forms the bulb of the penis that becomes the glans Corpora cavernosum May have prepuce- Smegma accumulation Urethral meatus is ventral |
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male anatomy - testis
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Ovoid, rubbery
Left lies lower than the right Produce sperm and hormones |
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where do the penis and scrotum drain lymph to?
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inguinal nodes
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where do the testes drain lymph to?
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abdomen
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Questions to ask in ED?
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Can you achieve or maintain an erection?
Timing of erections Morning, night, other partners, or during masturbation Ability to achieve orgasm or ejaculation Control or timing of climax |
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What should be inspected in the penis exam?
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Prepuce – retract and look for smegma
Glans look for lesions, ulcers, scars, nodules, signs of inflammation |
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what should be checked in the pubis and pubic hair inspection?
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nits or lice
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what should be inspected in the urethral meatus?
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inspect for discharge
compress the glans between the index finger and the thumb mount discharge on a slide for culture |
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what should be inspected in the scrotum exam?
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note skin changes, swelling, obvious masses, dilated veins
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What are problems you can see in the scrotum?
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cryptorchidism
hydrocele varicocele torsion |
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how to test for torsion?
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US is test of choice
but is lift tests and pain is not resolved it is torsion and it is an emergency |
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what should be palpated in the penis exam?
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palpate any abnormal findings
asymptomatic pts do not need to be palpated if foreskin was retracted replace it to its original position |
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what should be palpated in the testis?
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size, shape, consistency, tenderness
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what should be palpated in the epidydymis?
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feels nodular and cordlike
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how to instruct pts to do the testicular self exam?
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stand in front of mirror
best after a shower report any masses |
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What type of hernia is protrusion of intrabdominal contents medial to the inferior epigastric vessels?
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direct
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is a direct hernia acquired or congenital and who usually gets it?
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acquired
usually in older men |
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what type of hernia is protrusion of intrabdominal contents through the abdominal ring lateral to the inferior epigastric vessels?
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indirect
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is an indirect hernia acquired or congenital?
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congenital
it is a defect in the process vaginalis |
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what type of hernia results from a short medial attachment of the transversus abdominus onto the coppers ligament?
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femoral
inferior to the inguinal ligament more common in females |
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where will you feel the indirect hernia in physical exam?
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feel it on the tip of the finger
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where will you feel the a direct hernia on exam?
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on the side of the finger
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how to determine scrotal mass vs hernia
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with pt supine palpate superior to the mass
listen with a stethoscope transilluminate the mass attempt to reduce the mass have the pt bear down |
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what surrounds/closes the anus?
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internal and external anal sphincter
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what is the anorectal junction?
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aka pectinate line
dentate line |
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what questions should be asked in a prostate exam?
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Weak stream with urination?
Hesitancy starting urination? Urinary frequency? Nocturia? Burning with urination? Infection work up Blood in urine? Not normal Feeling of discomfort or heaviness in pelvis or at the base of the penis. - sign of mass or enlarged prostate |
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what is the leading cancer diagnosed in men?
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prostate cancer
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what is the second leading cause of death in men?
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prostate cancer
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what tests can be run for prostate cancer?
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DRE
PSA but there is a limitation of tests- due to lack of sensitivity and specificity |
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when is screening recommended for prostate cancer?
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age 50
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what to look for in external anatomy of anus?
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looking for lumps, ulcers, inflammation, rashes, excoriations
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what should be identified in the prostate exam?
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lateral lobes and the sulcus in the middle
seminal vessicle (palpation) note shape, consistency, tenderness, nodules normal should feel rubbery and nontender |
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what is used in the occult blood test?
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smear any blood on the gloved finger on guiac paper
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