Male Genitourinary System 3

Front 1

poor stream in an infant is significant because

Back 1

it may indicate a stricture or neurogenic bladder

Front 2

infection of the urethra causes painful , burning urination, or pruritus. meatus edges are reddend, everted, and swollen with purluent discharge. urine is cloudy with discharge and mucus shreds

Back 2

urethritis

Front 3

empty scrotal sac. common in premature infants

Back 3

absent testis cryptochidism S

Front 4

inspection- in true maldesent, atrophic scrotum on affected side. palpation- not testis a- absent testis

Back 4

absent testis, cryptochidism O

Front 5

no symptoms

Back 5

small testis s

Front 6

palpation- small and soft (rarely firm). small testis

Back 6

small testis o

Front 7

excruciating unilateral pain in the testicle. sudden onset, often during sleep or following trauma, may also have lower abdominal pain, nausea, vomiting, no fever

Back 7

testicular torsion s

Front 8

inspection- red, swollen scrotum, one testis ( usually left) higher owing to rotation and shortening

Back 8

testicular torsion insp

Front 9

cord feels thick, swollen, tender, epididymis may be anterior, cremasteric reflex absent on side of torsion

Back 9

testicular torsion palpation

Front 10

severe pain of sudden onset in scrotum, relieved by elevation, also rapid swelling, and fever

Back 10

epididymitis s

Front 11

inspetions- enlarged scrotum reddened

palp-exuisitely tender, epididymis enlarged, indurated, hard to distinguish from testis. overlying scrotal skin may be thick and edematous. lab-wbc and bacteria in urine

Back 11

epididymitis o

Front 12

dull pain, constant pulling or dragging feeling or may be asymptomatic

Back 12

varicocele s

Front 13

insp- usually no sign, or bluish color through light scrotal skin

palp- when standing, feel soft, irregular mass posterior to and abovetestis, collapses when supine, refils when upright. like a "bag of worms"

soft mass on spermatic cord

Back 13

varicocele o

Front 14

painless usually found on exam

Back 14

spermatocele s

Front 15

insp-does transilluminate higher in the scrotum than a hydrocele and the sperm may flouresce

palp- round freely movable mass lying above and behind testis, if large feels like a 3rd testis

free cycstic mass on epididymis

Back 15

spermatocele o

Front 16

painless, found on exam. may have history of undescended testicle or familial testicular cancer

Back 16

early testicular tumor s

Front 17

palp- firm nodule or harder than normal section of the testicle, testicular swelling occurs in most. solitary nodule

Back 17

early testicular tumor o

Front 18

enlarging testis (most common symptom) when enlarges has feel of increased weight

Back 18

diffuse tumor s

Front 19

insp- enlarged, doesn't transilluminate

palp-enlarged, smooth, ovoid, firm

firm pal does NOT cause usual sickening discomfort as with normal testis. nontender swelling of the testis

Back 19

diffuse tumor o

Front 20

painless swelling, although person may complain of weight and bulk in scrotum

Back 20

hydrocele s

Front 21

insp- enlarged mass does transilluminate with a pink or red glow (in contrast to hernia)

Back 21

hydrocele o

Front 22

swelling may have pain with straining

Back 22

scrotal hernia s

Front 23

insp- enlarged, may reduce when supine, doesn't transilluminate

palp- soft, mushy mass, palpating fingers can't get above mass. mass is distinct from testicle that is normal.

nontender swelling of the scrotum

Back 23

scrotal hernia o

Front 24

acute or moderate pain of sudden onset, swollen testis, feeling of weight, fever

Back 24

orchitis s

Front 25

insp- enlarged, edematous, reddened, doesn't transilluminate

palp- swollen, congested, tense, and tender, hard to distinguish testis from epididymis

tender swelling of the testis

Back 25

orchitis o

Front 26

tenderness

Back 26

scrotal edema s

Front 27

insp- enlarged, may be reddened (local irritation)

palp- taut with pitting. probably unable to feel scrotal contents

Back 27

scrotal edema o

Front 28

sac herniates through internal inguinal ring, can remain in canal or pass into scrotum

Back 28

indirect inguinal hernia

Front 29

hernia. most common. 60% of all hernias. More common in infants <1 year and males 16-20 years

Back 29

indirect inguinal

Front 30

directly behind and through external inguinal ring, above inguinal ligament, rarely enters scrotum

Back 30

direct inguinal hernia

Front 31

hernia. less common, occurs most often in men older than 40. rare in women

Back 31

direct inguinal

Front 32

through femoral ring and canal, below inguinal ligament, more often on right side

Back 32

femoral hernia

Front 33

least common. 4% of all hernias. More common in women

Back 33

femoral hernia