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GU > abnormalities of the penis, scrotum, and testes > Flashcards

abnormalities of the penis, scrotum, and testes Flashcards

1
Q

what is a common cause for balanitits and balanoposthitis?

A

candida albicans

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2
Q

what structural abnormality can cause balanitits and balanoposthitis?

A

phimosis

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3
Q

what cancer is assoicated w/ phimosis?

A

squamous cell carcinoma

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4
Q

what is phimosis?

A

foreskin can’t be retracted over glans

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5
Q

what to consider if someone has pain or tenderness of foreskin and chronic yeast infections?

A

phmosis

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6
Q

what is the treatment for phimosis?

A

broad spectrum abx ;

and

potentially circumcision after infection has been eradicated

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7
Q

what is paraphimosis and what what must you remember?

A

retracted foreskin behind glans penis in uncircumcised person, and it and EMERGENCY

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8
Q

What is the first line treatment for paraphimosis?

A

manual reduction IF SUCCESSFUL REFER TO UROLOGY FOR CIRCUMCISION

squeezing glans for 5 min then draw foreskin over glans

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9
Q

what do you do if a manual reduction for paraphimosis is unsuccessful?

A

immediate referral

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10
Q

what is the MC abnormal congenital malformation?

A

abnormal location of the urethral meatus

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11
Q

which urethal meatus malformation has a worse prognosis?

A

epispadia

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12
Q

what is a chordee?

A

vental curvature of penis, from short urethra or fibrous tissue around corpus spongiosum, associated w/ HYPOSPADIAS

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13
Q

What is deformed in peyronies?

A

fibrous disorder of the tunica albuginea

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14
Q

what is an acquired malformation from minor penile trauma?

A

peyronie’s disease

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15
Q

patient presents w/ painful erections, but no pain when flaccid, what do you suspect?

A

peyronie’s disease

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16
Q

what disease is peyronie’s associated w/?

A

duputren’s contracture

17
Q

what is the treatment for pyeronies?

A

10% spontaneous improvement

collagenase clostridial histolyticum injection, CCB or interferon plaque injections

surgery (last resort): sexual dysfuction

18
Q

what is a priapism?

A

erection >4 hrs not associated w/ sexual arousal or desire

19
Q

what are some causes for priapism?

A

leukemia, sickle cell, tumors, infections, trauma

20
Q

what do both ischemic and non ischemic priapism need?

A

urology consult

21
Q

what is non ischemic pripaism?

A

high flow, unregulated high blood flow typically from perineal or spinal cord trauma

22
Q

what is ischemic priapism?

A

venous congestion and arterial inflow cessation, ischemic injury to corpora cavernosa caused by RBC dyscrasias, drug use, ED treatments

Painful erection

large needle blood aspiration, adrenergic meds

23
Q

what are risk factors for penile cancer?

A

uncircumcised, phimosis (Squamous cell carcinoma), HPV infection

24
Q

what is mandatory if penile cancer is suspected?

A

biopsy is mandatory to rule out benging conditions

GU (19 decks)

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