AHA Exam 3 Flashcards
With female rectal exam a lax sphincter may indicate what?
neurologic deficit
With female rectal exam absent sphincter tone may indicate what?
improper repair of 3rd degree perineal laceration after childbirth or trauma
Extremely tight sphincter in female rectal exam may indicate what?
anxiety, scarring, or spasticity from fissures, lesions, or inflammation
How do you get a child to relax sphincter muscles with rectal exam?
Pant like a puppy
What should a normal prostate feel like?
firm, smooth, and slightly movable, nontender
What does cancer of the prostate feel like?
stony hard nodularity
Lack of anal wink in a child indicates what?
lower spinal cord lesion or chronic abuse
What type of hernia is most common in young men?
Indirect (inguinal canal, can pass into scrotum, may be bilateral)
What type of hernia is most common in men greater than 40?
Direct (palpated medial to external canal)
What is the most common hernia for women
Femoral (near femoral vessels)
What is paraphimosis?
inability to replace foreskin
What is hypospadius?
urethral meatus on ventral surface
What male GU condition includes yellow green discharge and pain or burning with urination?
Gonococcal urethritis
NGU is most often related to what condition?
Chlamydia
What is a hydrocele?
accumulation of fluid in the tunica vaginalis. Does transilluminate
What is a spermatocele?
swelling of the epididymis; transilluminates
What is a varicocele?
engorged veins in the spermatic cord
Orchitis is associated with what condition?
Mumps
What are the causes for epididymitis?
UTI or STI
Is a testicular tumor tendor?
No
Kleinfelter syndrome is what type of chromosome disorder?
XXY
Acute bacterial prostatitis usually includes what symptoms?
fever, perineal pain, back pain, frequency, hurts when they sit
Benign prostatic hypertrophy is common after what age?
50
Molluscum contagiosum has what type of appearance?
viral flesh colored papules
What condition causes deviation of the penis?
Peyronie disease
Penile cancer typically occurs in what type of male?
Uncircumsized
What condition is described as a ‘bag of worms”
Vericocele
Epididymitis is most often associated with what?
STDs
Testicular cancer appears in what age of men?
young
Chronic pelvic prostatitis lasts for how long?
3-6 months: frequent UTIs
How do you detect asymptomatic inflammatory prostatitis?
WBC in prostatic secretions with or without pain
Name for injury to nails from picking at them
tic deformity
nail lifts from nail bed; inflammation and thickening of nail
oncholysis
hangnail with infection
paronychia
Nail infected with tinea fungus
tinea unguium
splitting of nails related to iron deficiency anemia
kollonychia
lines across nails that often occur with major illness
Beau lines
appearance of nails with poor protein intake
white banding
condition that may cause pitting of the nails as well as lesions on skin
psoriasis
Term that means all over
diffuse
term that means distinct or by itself
discrete
term that means lesions run together
confluent
AST/ALT ratio <1 indicates what?
liver damage or hepatitis
AST/ALT ratio >1 indicates what?
alcoholic liver disease
What test is more specific to ETOH?
GGT
ALT more specific to what?
liver damage
AST reflective of what?
skeletal muscle and alcohol intake
ALP and ALT elevation specific to what condition
cholecystitis
Total cholesterol should be what?
<200
LDL is ideally less than what?
<130
HDL should be what in men?
> 40
HDL should be what in women?
> 50
Triglycerides should be what?
<150
With prerenal failure, what happens to labs?
BUN elevates significantly, creatinine more slowly, BUN/Cr ration >20; Urine osmo >400 and urine Na <20 confirms dehydration