Breast, Pelvic, and GU Exam Findings Flashcards
Lying on table approach to rectal exam
Standing approach to rectal exam
Components of rectal exam
What is going on in this image?
There are a few things that could be going on.
Differential includes ascites, distended bladder, or enlarged uterus in a female patient.
A distended bladder will have a well-defined, rigid are that is palpable, but probably not percussable unless the patient is very thin.
What is going on in this image?
Candidal intertrigo
You can tell it’s Candida by the satellite lesions, which are characteristic
What is going on in this image?
Tinea cruris, aka jock itch
Very common. Caused by different fungi in different parts of the world. Fungal infection that causes a red and itchy rash in warm and moist areas of the body. Can appear pale-pink as in the picture shown on the reverse side, or more mottled and textured as shown below.
Appearance is similar to tinea corporis, or ringworm, another fungal infection, but tinea cruris appears to start from the groin and spread outwards while tinea corporis starts from the feet or fingernails and spreads up the extremities to the trunk.
What is going on in this image?
Hidradenitis Suppurativa
An inflammatory skin disease that affects apocrine gland-bearing skin in the axillae, in the groin, and under the breasts. It is characterised by recurrent boil-like nodules and abscesses that culminate in pus-like discharge, difficult-to-heal open wounds (sinuses) and scarring. Hidradenitis suppurativa also has a significant psychological impact, and many patients suffer from impairment of body image, depression and anxiety
What is going on in this image?
This is an example of a male HPV infection in a dry area.
There are many types of HPV that affect different areas of the body, but all cause lumps of warts. In general, wet areas coalesce into rough-appearing plaques while dry areas remain as well-defined papules with a clear border.
What is going on in this image?
This is an example of a male HPV infection in a wet area.
There are many types of HPV that affect different areas of the body, but all cause lumps of warts. In general, wet areas coalesce into rough-appearing plaques while dry areas remain as well-defined papules with a clear border.
What is going on in this image?
Classic appearance of Herpes on a light-skinned individual.
This is most likely HSV-2. Remember that HSV-1 is most often oral and HSV-2 is most often pelvic, although either can be a cause of either infection.
What is going on in this image?
This is a classic example of HSV on a darker-skinned individual.
Note the violaceous borders which correspond to the red borders in light-skinned individuals.
What is going on in each of these images?
Types of HPV wart
What is going on in this image?
Varicocele (grade 3)
Enlargement of the veins within the loose bag of skin that holds your testicles
A common cause of low sperm production and decreased sperm quality, which can cause infertility
Grading varicoceles
What is going on in this image?
Exposed hemorrhoid and perianal tags
Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes, the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you poop.
