Chapter 24: Male genitourinary System Flashcards
Where do the lymphatics of the penis and scrotal surface drain into?
The inguinal lymph nodes
Where do the lymphatics of testes drain into?
Abdominal lymph nodes (are not accessible to clinical examination)
Hypospadias
A condition in which the opening of the penis is on the underside rather than the tip
Epispadias
The urethra ends in an opening on the upper aspect of the penis
Phimosis
Can’t retract the foreskin and can cut off your circulation
Circumcision benefit
Lower rate of infection and certain STIs (especially syphilis and genital herpes)
Hydrocele
A fluid filled sac around a testicle, often first notices as swelling of scrotum
Cryptorchidism
a condition in which one or both of the testes fail to descend from the abdomen into the scrotum.
If undescended: can become infertile and at risk for testicular cancer
Signs of sexual molestation
Bruising
Abnormal behaviors of the child during the exam
If someone has an STI or STD before 10-14
When does sperm production decrease?
Middle age around 40
But sperm is produced into the 80’s & 90’s
Withdrawal from sexual activity reasons
Loss of spouse, depression, Work, Marital conflict, medication, alcohol, lack of privacy, living with adult children or in a nursing home, economic or emotional stress, poor nutrition or fatigue
ESRD (“Kidney Disease” two main causes)
Hypertension & Diabetes
Kidney disease is prevalent in what groups?
African Americans, American Indians & Hispanics are more likely to be affected
When you inspect and palpate the scrotum, how should it feel?
Testes should slide easily
Around what age does testicular cancer occur?
15 - 35
TSE
Testicular self exam
T- timing once a month
S - do it in the shower because warm water relaxes scrotal sac. Hold scrotum in your palm and use your thumb and first two fingers
E - examine and check for and report changes immediately
Symptoms of testicular cancer
a firm, painless lump, a hard area, or an overall enlarged testicle, call your physician for further check
Blue pee is due to
Medication, dye from prostate exam, asparagus
Dark gray pee is due to
Urine with melanin
Tea colored pee is due to
Liver disease, myoglobinuria, medications, blood in urine
Pink pee is due to
menses, food, laxatives, kidney stones, UTI
Red pee is due to
Blood, nephritis, cancer, prostate surgery
Orange pee is due to
Medication such as rifampin and coumadin, foods, laxatives, dehydration, jaundice
Amber pee is due to
Dehydration, laxatives, B complex vitamins
