Diagnosis treatment of Penis and testes, scrotum

Question 1

Inflammations of the glans penis and foreskin (prepuce), respectively.

Answer 1

Balanitis and balanoposthitis

Question 2

as inability to retract the foreskin to expose the glans penis

Answer 2

Phimosis

Question 3

paraphimosis complicates what condition?

Answer 3

balanoposthitis

Question 4

How should Balanitis first be treated?

Answer 4

local therapies (hygiene) and topical remedies

Question 5

retraction of the foreskin in an uncircumcised or partially circumcised male that cannot be returned to normal position. It is trapped in the retracted position.

Answer 5

Paraphimosis:

Question 6

Treatment for Premature Ejaculation

Answer 6

topical anesthetics and anti-depressants (SSRI) and other medications that delay ejaculation.

Question 7

ejaculate fluid flows into the urinary bladder instead of being directed down the urethra.

Answer 7

Retrograde Ejaculation

Question 8

Failure to achieve detumescence.

“Stuck in erection”

Answer 8

Priapism

Question 9

Priapism treatment

Answer 9

Phosphodiesterase 5 inhibitors

Question 10

Complications of Priapism

Answer 10

compartment syndrom

Question 11

Localized fibrotic disorder of the tunica albuginea, can cause significant penile deformity and lead to sexual dysfunction and psychological trauma.

Answer 11

Peyronie’s Disease

Question 12

The vast majority of penis cancers consist of what type of cells. Diagnosis is done after what procedure?

Answer 12

primary epithelial squamous cell carcinoma.

Biopsy

Question 13

Peyronie’s Disease

Answer 13

Localized fibrotic disorder of the tunica albuginea, can cause significant penile deformity and lead to sexual dysfunction and psychological trauma.

Question 14

Age group at risk for testicular cancer?

Answer 14

18-30

Question 15

What proceedure is used to diagnose testicular cancer?

Answer 15

ultrasound.

Question 16

What do you use to check for METS?

Answer 16

CT, X-Ray

Question 17

Torsion of Testicle caused by _.

What imaging modality can be used?

Answer 17

Twisting of Gubernaculum

Ultrasound

Question 18

Classicle finding on physical exam of Testicular torsion?

Answer 18

asymmetrically high-riding testis on the affected side with the long axis of the testis oriented transversely instead of longitudinally secondary to shortening of the spermatic cord from the torsion, also called the “bell clapper deformity”

Question 19

most common cause of scrotal pain

Answer 19

Epididymitis

Question 20

What does palpation reveal for acute infectious epididymitis

Answer 20

induration and swelling of the involved epididymis with exquisite tenderness

Question 21

Contusion—

Answer 21

Blunt trauma

Question 22

Avulsion — How is this fixed?

Answer 22

machine accident:

Testicle implanted temporarily in the thigh

Question 23

How are Epididymal cysts usually palpated?

Answer 23

palpated in the head (caput) of the epididymis and are generally asymptomatic

Question 24

Epididymal cysts vs Spermatocele

Answer 24

epididymal cystic are less than 2 cm
larger than 2 cm are called spermatoceles.

Remember: 2.54 cm = 1 inch

Question 25

Inguial Hernia: incarcerated vs strangulated.

Answer 25

can be herniation of bowel or omentum into the scrotum can present with pain and a scrotal mass.
If trapped in the scrotal sac, it is incarcerated; if there is pressure on the vessels, it is strangulated.

Question 26

Usually Any oncologic work up.
differential diagnosis process
Good in looking for lymph nodes, pelvic masses

Answer 26

CT of the abdomen and Pelvis:

Question 27

What is CT of the abdomen and Pelvis used for

Answer 27

Usually Any oncologic work up.
differential diagnosis process
Good in looking for lymph nodes, pelvic masses

Question 28

Used To check for metastatic lesions in testicular tumors. (Or plain film radiograph

Answer 28

CT of Chest