genitalia PEDS Flashcards
before birth, where do testes descend?
along the inguinal canal into the scrotum
at birth, how long are each testis?
1.5-2cm long and 1cm wide
when is puberty?
between 9.5-13.5 years
history?
- problems urinating
- pain with urinating
- crying when using bathroom
- uti
- bed wetting
- problems with penis or scrotum
5 years or older?
- bed wetting
- how the parents handle it
what do you talk to parents about at the age of 2+?
potty training
when you are screening for sexual abuse what do you ask the child? why?
- “who are three adults that you can talk to if something happens to you?”
- it can often happen within the family
history for preadolescents and adolescents? what questions do you ask?
- when asking questions be very precise
- “often boys your age have questions about…. what questions do you have?”
hypospadias?
- when the opening of the urethra is on the underside of the penis
- this is not normal
epispadias?
- when the opening of the urethra is on the upper part of the penis
- this is not normal
crytorchildism?
undescended testes
hydrocele?
- fluid in the scrotum
- appears a swollen scrotum
- pinkish color
- usually disappears spontaneously
what scale do you use for adolescents?
Tanner’s SMR chart
where are ovaries located during childhood?
abdomen
when do you perform a pelvic exam?
- wants contraception
- had intercourse
- age 18