genitalia PEDS Flashcards

1
Q

before birth, where do testes descend?

A

along the inguinal canal into the scrotum

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2
Q

at birth, how long are each testis?

A

1.5-2cm long and 1cm wide

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3
Q

when is puberty?

A

between 9.5-13.5 years

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4
Q

history?

A
  • problems urinating
  • pain with urinating
  • crying when using bathroom
  • uti
  • bed wetting
  • problems with penis or scrotum
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5
Q

5 years or older?

A
  • bed wetting

- how the parents handle it

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6
Q

what do you talk to parents about at the age of 2+?

A

potty training

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7
Q

when you are screening for sexual abuse what do you ask the child? why?

A
  • “who are three adults that you can talk to if something happens to you?”
  • it can often happen within the family
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8
Q

history for preadolescents and adolescents? what questions do you ask?

A
  • when asking questions be very precise

- “often boys your age have questions about…. what questions do you have?”

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9
Q

hypospadias?

A
  • when the opening of the urethra is on the underside of the penis
  • this is not normal
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10
Q

epispadias?

A
  • when the opening of the urethra is on the upper part of the penis
  • this is not normal
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11
Q

crytorchildism?

A

undescended testes

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12
Q

hydrocele?

A
  • fluid in the scrotum
  • appears a swollen scrotum
  • pinkish color
  • usually disappears spontaneously
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13
Q

what scale do you use for adolescents?

A

Tanner’s SMR chart

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14
Q

where are ovaries located during childhood?

A

abdomen

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15
Q

when do you perform a pelvic exam?

A
  • wants contraception
  • had intercourse
  • age 18
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16
Q

what color is first stool for newborn? when? what does this indicate?

A
  • dark green meconium
  • occurs within 24-48 hours
  • indicates anal patency
17
Q

when can child control stool?

A

around 1.5-2 years

18
Q

history of anus?

A
  • irritation
  • itching or redness
  • frequency and pain with bowel movements
19
Q

encopresis?

A

persistent passing of stools into clothing older than 4 years

20
Q

how to check anal reflex?

A

stroking the anal area and noting a quick contraction of the sphincter to assess sphincter tone

21
Q

what is common in infancy that may not indicate abuse?

A

diaper rash

22
Q

for an uncircumcised infant, what are some things you should know?

A
  • foreskin is tight in first 3 months and should not be retracted
  • if retracted it may tear membrane attaching foreskin to shaft
  • may cause scarring and adhesions
  • when older than 3 months you may retract the foreskin gently to assess gland and meatus
  • it should then return to normal position
23
Q

what is phimosis?

A

foreskin cannot be retracted

24
Q

what is phimosis?

A

foreskin cannot be retracted

25
Q

what race generally develops first for women?

A
  • black girls
  • Mexican-American girls
  • white girls