Genito-Urinary Flashcards
-bulge through the external inguinal ring that increases in size with straining or crying
Inguinal Hernia
- bulge through the external inguinal ring that increases in size with straining or crying
- irritability, tender abdomen, and vomiting
- unsuccessful reduction
Incarcerated inguinal hernia
-painless testicular mass that transilluminates and does not reach the inguinal ring
Hydrocele
- tender inguinal mass with red skin and warmth to the touch
- infection distal to the node
inguinal lymphadenitis
- left sided testicular swelling
- heavy sensation
- bag of worms
Varicocele
-pink vaginal DC in an otherwise healthy newborn
Maternal Estrogen Withdrawal
- cyclic abdominal pain, midline abdominal mass, bulging bluish hymen
- girl who has reached full sexual maturity
Imperforate Hymen
- collection of fluid in the uterus
- imperforate hymen and retained menstrual fluids
- Must perform a physical exam
hydrometrocolpos
- vaginal irritation , pain and pruritis, dysuria
- Causes: pinworms, GABHS, Staph, Candida, CT, GC, trich, HSV
- poor hygiene, chemical irritants, foreign body
Vulgovaginitis
-soft masses which are non-erythematous and occur in the absence of vaginal DC or bleeding
Bartholin Gland Cysts
- Tx: orchiopexy by 1 yo
- the longer it remains, the increased risk of infertility
- bringing testicle down, decreases risk of infertility but it doesn’t reduce risk of malignancy
- other testicle has a higher malignancy risk
Undescended Testicle
Silver Russell Syndrome
Lawrence-Moon Biedl Syndrome
Opitz Syndrome
Beckwidth Wiedeman Syndrome
Hypospadias
- micropenis
- poor feeding
- Hypotonia
Prader-Willi
- micropenis
- hypoglycemia, septo-optic dysplasia, and anosmia
Kallmann Syndrome
-Abnormal penile length
<2.5cm
- unilateral scrotal pain, dysuria, and fever
- no testicular mass or urethral DC
- cremaster maintained
- low lying testicle
- WBCs in UA
Epididymitis
- elevation of the testicle makes the pain worse
- absent cremasteric reflex
- high riding testicle
Testicular torsion
-tightness of the foreskin which prevents retraction after the age of 3
Phimosis
-Inflammation of the glans penis associated with phimosis
Balanitits
- tiny white bumps on the tip of the penis
- reassurance
Inclusion Cysts
- flesh colored verrucous lesions
- HPV
- non-tender but will bleed with minor trauma
- risk factor for development of cervical cancer
Condyloma accuminata
- secondary syphilis
- whitish-grey papules that have coalesced in the genital area
- flatter
- fever
Condyloma Lata
- red, crusted suprapubic macules
- blue-grey dots (maculae cerulea)
Pubic lice
- sudden lower abdominal pain which radiates to the back, side, groin, or leg with nausea and vomiting
- Diagnosis is made by surgery
Ovarian Torsion
