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Health Assessment > Genitourinary Assessment > Flashcards

Genitourinary Assessment Flashcards

1
Q

males

A

penis, passage of urine, canal for semen, circumcised or not, testicles, epididymis, vas deferens, seminal vesicles, prostate gland

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2
Q

When does puberty begin for males?

A

9-13, testosterone, secondary sex characteristics

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2
Q

prostate gland

A

walnut shaped, urethra runs through

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3
Q

kidneys

A

removes/filters waste, maintains volume status, regulates acid/base, regulate bp, endocrine - erythropoietin/vitamin D

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4
Q

frequency

A

go multiple times

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4
Q

Male history/present complaints

A

dysuria, frequency, urgency, polyuria, hematuria, nocturia, urinary incontinence, penile discharge, pain in genital region, lesions. onset, frequency, duration/quality, associated symptoms

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5
Q

dysuria

A

difficulty urinating

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6
Q

polyuria

A

excessive urination

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6
Q

nocturia

A

urination at night

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7
Q

urgency

A

need to urinate immediately

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8
Q

hematuria

A

blood in urine

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9
Q

male past medical history

A

history of problems, sexual history, chronic conditions, past surgeries, finding on self exam. family medical history - deaths, chronic disease, congenital birth defects

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10
Q

male social history

A

tobacco, alcohol, recreational drugs, exercise, occupation

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11
Q

Review of important systems male

A

general - fever, skin - rash, respiratory - cough, GI - n/v, musculoskeletal - aches/edema

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12
Q

exam set up

A

gloves, comfortable temp, gown, draping, flashlight, supine

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13
Q

Exam techniques

A

blunt percussion CVA, palpate kidneys, percussion to determine bladder volume

14
Q

Female urinary system

A

urethra carries urine from bladder to outside by urinary meatus. 3.5cm long, opening above vagina introitus

15
Q

Female health history

A

common complaints - pelvic pain, vaginal bleeding, discharge, lesions, dysuria, hematuria, frequency, urgency, incontinence, abnormal bleeding

16
Q

Female past medical history

A

onset of menses, last GYN/GU exam, pregnancies, sexual activity, past GU problems

17
Q

Female social history

A

stress, hobbies, personal hygiene, tobacco, alcohol, recreational drugs

18
Q

GYN exam

A

assistant in room, empty bladder before, draping, assess, inspect

19
Q

Female manifestations in other systems

A

fever/chills, respiratory, n/v, altered mental status

20
Q

Newborns

A

should void w/n 24 hrs, foreskin. males assess for hypospadias, epispadias, cryptorchidism. females - mother’s estrogen can cause mucoid discharge/psuedomenstruation

21
Q

hypospadias

A

opening of urethra on underside of penis instead of tip

22
Q

Epispadias

A

urethra ends in opening on upper aspect of penis

23
Q

Cryptorchidism

A

one or both testes fail to descend from abdomen to scrotum

24
Q

Pregnancy

A

uterus enlarges as pregnancy progresses, hormonal changes, pressure from uterus/increase in blood volume, can cause renal structure changes. often experience nocturia, frequency, urgency

25
Q

pediatrics

A

generally UTIs over 2, regression from potty training could be UTI, UTIs increase in sexually active adolescents

26
Q

elders

A

bladder muscles weaken, vaginal pH changes with menopause, meds can cause urinary frequency, UTIs in older adults have different symptoms - shortness of breath, confusion, chest pain, assess sexual activity

27
Q

hernias

A

inguinal, umbilical

28
Q

Inguinal hernia

A

tissue protrudes through weak spot in abdominal muscles - bulge can be painful when coughing/bending over/sneezing/lifting heavy object

29
Q

Umbilical hernia

A

bowel or fatty tissues protrudes into umbilicus

30
Q

Types of urinary incontinence

A

stress, urge, mixed, temporary

31
Q

Stress incontinence

A

during activities like coughing, laughing, sneezing, exercising

32
Q

Urge incontinence

A

strong sudden urge

33
Q

Mixed incontinence

A

mix of stress and urge, may leak w/ laugh or sneeze

34
Q

Temporary incontinence

A

illness like UTI that causes frequent/sudden urination

Health Assessment (32 decks)

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