GU Exam Flashcards
Identify the four tools used during the GU exam
Gloves: Examination of the penis and scrotum including glans, urethral meatus, penile shaft, testes and any hernias. Also used during DRE and prostate exam.
Penlight: To transilluminate scrotal mass. If retractable and transilluminates: hydrocele. If retractable but does not transilluminate: likely hernia. If not retractable and does not transilluminate: could be incarcerated hernia (requiring surgery).
Guiac card/fecal occult blood testing: Tests for blood in stool. Can be sign of GI bleeding or anemia.
Emesis basin: May be used in case patient defecates.
Explain the importance of CAPE-ID
Techniques for minimize pt anxiety involved with GU exam.
Chaperone: esp w/opp sex
Anxiety: Answer questions before, establish rapport
Position: Explain before
Equipment: Assemble before
Instruction: Explain steps
Describe: Selft exam
Paraphimosis
Foreskin trapped behind glans
Hypospadias
Urethral opening on underside
Chancre
Painless ulceration; syphilis
Condyloma
Presence of warts; HPV
Peyronie disease
Connective tissue disorder leading to scar tissue formation around corpus cavernosa.
Hydrocele
Collection of fluid in scrotum
Spermatocele
Benign, sperm-filled cyst at head of epididymis
Varicocele
Enlargement of veins in scrotum
Epididymitis
Inflammation of epididymis from chlamydia, gonorrhea, E coli
Testicular tumor
Cancer in testes
Epispadias
Urethral deformity; can open anywhere along length of penis
Indirect inguinal hernia
Through internal ring. Palpate with fingertip on exam.
Direct inguinal hernia
Through external ring. Hernia bulges anteriorly.
