GU Male

Question 1

-Fever
-Irritative voiding sx
-Perineal or suprapubic pain
-exquisite tenderness on DRE
-Urinary retention
-Warm and tender prostate

Answer 1

Acute Bacterial Prostatitis

Question 2

-Irritative voiding sx
-urethral pain
-obstructive urinary symptoms
-Low back pain
-Perineal or suprapubic discomfort
-often dull and poorly localized
-abnormal expressed prostatic secretions
-Hx of reoccurent UTIs

Answer 2

Chronic Bacterial Prostatis

Question 3

-Fever
-Irritative voiding symptoms
-painful enlargement of epididymis
-can be caused by STI
Prehn sign elevation improves pain

Answer 3

Epididymitis

Question 4

-inability to attain or maintain an erection

Answer 4

Erectile Dysfunction

Question 5

-Obstructive or irritative voiding sx
-May have enlarged prostate on DRE
-Hesitancy
-Decreased force of stream
-Sensation of incomplete bladder emptying
-Double voiding
-Straining to urinate
-Post void dribbling
-Frequency
-Urgency
-Nocturia
-Dysuria

Answer 5

Benign Prostatic Hypertrophy/Hyperplasia

Question 6

-Excrutiating lower back pain
-Focal nodules or areas of induration on DRE
-Obstructive voiding symptoms
-Urinary retention
-Renal failure
-Metastatic bone pain
-Thromboembolic events
-Neurologic symptoms
-Pathologic fractures

Answer 6

Prostate Cancer

Question 7

-Hx of trauma
-Tenderness to palpation
-Ecchymosis
-Swelling
-Laceration
-Bleeding

Answer 7

Scrotal Trauma

Question 8

-Tense edema of scrotum
-Blisters/bullae
-Crepitus
-Fever
-Pain (out of proportion to physical exam)
-Tachycardia
-Hypotension

Answer 8

Fournier’s Gangrene

Question 9

-Asymptomatic mass
-Mild pain
-Mass is separate from testis
-Feels like “bag of worms”
-Size increases with valsalva
-generally left sided

Answer 9

Varicocele

Question 10

-Gradually enlarging painless cystic mass
-Transilluminates

Answer 10

Hydrocele

Question 11

-Painless
-Palpated as distinct from the testes
-Transilluminates

Answer 11

Spermatocele

Question 12

-Painless enlargement of the testis -Solid mass
-Sensations of heaviness

Answer 12

Testicular Cancer

Question 13

-Acute onset
-constant unilateral pain
-unrelieved by elevation
-Negative cremasteric reflex
-High riding testis (Bell clapper)
-Profound tenderness and swelling
-Nausea and vomiting
-Usually left testicle
-Preceding trauma or vigorous physical activity

Answer 13

Testicular Torsion

Question 14

-Immediate pain
-Deforming hematoma
-“cracking sound”
-May cause urethral injury

Answer 14

Penile Rupture or Fracture

Question 15

-Only occurs on uncircumsized penis
-Fibrous constriction of the foreskin preventing retraction
-most commonly caused by candidal infection

Answer 15

Phimosis

Question 16

-Occurs when the retracted foreskin develops a fixed constriction proximal to the glans penis
-A true urologic emergency
-penis distal to foreskin may be swollen and painful
-urinary retention
-edema

Answer 16

Paraphimosis