male Flashcards
O: “I’ve had this tightness for a long time, but it’s gotten worse recently. I can’t pull the foreskin back at all now.”
P – Provoking/Palliating
“Trying to retract it causes discomfort. Cleaning gently and soaking in warm water helps a little.”
Q – Quality
“The foreskin is tight and forms a narrow tip. It feels stretched and irritated if I try to move it.”
R – Region/Radiation
“Only at the tip of the penis. No pain radiating elsewhere.”
S – Severity
“Discomfort is about 4 out of 10 unless I try to retract it, then it increases.”
T – Timing
“It’s constant, but worse when I try to clean or during urination.”
I – Impact on life
“It’s hard to clean properly, and I’m worried about infections or blockages.”
U – Understanding
“They said it might be from poor hygiene or past infections. I didn’t realize it was a problem until now.”
A – Associated symptoms
“Tight foreskin, difficulty cleaning, occasional redness or discharge, and trouble fully emptying my bladder.”
Phimosis
O – Onset
“It started a few hours ago after I pulled the foreskin back and couldn’t bring it forward again.”
P – Provoking/Palliating
“Touching or trying to move the foreskin makes it worse. Nothing helps right now.”
Q – Quality
“It’s tight, swollen, and very painful. The head of the penis feels trapped.”
R – Region/Radiation
“The pain and swelling are at the glans and the foreskin. No pain spreading elsewhere.”
S – Severity
“Pain is around 8 or 9 out of 10. It’s getting worse as time goes on.”
T – Timing
“It started suddenly and has been getting worse over the last few hours.”
I – Impact on life
“I can’t urinate properly and the pain makes it hard to sit or walk.”
U – Understanding
“I didn’t know it was dangerous. I thought it would go back down on its own.”
A – Associated symptoms
“Swelling of the glans, redness, tight ring around the shaft, and severe pain. Trouble urinating.”
Paraphimosis
O – Onset
“It started several hours ago, and it’s not going away. I haven’t had sexual stimulation.”
P – Provoking/Palliating
“It doesn’t get better with urination, changing position, or masturbation.”
Q – Quality
“It’s a painful, persistent erection. Feels like it’s throbbing and full, but there’s no sexual desire.”
R – Region/Radiation
“It’s localized to the penis, with a hard, engorged feeling.”
S – Severity
“It’s about 7 or 8 out of 10. Very painful and uncomfortable.”
T – Timing
“It started 5 hours ago and has been constant since.”
I – Impact on life
“I’m in pain, and it’s hard to focus on anything else. I’m worried about the damage it could cause.”
U – Understanding
“I didn’t know this could happen without sexual arousal. I thought it would go away on its own.”
A – Associated symptoms
“Painful erection, no sexual desire, discomfort in the pelvis area. No fever, swelling, or redness.”
priapism
O – Onset
“It was noticed right after birth that the urethral opening is on the underside of the penis.”
P – Provoking/Palliating
“There is no pain at this time, but it might be harder to direct urine when urinating.”
Q – Quality
“The urethral opening is located on the underside, with a groove extending toward the normal position at the tip.”
R – Region/Radiation
“The abnormal meatus is located on the ventral side (underside) of the glans or shaft, or at the penoscrotal junction.”
S – Severity
“There is no pain, but urination may be slightly messy or difficult to control.”
T – Timing
“The abnormality is present at birth and constant.”
I – Impact on life
“The patient may have difficulty urinating standing up and may experience difficulties in later life with sexual function or hygiene.”
U – Understanding
“It’s a congenital condition, and surgery may be required to correct the meatus location.”
A – Associated symptoms
“The groove from the meatus to the tip may be visible, and the foreskin may not be fully formed or might have adhesions.”
Hypospadias
– Onset
“This condition was noticed at birth, with the urethral opening on the top of the penis.”
P – Provoking/Palliating
“There’s no pain, but urination might be difficult due to the abnormal placement of the meatus.”
Q – Quality
“The urethral opening is located on the dorsal side of the penis and is usually associated with a broad, spadelike shape of the penis.”
R – Region/Radiation
“The meatus is on the dorsal (upper) side of the glans or shaft of the penis.”
S – Severity
“There’s no pain, but it may affect the ability to urinate standing up and could lead to incontinence or difficulty with sexual function later in life.”
T – Timing
“The condition is present at birth and constant.”
I – Impact on life
“The condition can lead to urinary incontinence and difficulties with hygiene. Surgical correction is usually required for normal function.”
U – Understanding
“It’s a congenital condition that may need corrective surgery in early childhood to restore normal urinary function.”
A – Associated symptoms
“Associated with separation of the pubic bones and may be linked to urinary incontinence and potential difficulty in sexual function.”
Epispadias
O – Onset
“I started noticing a weaker urine stream and difficulty urinating about a few weeks ago.”
P – Provoking/Palliating
“The stream becomes weaker when I try to urinate or after I’ve held it for a while. Resting or standing still sometimes helps to start the stream.”
Q – Quality
“It’s a slow, weak stream, and it feels like I’m straining to urinate. Sometimes, I feel a blockage.”
R – Region/Radiation
“It feels like there’s pressure or tightness along the shaft of the penis, especially on the ventral (underside) aspect near the opening.”
S – Severity
“The urine stream is much weaker than before, and I have to try multiple times to finish urinating. It’s about 4 out of 10 in discomfort.”
T – Timing
“It started gradually, and over time, I’ve noticed a decrease in the force of my urine stream.”
I – Impact on life
“It’s uncomfortable and frustrating to urinate. I feel like it takes much longer than it used to.”
U – Understanding
“I think I have a blockage or narrowing of the urethra, but I’m not sure what caused it.”
A – Associated symptoms
“Weak urine stream, difficulty starting urination, and a feeling of fullness or pressure along the ventral side of the shaft.”
Urethral Stricture
O – Onset
“I started noticing a bend in my penis about 6 months ago, and it’s been getting worse.”
P – Provoking/Palliating
“It gets worse during erections. The pain occurs when the penis bends or when I try to engage in intercourse.”
Q – Quality
“There’s a hard, lumpy area on the dorsal (top) side of my penis. It’s not tender when I touch it, but it’s painful when I get an erection.”
R – Region/Radiation
“It’s located along the top of the shaft of my penis. There’s no pain radiating elsewhere.”
S – Severity
“It’s around 5 out of 10. It’s not constant, but during an erection, it can be quite painful.”
T – Timing
“The pain and the bend during erection have been present for a few months, getting worse over time.”
I – Impact on life
“It’s affecting my ability to have intercourse and is causing frustration and concern about the future.”
U – Understanding
“I think I have some kind of scar tissue or plaque causing the bend, but I didn’t realize how it could affect my erections.”
A – Associated symptoms
“Bending of the penis during erection, a palpable lump or plaque along the shaft, and pain during intercourse. No swelling or redness.”
Peyronie’s Disease
O – Onset
“I noticed the size of my testicles seemed smaller over time, but I didn’t think much of it until now.”
P – Provoking/Palliating
“There’s no pain or discomfort, just the feeling of less volume in my scrotum.”
Q – Quality
“The testicles feel small and soft, with one being slightly firmer than the other.”
R – Region/Radiation
“It’s localized to the testicles. No pain radiating to other areas.”
S – Severity
“There’s no pain, just a noticeable reduction in size. I’d rate it 2 out of 10 for discomfort.”
T – Timing
“The smallness has been gradually happening over the last several months.”
I – Impact on life
“It doesn’t affect my day-to-day activities, but I am concerned about what it might mean for my fertility.”
U – Understanding
“I’m not sure what’s causing the change in size, but I’ve heard it could be related to hormone problems or past infections.”
A – Associated symptoms
“No pain, redness, or swelling. I’ve had no recent fever or changes in urinary habits.”
Small Testis
O – Onset
“The pain started suddenly, about 4 hours ago, and it’s been getting worse. It happened overnight, or after I moved wrong.”
P – Provoking/Palliating
“The pain gets worse when I move or touch the area. Nothing seems to relieve it.”
Q – Quality
“It’s excruciating, sharp pain, like something is twisted in my testicle.”
R – Region/Radiation
“The pain is localized to my left testicle and radiates to my lower abdomen and groin.”
S – Severity
“It’s about 9 or 10 out of 10. The pain is unbearable.”
T – Timing
“The pain started suddenly and hasn’t stopped since.”
I – Impact on life
“I can’t do anything. I’m in too much pain to walk or sit.”
U – Understanding
“I think something is wrong with my testicle, but I’m not sure what’s causing it.”
A – Associated symptoms
“Redness and swelling of the scrotum, the testicle is higher than usual, nausea, and some vomiting. No fever.”
Testicular Torsion
O – Onset
“The pain started suddenly yesterday afternoon, and it’s been getting worse since then.”
P – Provoking/Palliating
“The pain is somewhat relieved when I elevate the scrotum (positive Phren sign), but it gets worse with movement or touch.”
Q – Quality
“It’s a sharp, throbbing pain that feels deep in my scrotum. It’s very tender to touch.”
R – Region/Radiation
“The pain is localized to my scrotum and radiates up to my groin. The epididymis feels enlarged and hard.”
S – Severity
“The pain is about 8 or 9 out of 10, especially when I move or touch the area.”
T – Timing
“The pain started suddenly, and it’s been constant since then. I also feel feverish.”
I – Impact on life
“I’m having trouble sitting or walking comfortably because of the pain. I also feel very fatigued.”
U – Understanding
“I think it’s an infection, but I’m not sure if it’s the epididymis or something else causing the pain.”
A – Associated symptoms
“Swelling, redness, fever, and pain in the scrotum. The epididymis feels swollen and tender. There is also some difficulty urinating.”
Epididymitis
O – Onset
“I’ve had a dull ache in my scrotum for a few months, and it’s been there constantly.”
P – Provoking/Palliating
“The pain gets worse when I stand for long periods or after physical activity. Lying down relieves it a bit.”
Q – Quality
“It feels like a pulling or dragging sensation, not sharp, but uncomfortable.”
R – Region/Radiation
“The pain is localized to the left side of my scrotum, where I feel a soft mass.”
S – Severity
“The pain is about 3 or 4 out of 10. It’s tolerable, but noticeable.”
T – Timing
“The pain is constant, but it flares up when I’m standing or exercising.”
I – Impact on life
“It doesn’t affect my daily activities much, but it makes me worry about potential fertility issues later on.”
U – Understanding
“I’ve heard varicoceles can affect fertility, but I didn’t know it could cause pain like this.”
A – Associated symptoms
“There’s no swelling or redness, just a soft mass that feels like a ‘bag of worms’ and some discomfort, especially when upright.”
Varicocele
O – Onset
“I noticed a small, painless lump in my scrotum during self-examination about a few weeks ago.”
P – Provoking/Palliating
“It doesn’t hurt, and the size doesn’t change with movement. It’s not affected by touch or pressure.”
Q – Quality
“It’s a soft, round mass that feels smooth. It doesn’t feel like a typical testis; it’s separate from the testis.”
R – Region/Radiation
“It’s located above and behind my testis in the scrotum.”
S – Severity
“There’s no pain or discomfort, so I’d rate it 0 out of 10. It’s just there.”
T – Timing
“It’s been there for a few weeks. The lump hasn’t grown or shrunk.”
I – Impact on life
“It doesn’t affect my daily activities or cause me any issues.”
U – Understanding
“I’m not sure what it is, but I’ve heard it’s likely a harmless cyst. I’m just unsure if I need treatment for it.”
A – Associated symptoms
“No pain, swelling, or redness. It’s just a painless lump that feels like a small cyst.”
Spermatocele
O – Onset
“I noticed a small lump in my testicle a couple of weeks ago. It hasn’t been painful, just there.”
P – Provoking/Palliating
“There’s no pain, and it doesn’t get better or worse with touch or movement.”
Q – Quality
“It feels like a firm nodule or a hard section of the testicle. It doesn’t feel like a normal, smooth testis.”
R – Region/Radiation
“It’s localized to my testicle, and I can feel it during self-examination. It doesn’t radiate anywhere.”
S – Severity
“There’s no pain or discomfort, just the feeling of the lump. I’d rate it 0 out of 10 for pain.”
T – Timing
“I first noticed it a few weeks ago, and it hasn’t changed in size or shape.”
I – Impact on life
“I’m worried about what it could be, but it hasn’t affected my daily activities.”
U – Understanding
“I’m not sure what the lump is, but I’ve heard that it could be a testicular tumor. I’m worried it might be cancer.”
A – Associated symptoms
“No pain, no swelling, no change in size. Just the lump in my testicle.”
Early Testicular Tumor
O – Onset
“I noticed my testicle has been getting bigger over the past few weeks. It doesn’t hurt, but it feels heavier.”
P – Provoking/Palliating
“There’s no pain, and it doesn’t change with touch or movement.”
Q – Quality
“It feels like a firm mass inside the testicle. It doesn’t hurt when I palpate it, but it feels different from the other side.”
R – Region/Radiation
“It’s just in my testicle. There’s no pain radiating anywhere else.”
S – Severity
“There’s no pain, just a feeling of weight. I’d rate it 0 out of 10 for discomfort.”
T – Timing
“I first noticed it a few weeks ago, and it’s been gradually getting larger.”
I – Impact on life
“It hasn’t affected my daily activities, but I’m concerned about what it could mean.”
U – Understanding
“I think it might be a tumor, but I don’t know if it’s serious or not.”
A – Associated symptoms
“No pain, no swelling or redness, just the feeling of increased size and weight in my testicle.”
Diffuse Testicular Tumor
O – Onset
“I noticed some swelling in my scrotum a few weeks ago. It’s painless, but it feels heavy.”
P – Provoking/Palliating
“The swelling doesn’t change with movement or touch. It’s constant and doesn’t seem to get worse with any particular activity.”
Q – Quality
“It feels like a soft, fluid-filled mass. I can’t feel a hard lump, just a noticeable fullness.”
R – Region/Radiation
“The swelling is localized to the scrotum, around the testis. It doesn’t radiate anywhere else.”
S – Severity
“The swelling is about 4 out of 10 in terms of discomfort because of the weight, but it’s not painful.”
T – Timing
“The swelling has been present for a few weeks. It hasn’t changed much in size.”
I – Impact on life
“It feels heavy and bulkier than usual, but it hasn’t affected my daily activities.”
U – Understanding
“I think it’s fluid buildup around the testis, but I’m not sure what caused it.”
A – Associated symptoms
“No pain, redness, or fever. Just a feeling of fullness and weight in the scrotum.”
Hydrocele
O – Onset
“I noticed a swelling in my scrotum about a week ago, and it seems to get bigger when I strain or stand for long periods.”
P – Provoking/Palliating
“The swelling gets worse with coughing or lifting. It goes down when I lie flat on my back.”
Q – Quality
“It feels like a soft, mushy mass. It’s not hard or tender, but it’s noticeable and somewhat uncomfortable.”
R – Region/Radiation
“It’s localized to my scrotum, and I can’t feel it in any other areas.”
S – Severity
“It’s about 3 out of 10 in terms of discomfort, mostly because it feels like extra weight in the scrotum, but it doesn’t hurt.”
T – Timing
“It’s been there for a week, and it seems to get worse with physical activity.”
I – Impact on life
“I can still go about my day, but I try to avoid activities that make the swelling worse, like lifting or straining.”
U – Understanding
“I think it’s a hernia. I don’t really understand how it happened, but I’ve heard it can be fixed with surgery.”
A – Associated symptoms
“No pain or redness, just the swelling that feels mushy to the touch. It seems to reduce when I lie down.”
Scrotal Hernia
O – Onset
“The pain started suddenly this morning, and it’s been getting worse. My testicle feels swollen and heavy.”
P – Provoking/Palliating
“The pain gets worse with movement or touch. Lying still and resting seems to relieve it a bit.”
Q – Quality
“It’s a sharp, throbbing pain. My testicle feels swollen, heavy, and congested.”
R – Region/Radiation
“It’s in my left testicle, and I can feel some swelling. There’s no pain radiating anywhere else.”
S – Severity
“It’s about 7 or 8 out of 10 in terms of pain, especially when I touch or move the area.”
T – Timing
“It started this morning, and the pain has been constant, getting worse throughout the day.”
I – Impact on life
“It’s difficult to walk or sit comfortably. I’m worried about the swelling and pain, and I feel generally unwell.”
U – Understanding
“I think it’s orchitis. I’ve heard it can happen with mumps, but I’m not sure if that’s what caused it.”
A – Associated symptoms
“Swelling, redness, fever, pain in the scrotum, and I feel generally unwell, but I don’t have any nausea or vomiting.”
Orchitis
O – Onset
“I noticed the swelling in my scrotum a few days ago. It seems to have gotten bigger over time.”
P – Provoking/Palliating
“The swelling doesn’t get worse with movement, but it does feel heavy and tight. It doesn’t get better with rest either.”
Q – Quality
“The scrotum feels tight and taut, almost like it’s full of fluid. It’s tender to touch, but there’s no sharp pain.”
R – Region/Radiation
“It’s localized to my scrotum, and I can’t feel the testicles or epididymis clearly because of the swelling.”
S – Severity
“It’s a dull, uncomfortable feeling, about 4 or 5 out of 10 in terms of discomfort. The tightness is the worst part.”
T – Timing
“The swelling started a few days ago and has been constant since then, getting worse by the day.”
I – Impact on life
“I feel heavy and uncomfortable, especially when sitting or standing for long periods. It’s hard to ignore it, but it doesn’t affect my ability to do daily tasks.”
U – Understanding
“I’m not sure what caused the swelling. I think it might be due to some inflammation, but I don’t know for sure.”
A – Associated symptoms
“Some tenderness, heaviness, and tightness. I haven’t had any significant pain, and there’s no redness or fever.”
Scrotal Edema
