Male Flashcards
Prostate and Rectal Exam steps
Inspection
- Anus
Palpation
- Rectum
- Prostate
Additional
- Check for occult blood
- Clean up patient
Compare/Contrast Inguinal Hernias: Direct versus Indirect
Identify the Inguinal Hernia: Direct versus Indirect
Physical Exam
- Palpable mass at side of finger outside of inguinal canal
- No scrotal mass
Direct hernia
Male Inspection (4 items)
- Tanner stage
- Penis
- Foreskin
- Scrotum
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Identify:
- Urgent and frequent urination
- nocturia
- double voiding
- split stream
- straining
- Benign prostatic hyperplasia (BPH)
- Hydronephrosis secondary to BPH
Testicular cancer is the most common cancer in American males between the ages of __________
15 and 34
Is testicular cancer treatable?
Highly treatable
Male palpation
- Penis
- Scrotum—testes
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Guaiac negative means what?
Occult blood test negative
Male Tanner Staging:
- Prepubertal
- Villus hair only
Stage 1
Common hernia sites: Name the hernia
- (in inguinal canal)
Indirect inguinal hernia (in inguinal canal)
_______ is a Swollen male breast tissue caused by a hormone imbalance.
gynecomastia
Signs/symptoms of Hydronephrosis secondary to Benign Prostatic Hyperplasia (BPH)
- Urgent and frequent urination
- nocturia
- double voiding
- split stream
- straining
The need strain or push (called _______) to initiate and maintain urination in order to more fully evacuate the bladder
Valsalva maneuver
Identify the Inguinal Hernia: Direct versus Indirect
History
- Men over 40
- Large, painless groin mass for many years
Direct hernia
What is a secondary complication of Benign prostatic hyperplasia (BPH)?
hydronephrosis
Common hernia sites: Name the hernia
- (external opening to femoral canal)
Femoral hernia
Clinical staging of prostatic carcinoma. Identify the stage:
- Tumor has extended beyond the prostatic capsul to involve adjacent structures
C
Extensive carcinoma
_________ occurs when a portion of the small intestine enters the inguinal canal
- inguinal hernia
Male Tanner Staging:
- Enlargement of penis (length at first); further growth of testes
- Thicker, curlier hair spreads to the mons pubis
Stage 3
Male Tanner Staging:
- Adult genitalia
- Adult-type hair with spread to medial thigh
Stage 5
Male Tanner Staging:
- Enlargement of scrotum and testes; scrotum skin reddens and changes in texture
- Sparse growth of slightly pigmented hair at base of penis
Stage 2
Identify the Inguinal Hernia: Direct versus Indirect
Physical Exam
- Palpable mass at tip of finger in inguinal canal
- Large mass in scrotum
INdirect hernia
Identify the Inguinal Hernia: Direct versus Indirect
History
- Most common
- Painless scrotal mass
INdirect hernia
Presentation of testicular cancer
- Mass or swelling in either testicle
- Dull ache in the back or lower abdomen
- Gynecomastia (Swollen male breast tissue caused by a hormone imbalance)
- Testicular discomfort/pain
- a feeling of heaviness in the scrotum
Clinical staging of prostatic carcinoma. Identify the stage:
- Tumor is confined to the prostate
A and B
Local carcinoma
Common hernia sites
- Indirect inguinal hernia (in inguinal canal)
- Femoral hernia (external opening to femoral canal)
- Direct inguinal hernia
Clinical staging of prostatic carcinoma. Identify the stage:
- Lymph node or distant metastases are present
D
Extensive carcinoma
Male Tanner Staging:
- Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker
- Adult type hair but no spread to medial thigh
Stage 4
Male Tanner Staging:
- Approximate age of onset
- Approximate age of completed development
Onset: 10-13 y
Complete: 14-18 y
