Male Exam Flashcards
What type of hernia develops at the internal inguinal ring, where the spermatic cord exits the abdomen?
Indirect inguinal hernia
What type of hernia arises medially from weakness in the floor of the inguinal canal. Commonly as a result of straining/lifting.
Direct inguinal hernia
What type of hernia is more likely to present as an emergenicy with bowel incarceration or strangulation?
Femoral hernia
What are some causes of lacking libido?
1) psychogenic
2) endocrine
3) medications
Yellow penile discharge is usually seen in ___________
gonorrhea
White discharge is usually seen in _________
chlamydia
What are some non-urogenital symptoms of disseminated gonorrhea?
rash, tenosynovitis (FINKELSTEIN), monoarticular arthritis, meningitis
Testicular cancer is most commonly seen in what agegroup?
15-34
_____________is a tight prepuce that cannot be retracted over the glans
Phimosis
____________is a tight prepuce that, once retracted, cannot be returned
Paraphimosis
Inflammation of the glans
Balanitis
inflammation of the glans and prepuce
balanoposthitis
congenital ventral displacement of the meatus on the penis
hypospadias
Induration along the ventral surface of the penis suggests what?
1) urethral stricture
2) possible carcinoma
A poorly developed scrotum on one side or both sides suggests __________________
cryptorchidism
Common scrotal swellings include: (4)
1) inguinal hernias
2) hydroceles
3) scrotal edema
4) carcinoma (rarely)
There may be dome-shaped white or yellow papules/nodules formed by occluded follicles filled with debris on the scrotum. Is this alarming? What is it?
Epidermoid cysts and common and benign
Which of the following is NOT a cause of tender, painful scrotal swelling?
a) epididymitis
b) testicular cancer
c) orchitis
d) torsion of spermatic cord
e) strangulated inguinal hernia
b) testicular cancer
You detect a thickened cystic like structure of the spermatic cord. What is this?
Hydrocele of the cord, 2nd to chronic infection of the vas deferens
What common scrotal swelling can be diagnosed by transillumination.
hydrocele
True or False: A mass in the scrotum that disappears when the patient lies down is a scrotal hernia.
True
A plaque or scar tissue on the top of the shaft which causes the penis to bend.
Peyronie’s Dz
Which testicle usually hangs lower?
Left
What type of hernia is the most common?
Indirect hernia (follows path made by testicles through the inguinal canal)
Your 15 year old patient has an acutely painful, tender and swollen testicle. You notice it seems to be retracted. What do you suspect?
testicular torsion
What are the surgical emergencies?
1) incarcerated hernia with strangulation
2) testicular torsion
