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Male/Female Health > Male Exam/DRE > Flashcards

Male Exam/DRE Flashcards

1
Q

What are the three history questions?

A

Have you noticed changes in urination, dedication, or sexual function?

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2
Q

2 beginning steps after the history taken?

A

Palpate an inspect hair

Palpate lymph nodes

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3
Q

What do you look for when inspecting the hair?

A

Lice, nits, lesions, or rashes

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4
Q

Next what to inspect after lymph nodes?

A

Urethral meatus

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5
Q

What should the meatus look like?

A

Pink, glistening, slit-like, and smooth

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6
Q

If the meatus is bumpy what could it be?

A

HPV infection

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7
Q

If meatus is red?

A

STD or UTI

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8
Q

Why do we inspect meatus first before the penis?

A

Not to move any discharge down as to block the opening.

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9
Q

What do we do after inspecting the meatus?

A

Palpate penis shaft for lumps or lesions

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10
Q

What do we do after palpating penis?

A

Strip the urethra

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11
Q

Why do we strip the urethra?

A

To move any discharge out.

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12
Q

What is normal when we strip the urethra?

A

Single clear drop of fluid

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13
Q

What is abnormal when we strip the urethra?

A

More than a single drop, purulent

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14
Q

If there is copious amounts of purulent discharge, then what could it be?

A

gonorrhea

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15
Q

What has a cloudy discharge?

A

chlamydia

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16
Q

After stripping the urethra, then what?

A

Inspect scrotum and testicles for redness, swelling or lesions.

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17
Q

Which testicle is usually lower? Why?

A

Left

Longer spermatic cord

18
Q

After inspecting the testicles, then what?

A

Palpate the testicles

19
Q

If there are lumps in the testicles what do you think?

A

Testicular cancer - aggressive

20
Q

What do you do after palpating the testicles?

A

transilluminate

21
Q

When you transilluminate the testicles, what are you looking for? What is bad?

A

A cherry red glow

Any dark spots are considered cancer

22
Q

What do you do after transilluminating the testicles?

A

Hernia check

23
Q

What is the first hernia check.

A

Have patient bear down and inspect or look for bulging.

24
Q

What is the second hernia check?

A

Use small finger to take scrotal skin up into the INGUINAL CANAL at a 45 degree angle away from penis. Patient turns away and coughs.

25
Q

If you feel a warm, soft, bulge at the tip of your finger what kind of hernia is it?

A

indirect hernia

26
Q

If you feel a warm, soft, bulge at the abdominal side of finger what kind of hernia is it?

A

Direct hernia

27
Q

What do you do after checking for hernias?

A

cremasteric reflex

28
Q

What are you looking for in the cremasteric reflex?

A

Ispilateral testicle to rise

29
Q

Why are the testicles innervated higher than expected?

A

Because embryologically they develop up where ovaries are in females.

30
Q

After the cremasteric reflex then what do you do?

A

DRE exam

31
Q

For the DRE what do you do first?

A

Inspect sacrococcygeal area for lesions, rashes, etc.

32
Q

After inspecting sacrococcygeal area then what?

A

Palpate posterior aspect of the scrotum.

33
Q

After palpating posterior aspect of scrotum then what?

A

Palpate the perineal area.

34
Q

If the perineal area is in pain what could that mean.

A

Indicative of a prostate problem.

35
Q

After palpating the perineal area then what?

A

Inspect the anal area for cracks, fissures, fistulas, or bleeding hemorrhoids that make exam unsafe.

36
Q

What inspecting anal area then what?

A

DRE exam

37
Q

Explain DRE

A

Lubricate finger
Have pt. bear down and insert up to knuckle, pt. squeezes to check neurological and muscular control of anal sphincter
Bear down, insert fully, palate prostate. Tell pt. discharge is normal.
Turn finger to check rectal walls 360 degrees.
Bear down again and remove finger - feels like having a bowel movement.

38
Q

What do you do when finishing DRE?

A

Smear finger on GUIAC test kit to assess for fetal occult blood.

39
Q

What does GUIAC test for?

A

colo-rectal cancer - annual screen for 50+

40
Q

What is recommended every 5 years for 50+?

A

Colonoscopy and sigmoidoscopy

Male/Female Health (2 decks)

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