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Patient Assessment > Male Genital > Flashcards

Male Genital Flashcards

1
Q

What can cause persistent erections?

A

MS, Sickle cell, DM, spinal cord injuries, leukemia

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2
Q

What are some things that cause increase temp of scrotum?

A

tight pants, briefs, hot baths, high temp environments, prolonged sitting

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3
Q

What is contracture of penis?

A

peyronie disease

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4
Q

What are risk factors for penile cancer?

A 
lack of circumcision
phimosis
HPV infection
increased age
smoking
HIV infection
UV light for psoriasis
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5
Q

What are risk factors for testicular cancer?

A 
undescended testicle
personal hx of testicular CA
abnormal testicle development - klinefelter
age 20-54 
White race
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6
Q

How do you examine the penis?

A

Retract the foreskin if patient is uncircumcised.
Glans of the penis (color, smegma); urethral meatus for discharge
Palpate penis for tenderness, induration.
Strip the urethra for discharge.

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7
Q

What is the white stuff that is in uncircumsized penises?

A

smegma

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8
Q

What do you always need to do after palpate and striping the penis?

A

reposition the foreskin

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9
Q

What are the four characteristics you need to note for the scrotum?

A

color, texture, symmetry, thickness

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10
Q

How do you do the cremasteric reflex?

A

stroke thigh with blunt instrument and same side testical will rise

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11
Q

soft swelling in area of internal ring, and is palpable within the inguinal canal, when in comes down canal and touches fingertip on exam.

A

indirect hernia

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12
Q

How are indirect hernias likely to occur?

A

bilaterally

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13
Q

a bulge in the area of Hesselbach triangle, and is palpable medial to the canal, pushing against side of finger on exam. It is usually easily reduced.

A

direct hernia

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14
Q

What is a mass that transilluminates but does not change in size?

A

fluid filled hydrocele

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15
Q

What is a mass that does not transilluminate but changes in size?

A

hernia

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16
Q

What is a mass that does not illuminate or change in sixe?

A

incarcerated hernia - Surgical emergency

17
Q

What is testicular torsion?

A

twisting of testes on spermatic cord

18
Q

What is hypospadias?

A

congenital defect where urethral meatus located on ventral surface of glans penis

19
Q

What is variocele?

A

bag of worms - dilation of veins of the pampiform plexus

20
Q

What is klinefelter syndrome?

A

XXY

21
Q

What does the cremasteric reflex help to do?

A

regulate testes temp

22
Q

What is smegma?

A

collection of sebacaous material

23
Q

Which side has the lower scrotal sac?

A

left

24
Q

What is the term for the testes failing to descend?

A

cryptorchidism

25
Q

What can phimosis be related to?

A

DM

26
Q

What can cause testes insensitivity?

A

syphilis or DM

27
Q

What is absent in testicular torsion?

A

cremasteric reflex

28
Q

What is the most common type of hernia?

A

indirect

Patient Assessment (23 decks)

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