Male Genital and Rectal Exam Flashcards
What may excoriations indicate in the pubic hair?
lice or scabies
Which 3 scrotal contents need to be palpated?
- Testes
- Epididymis
- Spermatic cord (vas deferens)
Which age group has the highest incidence of testicular cancer?
15-35 years
Who do screening guidelines appy to?
these are recommendations for asymptomatic pations with average risk
Which male patients should consider monthly self-testicular exams?
Men with risk factors such as:
- Undescended testicle (cryptorchidism)
- Previous testicular cancer
- Family history
Does USPSTF recommend routine screening for testicular cancer in asymptomatic patients?
No, USPSTF recommends against this
What causes genital herpes?
Herpes Simplex virus (usually Herpes Simplex virus 2)
What condition is typified by painful vesicles that become ulcerated on the penis?
Herpes Simplex virus
What condition will present as painless, umbilicated vesicular-like lesion on the penis?
Molluscum contagiosum
- benign
- viral
- self-limited
Which condition presents with a round, painless ulcer (chancre)?
Primary syphilis
How long does it take chancres to resolve?
4-8 weeks
Which organism should you be suspicious of if purulent urethral discharge is present?
Neisseria gonorrhoeae
Which organism will cause mucopurulent discharge from the penis?
Chlamydia
What is the name for the idiopathic condition resulting in fibrosis in the corpora cavernosa, palpable nontender plaques just beneath the skin on the dorsum of the penis - causing curvature of the penis?
Peyronie’s Disease
What should you be suspicious of if there is a firm nodule or ulcer that doesn’t heal on the penis?
carcinoma of the penis
Carcinoma of the penis is more likely in what population?
uncircumsized males
What is the most common type of hernia?
indirect
*often into scrotum
Which type of hernia is more common in women?
femoral
- below the inguinal ligament
- may mimic lymph node
In what population are direct inguinal hernias more common?
Men over 40
In which testicle is a varicocele most likely to occur?
Left
Varicose veins of scrotal vessels
Varicocele
What is the name for a benign, non tender fluid-filled mass within the tunica vaginalis?
Hydrocele
*transilluminates
What is the name for a painless, mobile mass just above the testis containing sperm?
Spermatocele
What is the name for an infection of the epididymis that causes local pain and swelling and is often associated with a UTI or prostate infection?
Acute epididymitis
Acute orchitis (inflammation/infection of the testis) is a complication of what?
Mumps and other viral infections
Testicular torision
Twisting of the spermatic cord
- intense pain
- red, swollen, tender scrotum
- testis pulled upwards
- SURGICAL EMERGENCY*
What would you be concerned for with a firm, painless testicular nodule that didn’t transilluminate?
testicular tumor
Which type of hemorrhoid is painful?
external (anal) hemorrhoids are painful
Which type of hemorrhoid is usually painless?
internal (rectal) hemhorrhoids
Which type of hemorrhoid is more likely to cause a painful blood clot?
External hemorrhoid
What is the name of a tear in the inside lining of the wall of the anus?
Anal fissure
How is an anal fissure diagnosed?
- History
- Anoscopy
What is the cause of perianal condylomata?
HPV - human papillomavirus
How is perianal condylomata transmitted?
sexually transmitted
What is the name for symmetrical enlargement of the prostate gland with weak urine stream and difficulty starting stream?
Benign prostatic hypertrophy (hyperplasia)
What would you be concerned for if you palpated an enlarged, firm nodule or area of hardness with irregular contour and no median sulcus?
carcinoma of prostate
Where does carcinoma of prostate metastasize?
- Locally
- Bone
