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Patient Assessment > Male Genitalia > Flashcards

Male Genitalia Flashcards

1
Q

what is the epididymis’ role?

A
  • storage
  • maturation
  • transport
    of sperm
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2
Q

what structure transports sperm from the epididymis tail to the urethra?

A

vas deferens

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3
Q

what makes up the spermatic cord

A

vas deferens
blood vessels
nerves
muscle fibers

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4
Q

what does the spermatic cord pass through?

A

inguinal canal

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5
Q

what are the 3 borders of the hesselbach triangle

A
  1. inferior epigastric
  2. rectus abdominus
  3. inguinal ligament
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6
Q

internal inguinal ring is aka

A

deep inguinal ring

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7
Q

external inguinal ring is aka

A

superficial inguinal ring

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8
Q

what does NAVEL stand for

A

Nerve
artery
vein
empty space
lymph

moves lateral to medial

femoral triangle contents

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9
Q

normal testis length for prepubertal boys

A

1.5-2cm

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10
Q

what is the noraml testis length post puberty

A

4-5cm

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11
Q

what are the 6 things you should focus on for health history?

A
  1. SOGI
  2. Past number
  3. history of STI
  4. hernias
  5. penile discharge/lesions
  6. scrotal or testicular pain, swelling, masses, lesions
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12
Q

transgender women

A

individual who was born a male at birth but identifies as a female currently

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13
Q

what hernia is associated with weakness in hesselbach’s triangle

A

direct hernia

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14
Q

what three things should be evaluated for penile discharge

A
  1. amount
  2. color
  3. associated symptoms (fever, rash, chills, dysuria, urinary sx)
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14
Q

white or clear discharge is associated with

A

chlamydia (non-gonnoccocal urethritis)

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14
Q

Yellow discharge is associated with

A

gonorrhea

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14
Q

what associated sx will disseminated gonorrhea present with?

A
  1. rash
  2. tenosynovitis
  3. mono-articular arthritis
  4. meningitis
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14
Q

what pain is associated with chancroid ulcers?

A

painful
(deep ulcer)

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15
Q

what type of pain is associated with chancre of primary syphilis? describe the ulcer size?

A

Painless
erosion up to 2cm in diameter

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16
Q

what ulcer is an erosion that is up to 2cm in diameter and clear/glistening

A

chancre of primary syphilis

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17
Q

What type of pain is associated with Lymphogranuloma venereum (LGV)

A

painless ulcer

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18
Q

genital warts aka

A

condyloma acuminata

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19
Q

what is a cauliflower type lesion?

A

condyloma acuminata

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20
Q

what are penile vesicles aka

A

genital herpes simplex

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21
Q

what pain is associated with genital herpes simplex

A

painful erosision/ulcer if the vesicular membrane breaks

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22
Q

describe genital herpes simplex

A

small scattered or group vesicles on erythematous base

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23
Q

what can cause scrotal or testicular pruritus

A

scabies or pediculosis pubis

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24
Q

what can cause scrotal or testicular swelling

4

A

mumps orchitis
scrotal edema
testicular cancer
hydrocele

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25
Q

what can cause scrotal or testicular pain

A
  • testicular cancer
  • torsion
  • epididymitis
  • orchitis
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26
Q

what position can the patient be for PE

A

sstanding, sitting, supine

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27
Q

what are you inspecting for on PE of the penis?

A

skin on the ventral and dorsal surface and base of penis
* excoriations or inflammation

28
Q
A
29
Q

what can cause excoriations

A
  • scabies
  • peduculosis pubis
30
Q

Prepuse aka

A

foreskin

31
Q

when examining the penis ______ the foreskin

A

retract for detection of chancre or carcinoma

32
Q

what is Phimosis

A

tight foreskin that can not be retracted over the glans

33
Q

smegma is

A

secretions of glans that normally accumulate under the foreskin
* white, cheesy materal

34
Q

what is paraphimosis

A

a tight foreskin that once retracted cannot be returned

35
Q

what are you looking for on inspection of the glans

A
  • ulcers
  • scars
  • nodules
  • signs
    *
36
Q

what is balanitis

A

inflammation of the glans

37
Q

what is balanoposthitis

A

inflammation of the glans and prepuce

38
Q

what should you check for when looking at the urethral meatus

A
  • location
  • discharge
39
Q

what is hypospadias

A

congential displacement
urethral meatus moves to the anterior/ventral surface of the penis (down)

40
Q

what is epispadias

A

a congenital displacement of the meatus to the dorsal (top) part of the penis

41
Q

what should you palpate the penis for?

A
  • any induration
  • any tenderness
42
Q

what is peyronie disease

A

palpable, non tender hard plaques found just beneath the skin on the dorsum of the penis

43
Q

what is a main symptom of peyronie disease

A

curved/painful erections

44
Q

what is carcinoma of the penis

A

indurated nodule or ulcer that is nontender

45
Q

what is the MC risk factor fo carcinoma of the penis?

A

in uncircumcised men

46
Q

what is a suspicious symptom of carcinoma of the penis?

A

penile sores

47
Q

what two diseases are associated with painful ulcers of the scrotum

A

herpes
chancroid

48
Q

what is an epidermoid cyst?

A

a benign, dome-shaped white or yellow papules or nodules

49
Q

what are you looking for upon inspection of the scrotum

A
  • swelling
  • lumps
  • veins
  • bulging
  • asymmetry
    *
50
Q

what is cryptorchidism

A

absense of one or both testes from the scrotum

51
Q

what are 4 common scrotal swelling causes

A
  1. indirect inguinal hernia
  2. hydrocele
  3. scrotal edeam
  4. testicular cancer
52
Q

what conditions is associated with scrotal edema that makes the scrotal skin taut bilaterally?

A
  • heart failure
  • liver failure
  • nephrotic sydnrome
53
Q
A
54
Q

what should you inspect the inguinal area for?

A

erythema, excoriation, visible adenopathy

55
Q

how is tinea cruris described?

A

beefy red rash in the inguinal area

56
Q

how should the testes feel?

A

firm, descended, symmetric, nontender, without masses

57
Q

what age range is testicular cancer most common?

A

age 15-34 yo

58
Q

what pain is associated with testicular cancer>

A

painless nodule

59
Q

what should the epididymis feel like?

A
  • palpable on posterior surface of each testicle
  • feels nodular, cord-like, non tender
60
Q

where should you palpate for the spermatic cord

A

palpate from the epididymis to external inguinal ring
*palpate for any nodules or swellings

61
Q

what 3 things are associated + transillumination

A
  1. hydrocele
  2. spermatocele
  3. epididymil cyst

glows red

62
Q

what 3 things are associated with (-) transillumination

A
  1. tumor
  2. hernia
  3. normal testes

light is blocked

63
Q

how do you palpate for inguinal hernia

A

ask the patient to cough with palpation at the external inguinal ring and again with palpation towards internal inguinal ring

64
Q

direct inguinal hernia is located near the _ and pushes against what

A

external inguinal; the side of the finger

65
Q

indirect inguinal hernia is located near the _ and pushes against what

A

internal inguinal ring; the fingertip

66
Q

what is an incarcerated hernia?

A

hernia can not be returned to the cavity

67
Q

what is a strangulatred hernia

A

when the blood supply to the trapped contents is compromised
emergency surgery

68
Q

how to palpate for the femoral hernia

A
  • below the inguinal ligament
  • move medially toward the pubic tubercle over the femoral canal
  • ask the pt to strain
69
Q

scrotal hernia is most commonly due to

A

indirect inguinal hernia

70
Q

what is a reducible scrotal hernia

A

scrotal mass that returns to abdomen when the pt lies down or with pressure

71
Q

does a scrotal hernia transilluminate?

A

no

72
Q

can you auscultate bowel sounds over the scrotum for scrotal hernia?

A

possible

73
Q

can examining fingers get above a scrotal hernia?

A

no

Patient Assessment (20 decks)

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