Male Genitalia Flashcards
prepuce
foreskin
how do you palpate the penis?
with thumb and forefinger
where is the epididymis located?
on top of testis
what are you feeling for when examining for a hernia?
the external inguinal ring
where is the indirect inguinal hernia located?
above inguinal ligament near its midpoint (the internal inguinal ring), often in scrotum
where does the indirect inguinal hernia go through when patient coughs?
the inguinal canal
where is the direct inguinal hernia located?
below inguinal ligament near pubic tubercle (external inguinal ring), rarely in scrotum
Indirect vs direct inguinal hernia
indirect above inguinal ligament, near internal inguinal ring, often in scrotum
direct below inguinal ligament, near external inguinal ring, rarely in scrotum
who usually gets direct inguinal hernias?
men over 40
what happens to finger when feeling for direct inguinal hernia?
hernia bulges anteriorly and it pushes side of finger forward
femoral hernia is most common in who?
females
femoral hernia location
below inguinal ligament and lateral than inguinal hernias, never in scrotum, inguinal canal is empty
orchitis
inflammation of testes, hard to tell from epididymitis
Epididymitis
inflammation of epididymis
Torsion of spermatic cord
cord gets twisted, medical emergency!
Cryptorchidism
test does not descend, still in inguinal canal or abdomen
what are men at risk for with cryptorchidism? (undescended testicle)
cancer
hydrocele
non-tender, fluid filled cyst of tunica vaginalis, benign
varicocele
varicose veins of spermatic cord
spermatocele
cystic mass of spermatic cord above testis
testicular cancer age group and symptom
20-34, pulling sensation
early carcinoma
painless nodule
are testes usually the same size?
no
Orchitis, epididymitis, torsion, strangulated hernia…are these painful or not painful?
nonpainful
what do you do with acute epididymitis
gently tug to see if they jerk in pain
Orchitis viral or bacterial?
viral (mumps)
proctitis
inflammation around rectal opening
proctitis is involved with which problem?
ulcerative colitis
tenesmus
painful contraction of anal sphincter, will have pain when pooping and on rectal exam
perianal abcess occur in which kinds of patients frequently? treatment?
diabetics, surgery I&D
Pruritis Ani and what is it associated with?
itchy anus, associated with anxiety and OCD
if the prostate is firm, what does that indicate?
BPH
prostate normally should be?
round, smooth and heart shaped
