Male GU 10?

Question 1

insepction of penis includes

Answer 1

hair pattern
circumcision status
foreskin- retractable and reducible
glans- lesions/inflammation
urethral meatus- position and look for discharge

Question 2

balanitis

Answer 2

inflammation of glans

Question 3

hypo or epispadias

Answer 3

position of urethral meatus

Question 4

fibrous tissue around penis

Answer 4

peyronies disease

Question 5

what to inspect scotum

Answer 5

masses, asymmetry

rugal pattern and median raphe

Question 6

what are causes of testicular masses

Answer 6

carcinoma

hydrocele

Question 7

what can cause testicular tenderness

Answer 7

orchitis, torsion, epididymitis, tumor hernia

Question 8

extratesticular masses

Answer 8

hernia
varicocele
epididymal cyst

Question 9

what could cause transillumination of scrotum

Answer 9

hydrocele and epididymal cyst

Question 10

are hydroceles teneer

Answer 10

no

Question 11

is epididymitis tender

Answer 11

yes!

Question 12

presentation testicualr torsion

Answer 12

usually early to mid teens
abrupt onset
severe pain
affected testicle elevated in scrotum
rapid Dx necessary

Question 13

what is varicocele

Answer 13

bag of worms feel
dilated veins
painless

Question 14

presentation testicular cancer

Answer 14

painless
gradual
testis hard and enlarged
no transillumination

Question 15

indirect inguinal hernia

Answer 15

hernia sac through inguinal ring
can go into scrotum
seen in newborns
most common

Question 16

direct inguinal hernia

Answer 16

hernia sac exits through tear in transversalis fascia
may pass with cord into scrotum
caused by straining

Question 17

femoral hernia

Answer 17

hernia sac exits inferior to inguinal ligament into femoral triangle
more common in women

Question 18

what are skin tage

Answer 18

overgrowth of epithelium
painless
pale color!! not hemorrhoid

Question 19

anal fissure

Answer 19

tear in anal mucosa

very paingul

Question 20

anorectal fistual

Answer 20

tract between rectum and perianal region

assoc with crohns

Question 21

anal cancer

Answer 21

squamous

painless unless ulcerated

Question 22

causes of rectal prolpase

Answer 22

weakening of floor of pelvis

secondary to multiple childbirths or age

Question 23

during what phase respiration do you insert finger for DRE

Answer 23

exhalation

Question 24

normal size prostate

Answer 24

4 cm, 1 cm into rectum

Question 25

rubbery prostate

Answer 25

BPH

Question 26

fluctuant or tender prostate

Answer 26

prostatitis

Question 27

rigid prostate

Answer 27

carcinoma

Question 28

firm nodules on prostate

Answer 28

carcinoma