Male GU 10? Flashcards
insepction of penis includes
hair pattern circumcision status foreskin- retractable and reducible glans- lesions/inflammation urethral meatus- position and look for discharge
balanitis
inflammation of glans
hypo or epispadias
position of urethral meatus
fibrous tissue around penis
peyronies disease
what to inspect scotum
masses, asymmetry
rugal pattern and median raphe
what are causes of testicular masses
carcinoma
hydrocele
what can cause testicular tenderness
orchitis, torsion, epididymitis, tumor hernia
extratesticular masses
hernia
varicocele
epididymal cyst
what could cause transillumination of scrotum
hydrocele and epididymal cyst
are hydroceles teneer
no
is epididymitis tender
yes!
presentation testicualr torsion
usually early to mid teens abrupt onset severe pain affected testicle elevated in scrotum rapid Dx necessary
what is varicocele
bag of worms feel
dilated veins
painless
presentation testicular cancer
painless
gradual
testis hard and enlarged
no transillumination
indirect inguinal hernia
hernia sac through inguinal ring
can go into scrotum
seen in newborns
most common
direct inguinal hernia
hernia sac exits through tear in transversalis fascia
may pass with cord into scrotum
caused by straining
femoral hernia
hernia sac exits inferior to inguinal ligament into femoral triangle
more common in women
what are skin tage
overgrowth of epithelium
painless
pale color!! not hemorrhoid
anal fissure
tear in anal mucosa
very paingul
anorectal fistual
tract between rectum and perianal region
assoc with crohns
anal cancer
squamous
painless unless ulcerated
causes of rectal prolpase
weakening of floor of pelvis
secondary to multiple childbirths or age
during what phase respiration do you insert finger for DRE
exhalation
normal size prostate
4 cm, 1 cm into rectum
rubbery prostate
BPH
fluctuant or tender prostate
prostatitis
rigid prostate
carcinoma
firm nodules on prostate
carcinoma
