Male GU Flashcards
1
Q
Inguinal inspection
A
- Ask pt to stand w/ back against exam table, legs shoulder-width apart
- Instruct him to lift his gown to his waist
- Ask about any abnormalities
2
Q
Inguinal palpation
A
- Start at iliac crest & palpate down inguinal ligament medially
- Examine pubic hair for lice, scabies
3
Q
Penile exam
A
- Visually inspect penis (if uncircumcised, ask pt to retract foreskin)
- Palpate both sides of penis & inspect urethral meatus
- Gently open meatus (observe for erythema or discharge)
4
Q
Scrotal exam
A
- Inspect scrotal skin for moles, rash
- Move scrotum to side & lift to check perineal area
- Palpate scrotal contents:
Testes, epididymis, spermatic cord
5
Q
Testicular exam
A
- Palpate each testicle btwn your index & middle finger & thumb
- Consistency is like “hard boiled egg”
6
Q
Highest incidence of testicular cancer
A
13-35 yo
7
Q
Epididymis
A
- Located on top of testicle
- Posterolateral
- May be sensitive to touch
8
Q
Spermatic cords
A
- Bilateral firm cords
- Feel like “BIC pen”
- Palpate from epididymis to inguinal ring
- Palpate btwn thumb & index
9
Q
Hernia exam
A
- Move slowly
- Invaginate some scrotal skin when inserting finger into inguinal ring
- Use cross-handed method
- Ask pt to cough or valsalva
- Feel for sudden pressure
10
Q
Rectal & prostate exam
A
- Ask pt to lean over exam table, rest elbows on table, legs apart & knees slightly bent
OR lateral decubitus position - Inspect perianal area:
Spread cheeks
Visualize opening
Check for hemorrhages, fissures, skin tags, & other lesions - Apply lubricant to finger
11
Q
Rectal exam
A
- Press tip of finger against anal opening, palm facing downwards
- Slowly insert finger & proceed to full length
- Rotate finger clockwise, then counterclockwise
- Note any nodules, irregularities, or tenderness
12
Q
Where is the prostate located?
A
At 6 o’clock
13
Q
Size of prostate
A
Size of walnut
14
Q
Shape of prostate
A
“Almond”
15
Q
Consistency of prostate
A
Firm, like tip of nose or thenar area of palm
