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S20 PD > Male GU > Flashcards

Male GU Flashcards

1
Q

how many columns make up the shaft of the penis

A

3

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2
Q

what forms the bulb of the penis

A

corpus spongiosum (contains urthera)

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3
Q

what covers the glans

A

prepuce

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4
Q

smegma

A

secretions of the glands

- can accumulate

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5
Q

urtheral meatus

A

slit like opening

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6
Q

primary drainage of penis

A

external inguinal nodes

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7
Q

drainage of the scrotum

A

superficial inguinal nodes

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8
Q

drainage of the testicles

A

renal veins

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9
Q

low libido association

A

depression
endocrine
medication side effects

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10
Q

what type of erection is extremely important

A

morning (testosterone levels highest in the am)

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11
Q

work up for ED/LL

A

med revie/depression screening

- test, TSH, BMP, prolactin, LH

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12
Q

HSV

A

red base

  • painful, fever, malaise
  • can be asymptomatic
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13
Q

what causes syphilis

A

treponema pallidum

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14
Q

appearance of syphillis

A

small, red, painless erosions

- raised borders

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15
Q

treatment of syphyllis

A

spontaneously in 3-8 weeks

- can be deadly

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16
Q

cause of warts

A

HPV 6 and 11

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17
Q

warts symp/asymp?

A

usually asymptomatic

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18
Q

epidermoid cysts

A

yellow/white dome-shaped papules

- occluded follicles

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19
Q

appearance of fungal infections

A

moist, red, scaling

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20
Q

work up for ulcerations

A

PCR

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21
Q

phimosis

A

foreskin cant be retracted

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22
Q

paraphimosis

A

foreskin cannot be returns after retracted

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23
Q

hypospadias

A

congenital displacement of urethral opening on underside of penis

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24
Q

uretheral displacements

A

subcoronal
mid shaft
penoscrotal

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25
Q

yellow disharge

A

gonococcal urethritis

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26
Q

white/clear discharge

A

non-gonococcal (usually chlamidyia)

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27
Q

peyronie disease

A

palpable non tender plaque beneath skin of shaft

- crooked, painful erection

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28
Q

scrotom

A

sac

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29
Q

what covers the testes

A

tunica vaginalis

30
Q

hydrocele

A

fluid collection surrounding testicle

- normal in firs year of life

31
Q

if no transillumination

A

normal testis
tumor
hernia

32
Q

spermatocele

A

accumulation in cystic like structure off head of epididymis

PAINLESS

33
Q

varicocele

A

enlargement of veins in scrotum

- dull/heavy feeling

34
Q

types of scrotal abcessess

A

superficial and intrascrotal

35
Q

how to examine scrotal accesses

A

standing or sitting

- palpate 2 cm about testis

36
Q

what happens to a varicocele when supine

A

collapses

37
Q

causes of epididymitis

A

STIs
trauma
urine backflow
viral/bacterial

38
Q

torsion

A

sperm cord twists cutting of lood flow to testis

39
Q

symptoms of torsion

A

sudden severe pain

40
Q

phrens sign

A

lifting scrotum alleviates pain

?differentiation between epid and torsion

41
Q

risk factors for testicular cancer

A 
crypto
cancer in other testicle
Caucasian
20-34, old
microlithiasis
42
Q

where does test cancer met to

A

lungs, spine, GI

43
Q

tumor markers test cancer

A

AFP, BHCG, LDH

44
Q

most common type of test cancer

A

germ cell tumor- seminoma

45
Q

groin landmarks

A

anterior superior iliac spine, pubic tubercle and inguinal ligament

46
Q

inguinal hernias

A

loops of bowel force way through weak areas of the inguinal canal

47
Q

direct hernia

A

more common in men over 40

- through weak spot in floor of inguinal canal

48
Q

indirect hernia

A

most common

- through inguinal canal rings

49
Q

femoral hernias

A

bowel protrudes through femoral canal

50
Q

what type of hernia is more common in women

A

femoral

51
Q

cryptorchidism

A

undescended testicle (could be in abdomen or inguinal canal)

52
Q

complications of cryptorchidism

A

infertility and testicular cancer

53
Q

retractile testes

A

normally descended testes that can be pulled into a suprascrotal position by the cremasteric reflex

54
Q

what holds anus in closed position

A

voluntary external sphincter and involuntary internal sphincter

55
Q

innervation of external sphincter

A

inferior rectal nerve

PUDENTAL

56
Q

increased rectal tone

A

inflammation
anxiety
scarring

57
Q

decreased rectal tone

A

neurologic disease- (S2-S4)

58
Q

anorectal junction

A

boundary between somatic and visceral nerve supplies

59
Q

location of prostate

A

anterior to rectal wall

60
Q

anal fissures symptoms

A

pain with defaction

61
Q

cause of anal fissures

A

trauma

62
Q

common location of anal fissures

A

posterior midline

- if found elsewhere: HIV/AID, syph, chrons, anal carcinoma

63
Q

pinworms

A

itching (more at night)

more common in younger (spread orally)

64
Q

external hemorrhoids

A

dilated veins below pectinate line

  • asymptomatic
  • painful if thrombosed
65
Q

internal hemorrhoids

A

enlargement of vasculature about pectinate line

- bright red blood

66
Q

symptoms of BPH

A 
dribbling
nocturia
change in stream/urgency 
sense of incomplete emptying
incontinence
67
Q

cause of prostatitis

A

bacteria
virus
injury
immune

68
Q

symp prostatitis

A

painful/diff with urination
pain
fever, night sweats, chills

69
Q

risk factors for prostate cancer

A

age, ethnicity, fam history

70
Q

recommended colon cancer screening

A

50-75

S20 PD (3 decks)

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