Male GU abnormalities Flashcards
1
Q
Genital herpes
A
- Begins w/ painful vesicles that become ulcerated
- Often recurrent
2
Q
Molluscum contangiosum
A
- Umbilicated vesicular-like
- Contagious, usually painless
- Benign viral condition; self-limited (6-12mo)
3
Q
Primary syphilitic chancre
A
- Chancre in coronal sulcus
- Painless
4
Q
Gonorrhoea
A
- Purulent urethral discharge
via “milking” urethra - Associated meatitis
5
Q
Most common cause of NGU
A
Chlamydia
- Mucopurulent discharge
- More watery
6
Q
Peyronie’s disease
A
- Idiopathic
- Fibrosis of corpora cavernous
- Palpable, nontender plaques beneath skin (along dorsum of shaft)
- Penile curvature, painful erections, erectile dysfunction
7
Q
Carcinoma of penis
A
- Begins as firm nodule or ulcer that does not heal
- Usually nontender
- More common in uncircumcised
8
Q
Indirect hernia
A
- Most common
- All ages, both sexes
- Above inguinal ligament, near midpoint
- Often into scrotum
- Palpable as impulse down inguinal ligament
9
Q
Direct hernia
A
- Men over 40, rare in women
- Above inguinal ligament, near pubic tubercle
- Rarely into scrotum
- Bulges anteriorly
10
Q
Femoral hernia
A
- More common in women
- Below inguinal ligament, more lateral
- May mimic lymph node
- Never into scrotum
11
Q
Varicocele
A
- Varicose vv
- Usually on left
- Feels like “bag of worms”
- May collapse (supine)
- May be associated w/ infertility
12
Q
Hydrocele
A
- Benign, nontender, fluid-filled mass within tunica vaginalis
- Transilluminates
13
Q
Spermatocele
A
- Painless, mobile mass above testis
- Smaller than hydrocele
- Contains sperm
- May transilluminate
14
Q
Acute epididymitis
A
- Infection of epididymis
- Local pain & swelling
- Primarily in adults
- Associated w/ UTI or prostate infection
15
Q
Acute orchitis
A
- Inflammation or infection of testis
- Testicular swelling & tenderness
- Similar appearance to epididymitis
- Complication of mumps & other viral infections
