male gu assessment - Sheet1 Flashcards
What urinary symptoms should be discussed in a male GU subjective assessment?
Frequency, urgency, nocturia, dysuria, hesitancy, straining, urine color, and hematuria.
What past GU history information is relevant in a male GU assessment?
Erection changes, associated health issues, medications, history of lesions, sores, lumps, discharge, sexual history (partners, STIs).
What should be considered about the gender of the examiner during a male GU assessment?
Gender of the examiner may affect patient comfort; embarrassment or erection may occur.
What should be assessed regarding hair distribution during a male GU exam?
Check for pubic hair distribution, which may decrease with age, and assess for pests.
What questions should be asked about sexual history?
Inquire about partners, contraceptive use, and history of STIs.
What is phimosis?
Phimosis is the inability to retract the foreskin over the glans due to tight foreskin.
What are hypospadias and epispadias?
Hypospadias: Urethra opens on the underside of the penis; epispadias: Urethra opens on the upper aspect. Both require early surgery.
What should be observed regarding the foreskin in a male GU assessment?
Check if circumcised, foreskin retractability, and presence of phimosis.
How should a Foley or condom catheter be assessed?
Foley catheter: assess placement, urine color. Condom catheter: check for skin breakdown.
What should be noted in a scrotal assessment?
Check for edema, signs of infection, and any history of abdominal or pelvic trauma.
What are normal findings for inguinal or femoral hernias?
Hernias should not be palpable. Bulges suggest a hernia and should be referred to an MD or APRN.
When should prostate screenings typically begin?
Prostate screenings typically begin at age 40-45.
What is a Prostate-Specific Antigen (PSA) test?
PSA is a blood test used to screen for prostate cancer or other prostate conditions.
What is Hypospadias?
Hypospadias is a congenital condition where the urethral opening is located on the underside of the penis, often repaired in infancy.
What is Epispadias?
Epispadias is a congenital condition where the urethral opening is located on the upper aspect of the penis, requiring surgical repair.
What is the ideal age for surgical repair of hypospadias and epispadias?
Both conditions ideally require surgical repair during the first 7 years of life.