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Health Assessment > Male GU (Exam 3) > Flashcards

Male GU (Exam 3) Flashcards

1
Q

Penis

A

reproduction and urination
urethra
foreskin
frenulum

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2
Q

Scrotum

A

continuation of abdominal wall; protective covering for the testes

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3
Q

Testis

A

two halves, which produce sperm

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4
Q

Epididymis

A

main storage site for sperm

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5
Q

Other components of male genitalia

A

vas deferens
spermatic cord
ejaculatory duct

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6
Q

Lymphatics

A

penis and scrotal surface drain into inguinal lymph nodes
testes drain into abdomen

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7
Q

Developmental Considerations: Adolescents

A

first sign of puberty is testes enlargement, then pubic hair growth, then penis size increase

WHITES AND HISPANICS AT AGE 10, AAs AT AGE 9 (TANNER STAGING)

earlier onset of puberty throughout the years, possibly related to chemical exposure, diet changes and less physical activity

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8
Q

Youth experience of bullying, discrimination, and homophobia regarding gender identity can lead to…

A

increased risk for high-risk behaviors, drug behaviors and mental health concerns

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9
Q

Men vs women fertility

A

men don’t experience a definite end to fertility like women, but there is decline

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10
Q

Developmental Considerations: Adults and Aging Adults

A

ED
Enlarging prostate (hematuria, UTIs, nocturia)
decreasing testosterone levels (fatigue, decrease in libido, sexual function, and penis size)

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11
Q

Causes of ED

A

PSYCHOLOGICAL (stress, anxiety, fatigue)
PHYSICAL (diabetic neuropathy, CV disorders, spinal cord injury)
NON-PHYSICAL (anti-hypertensive meds)

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12
Q

STIs

A

INCREASING #s EACH YEAR

chlamydia, gonorrhea, syphilis, HPV, HIV, Hep B MANY ARE ASYMPTOMATIC LEADING TO INCREASED TRANSMISSION

COUNSELING INTERVENTIONS!!

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13
Q

Terms for genitourinary

A

frequency (polyuria, oliguria)
urgency
nocturia
dysuria
hesitancy
hematuria
enuresis

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14
Q

Subjective Data: Past History

A

any GU problems
last testicular exam
STDs/STIs
circumcision (benefits? culture, family tradition, religious beliefs)

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15
Q

Subjective Data: Family History

A

cancer
benign prostatic hypertrophy (BPH)
other illnesses

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16
Q

Collecting Subjective Data

A

frequency, urgency, nocturia (how many times do they urinate? how many times do you wake up at night to pee?)
dysuria (any pain or burning?)
hesitancy and straining (dribbling, difficulty starting)
urine color (discoloration, foul odor, sediment?)
past GU history (kidney disease, UTIs, kidney stones? urge vs stress incontinence?)
penis (pain, lesion discharge?)
scrotum, self care behaviors, lump
sexual activity and contraceptives
STI contact (former STI, partner with STI?)

17
Q

Blue urine color

A

medication side effect (amitriptyline, indomethacin)
foods like asparagus
dye after prostate surgery

18
Q

Dark gray urine color

A

urine contains melanin (melanuria)

19
Q

Tea urine color

A

liver disease, especially with pale stools and jaundice
myoglobinuria
some meds and food dyes
blood in urine

20
Q

Pink urine color

A

menses
foods like beets, berries, food dyes
some laxatives
kidneys stones
UTIs

21
Q

Red urine color

A

blood
nephritis, cystitis
cancer (prostate, bladder)
following prostate surgery

22
Q

Orange urine color

A

med side effect (rifampin for meningitis, pyridium, warfarin)
some foods, food dyes, laxatives
dehydration
jaundice (bilirubinemia)

23
Q

Amber urine color

A

gold or concentrated with dehydration
some laxatives
food or supplements with B complex vitamins

24
Q

Yellow urine color

A

natural yellow is urochrome excretion, a pigment in blood
bright neon yellow with vitamin supplements

25
Q

Pale yellow urine color

A

clear, watery with excess liquids
acute viral hepatitis, cirrhosis

26
Q

Cloudy urine

A

UTIs
kidney stones

27
Q

Objective Data: Inguinal area

A

assess the area
ask patient to bear down when you palpate area
if bulges are felt, hernia may be present

28
Q

Hernias

A

abnormal bulge or protrusion of bowel through weak musculature along with fluid; INGUINAL AREA HERNIAS ARE COMMON

29
Q

Testicular self exam

A

encourage self care by teaching 13-14 yr olds how to self exam
early detection of cancer enhanced if male is familiar with his normal consistency
consider risk factors/monthly exams as needed

30
Q

TSE Health promotion acronym

A

Timing, once a month
Shower, warm water relaxes scrotal sac
Examine, check for, report changes immediately

31
Q

Testicular cancer and risk factors

A

MOST COMMON FORM OF CANCER AGES 15-35 (1% of all cancer in men)

MORE COMMON IN WHITES THAN BLACKS

undescended testicle
prior history of cancer in one testicle
family history

Health Assessment (19 decks)

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