Male GU exam (King- 10 questions) Flashcards
what does the male genitalia examination consist of
inspection
palpation
look for hernias
rectum and prostate exam
do vascular structures, blood, hernias, and normal testicles transluminate?
NO
what is a hydrocele
abnormal collection of fluid in the tunica vaginalis
non tender
mass is contained within the scrotum
can be transilluminated
may be present at birth or in pediatric population
fingers can get above mass
what is a spermatocele
pea sized, non-tender mass that contains spermatozoa, usually attached to the upper pole of the epididymis
where does the prostate gland lie in relation to the rectum
anterior to the wall of the rectum
cancer of prostate feels like what
hard, irregular nodules, asymmetric gland
BPH feels like what
symmetrically enlarged prostate
soft gland
may bulge into the rectal lumen
what does prostatitis feel like
tender
boggy
fluctuant gland
chapman’s reflex on the lateral thigh
Peyronies disease
fibrous tissue in one corpus cavernosum
when they have an erection –> marked curvature towards affected side
what does stripping of the urethra mean?
if they have discharge, thumb and finger at the base of the penis and squeeze secretions downward
carcinoma of the testes
men age 20-30
very aggressive
non tender
hydrocele of testes
remnants of processus vaginalis patent
young people
what are some causes of testicular tenderness
orchitis torsion epididymitis tumor hernia
what scrotal masses will transluminat
hydrocele
sometimes epididymal cyst
inguinal hernia
non tender
mass extends into the inguinal canal
usually unilateral
may or may not be able to transluminate
may be present at birth or in peds pop
epididymitis
tender!
may have dysuria
hard to tell apart from orchitis
does NOT transilluminate
gradual onset
testicular torsion on exam
usually early to mid teens
abrupt onset
very severe pain
affected teste is usually elevated in scrotum
very rapid onset
diagnosis should be made ASAP or else testicular necrosis will occur within few hours
varicocele on exam
painless
very gradual onset
bag of worms palpation
does NOt transilluminate
may be bialteral
testicular cancer of exam
painless
gradual onset
testicle may feel very hard and enlarged
does NOT transilluminate
indirect inguinal hernia
the hernia sac exits through the internal inguinal ring
may pass with the cord toward and sometimes into the scrotum
most common hernia all ages and both sexes
can be seen in new borns
direct inguinal hernia
less common than indirect
usually found in men older than 40, rare in women
the hernia sac exits through a tear in the floor of the canal (transversalis fascia)
may be found in the scrotum but rarely
generally caused by straining
femoral hernia
exits inferior to the inguinal ligament and into the femoral triangle
more common in women than men
NOT the most common hernia in women (that would be the indirect inguinal hernia)
highest rate of incarceration
what are skin tags of the rectum
very common - completely benign
overgrowth of anal epithelium
painless
pale color
benign
in what pt’s are anorectal fistula’s commonly found
pt’s with crohn’s disease
almost always caused by an abscess
