Male Pathophysiology 1 Flashcards

1
Q

What are the most common congenital abnormalities of the penis?

A

Epispadias and hypospadias

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2
Q

What are epispadias and hypospadias

A

Abnormal openings of the urethra on the dorsal or ventral penis from malformation of the urethral canal.

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3
Q

Which is more common, Epispadias or hypospadias?

A

Hypospadias.

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4
Q

This notecard set is not going to be very thorough until the weekend of the 28th

A

ok

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5
Q

Inflammation of the penis

A

phimosis

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6
Q

Cryptorchidism

A

undescended testis

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7
Q

Penile duplication

A

Two urethral orifices

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8
Q

What is hypospadias

A

urethral opening on the bottom (ventral side of penis)

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9
Q

Phimosis

A

inability to easily retract the foreskin

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10
Q

Inflammation of the penis is generally due to phimosis or venereal disease

A

ok

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11
Q

Blanaitis=

A

glans inflammation

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12
Q

Posthitis

A

foreskin inflammation

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13
Q

phimosis

A

inability to retract the foreskin

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14
Q

What is a condyloma

A

warty, cauliflower like growths which occur primarily in the anogenital region, though you can get them wherever you have sex.

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15
Q

What HPV causes condyloma?

A

HPV 6 and 11

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16
Q

Squamous carcinoma in situ on the skin of the penis is called?

A

Bowen disease

17
Q

Squamous carcinoma on the glans of the penis

A

erythroplasia of queryat.

18
Q

80% of penile dysplasias are related to what?

A

HPV…usually type 16. If left untreated, will progress to squamous cell carcinoma

19
Q

Squamous cell carcinoma of the penis is related to HPV 50% of the time (types 16 and 18). Other risk factors include smoking and poor hygiene

20
Q

cryptorchidism

A

undescended testes

21
Q

Klinefelter syndrome

A

Too many x chromosomes….usually xxy

22
Q

Eunuchoid appearance

A

Increased stature, small to normal sized well developed testis

  • incomplete virilization
  • gynecomastia
  • mental retardation
23
Q

Histology of Klinefelter seminiferous tubules

A

small hyalnized

24
Q

What is distinct about the Leydig cell layout in Klinefelter?

A

Psuedoadenomatous clusters of Leydig cells. Just appear this way because of decreased testicular volume. There is really no increase in number

25
Klinefelters patients are at risk for increased incidence of extragonadal germ cell tumors and hypopituitarism
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26
Focal atrophy of the testicular tubules
Mumps Orchitis
27
What is testicular torsion
twisting of the spermatic cord leading to ischemia and venous stasis, May be related to trauma but often the inciting event is obscure. Surgery within 4-6 hours may save the testis; after that, infarction will obliterate it.
28
Hypospadias is caused by?
Failure of the urethral folds to close
29
Epispadias caused by
Abnormal positioning of the genital tubercle
30
Bowen Disease
In Situ Carcinoma of the penile shaft or scrotal skin, presents as leukoplakia. This is a precursor for squamous cell carcinoma of the penis