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FNP 1 > module 10 testicular disorders > Flashcards

module 10 testicular disorders Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

varicocele patho

A

abnormal dilation of spermatic veins in the spermatic cord

  • multifactorial process
  • incompetent valves
  • > backflow of blood and pooling
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2
Q

epididymitis patho

A

acute or chronic inflammation of the epididymis
- cause: bacterial, viral, parasitic, chemical, trauma induced
2 most common: chlamydia, gonorrhoeae
> 35: r/t urinary tract pathogens, structural abnormalities, and urologic procedures

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3
Q

Orchitis patho

A 
systemic, blood-borne infection 
-> acute inflammation of one or both testicles 
Cause: 
- systemic viral infections (mumps)
- complication of syphilis
- mycobacterial infections
- fungal infections 
2 most common: trachomatis, gonorrhoeae
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4
Q

spermatocele patho

A

benign, painless sperm filled cyst of the epididymis

between the head of epididymis and the testes

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5
Q

hydrocele patho

A

accumulation of fluid within the tunica vaginalis surrounding the testicle

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6
Q

hematocele patho

A

collection of blood in the tunica vaginalis of the testes and manifests as a mass
- usually precipitated by trauma

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7
Q

testicular torsion patho

A

obstruction of blood flow to the testes because of a twisting of the arteries and veins in the spermatic cord

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8
Q

extravaginal torsion

A

occurs with the twisting of the spermatic cord, testis, and process vaginalis

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9
Q

intravaginal torsion

A

failure of the testis to adhere to the scrotal wall, creating a “bell clapper deformity”

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10
Q

scrotal-inguinal hernia patho

A

segment of the bowel slips through the internal inguinal ring

  • result of a defcct in the anterior abd. wall
  • patent process vaginalis
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11
Q

strangulation

A

suspected with

  • tender mass
  • redness
  • N/V
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12
Q

elephantiasis patho

A

causes by filariasis (parasitic) that affects the scrotum

-> massive scrotal lymphedema

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13
Q

Varicocele s/s

A
  • no visible s/s
  • blue color through light-colored scrotal skin
  • dull pain, ache, or heaviness
  • enlargement in a testicle that decreases in supine position
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14
Q

epididymitis s/s

A 
low grade fever, chills
heavy sensation
sudden onset severe pain 
- partially relieved by elevating scrotum 
blood in semen
penile discharge
low abd. pain 
groin pain 
lump in testicle
pin with intercourse or ejaculation
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15
Q

orchitis s/s

A

gradual onset of acute or moderate pain
testicular swelling
fever

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16
Q

spermatocele s/s

A

painless, cystic mass that is separate from testis
general movable, firm, painless
distint corders
visible on transillumination

17
Q

hydrocele s/s

A

painless, may come and go
marked edema
uncomfortable r/t added wt

18
Q

hematocele s/s

A

painful scrotum, tender to palpation

not visible on transillumination

19
Q

testicular torsion s/s

A 
sudden onset, extremely painful 
abd. pain 
N/V
poss. fever
testicle rides high in scrotum 
absent cremasteric reflex
20
Q

torsion of appendix testis s/s

A

gradual onset of unilateral testicular pain
edema
tenderness over head of testicle
blue dot sign: noted on transillumination

21
Q

scrotal-inguinal hernia s/s

A 
swelling
mild to moderate pain on straining
scrotal heaviness
presence of a bulge
edema inc. with standing erect 
dec. edema when recumbent
22
Q

testicular tumor s/s

A 
palpable mass
edema
sensation of fullness or heaviness
back or abd. pian
nausea
anorexia
bowel and bladder symptoms 
poss. retroperitoneal lymph involvement
23
Q

elephantiasis s/s

A

massive scrotal lymphedema
thickened scrotal skin
skin ulcerations

24
Q

varicocele exam

A

bag of worms on palpation

smaller when the pt is supine

25
Q

epididymitis exam

A 
scrotum is red, enlarged, and extremely tender 
- may be difficult to distinguish from testis 
intact cremasteric refelx
pain relief with elevation (Prehn sign)
pain along upper pole of testicle 
fever
inc. HR
UTI  s/s
inflammation of testis (orchitis)
26
Q

orchitis exam

A 
testicular edema 
- difficult to distinguish the testes from epididymis
swollen, tense testes 
painful 
fever
- occurs 4-7 days after viral infection
27
Q

spermatocele exam

A

small, non-tender, freely movable mass able and behind the testis
- transillumination

28
Q

hydrocele exam

A

painless mass that appears easily on transillumination

smooth, tense scrotal mass

29
Q

hematocele exam

A

scrotal swelling
- no transillumination
may be tender to palpation

30
Q

testicular torsion exam

A 
edematous
erythematous
higher position
swollen spermatic cord, extremely tender
epididymis felt anteriorly 
absent cremasteric reflex
31
Q

scrotal inguinal hernia exam

A

enlarged hemiscrotum or bulge in the goin area

- may spontaneously reduce when pt is supine or with manual reduction

FNP 1 (53 decks)

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