Exam (elaborations)
NUR 634 test 3
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Exam of 14 pages for the course NUR 634 at NUR 634 (NUR 634 test 3)
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NUR 634 test 3HPV recommendation for men - -Males age 11-12 and through age 21. If not
vacinated previously age 26 if immunocompromised or having sex with other
men
-direct inguinal hernia - -Bulge near the external inguinal ring
-indirect inguinal hernia - -Bulge near the internal inguinal ring
-scrotal hernia - -loop of bowel in scrotal sac; ask patient to lie down- if
returns to stomach it is a hernia
-Hydrocele - -Sac of clear fluid in the scrotum; nontender, transluminates
and the examining fingers can palpate above the mass
-incarcerated hernia - -When hernias contents cannot be returned to the
abdominal cavity
-stragulated hernia - -hernia that is constricted, cut off from circulation, and
likely to become gangrenous; suspect with tenderness, nausea, vomiting, &
consider surgical intervention
-hypospadias - -Congenital displacement of the urethral meat is to the
inferior surface of the penis
-scrotal edema - -tenderness; enlarged, reddened; taut w/pitting; probably
unable to feel scrotal contents
-Peyronie's disease - -Palpable, nontender, hard plaques are found just
beneath the skin; usually along the dorsum of the penis. Patient complains of
crooked painful erections
-cryptorchidism - -Poorly developed scrotum on one side or both side
suggest undescended testicles; testis is atrophied and lies outside the the
scrotum in the inguinal canal, abdomen, or near the pubic tubercle
-acute orchitis - -Testis are acutely inflammed, painful, tender, and swollen.
Scrotum may be reddened. Seen in mumps and other viral infections
-spermatocele & cyst of the epididymis - -Painless moveable cyst just above
the testis; both transluminate
, -Varicocele of the spermatic cord - -Gravity mediated varicose vein of the
spermatic cord usually found on the left. Feel like a "soft bag of worms" in
the spermatic cord above the testis
-Torsion is the spermatic cord - -Painful, tender, swollen organ that is often
retracted upward in the scrotum. Cremasteric reflex is nearly always absent
on the affected side with testicular torsion
-pelvic inflammatory disease - --infection of the upper female genital tract-
the cervix, uterus, fallopian tubes, and ovaries; hallmark s/s Adnexal cervical
and uterine tenderness
-Pap smear recommendations - -Beginning at age 21; age 21-65 every 3
years; age 30-65 every 3 years plus HPV testing; age 65+ screening can stop
-Guidelines for chlamydia & gonorrhea - -Annually for sexually active
women ages <25 and older women with risk factors
-Natural Family Planning - -Fertility awareness/ periodic abstinence l,
withdrawal, lactation
-Barrier sexual prevention - -Make of female condom, diaphragm, cervical
cap, sponge
-Implantable sexual prevention - -IUD, Subdermal implant of levonorgestrel
-Pharmacological/hormonal sexual prevention - -Spermicide, oral
contraceptions, estrogen/progesterone, emergency contraceptive
-Surgical sexual prevention - -Tubal ligation, transcervical sterilization &
vasectomy
-cystocele - -protrusion of the bladder; bulge of the upper 2/3s of the
anterior vaginal wall, together with the bladder above it; results from
weakened anterior supporting tissues
-rectocele - -protrusion of the rectum into the posterior wall of the vagina
resulting from weakness or defect in the endopelvic fascia
-epidermoid cyst - -Small, firm round cystic module in the labia. Here are
yellowish in color. Look for dark punctum marking the blocked opening of the
gland
-ectopic pregnancy - -implantation of the fertilized egg in any site other
than the normal uterine location; abdominal pain, adnexal tenderness, and
abnormal uterine bleeding
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