Male GU/ Rectum/ Prostate Exam Questions And Answers
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Male GU/ Rectum/ Prostate
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Male GU/ Rectum/ Prostate
Male GU/ Rectum/ Prostate Exam Questions And Answers
Male GU/ Rectum/ Prostate Exam Questions And Answers
Male GU/ Rectum/ Prostate Exam Questions And Answers
Male GU/ Rectum/ Prostate
phimosis - Uncircumcised foreskin that cannot be retracted proximal to the glans penis. Tightness
Paraphimosis - Inability to replace the foreskin to it usual position after it has been retracted behind the
glands. Medical emergency!! Produces tourniquet effect
hypospadias - congenital VENTRAL displacement of the meatus. in which the urinary meatus is located
on the underside of the penis
epispadias - congenital dorsal defect in which the urinary meatus is located on the upper surface of the
penis
Peyronie's disease - Palpable, nontender, hard plaques are found just beneath the skin, usually along the
DORSUM of the penis. CURVED PAINFUL ERECTIONS
Scrotal edema - Pitting edema may make the scrotal skin taught, seen in heart failure, liver failure,
nephrotic syndrome
hydocele - A nontender, fluid filled mass within the tunica vaginalis that transilluminates.
examine fingers can palpate above the mass within the scrotum
Carcinoma of the penis - indurated nodule or ulcer that is usually NON-TENDER. Does not heal over
time.
Limited almost completely to men who are not circumcised, it may be masked by prepuce. ANY
PERSISTENT PENILE SORE IS SUSPICIOUS
, Scrotal hernia - Usually an indirect inguinal hernia, that comes through the external inguinal ring, so the
examining fingers cannot get above it within the scrotum.
cryptorchidism - undescended testicles! The testes is atrophied and lies outside of the scrotum in the
inguinal canal, abdomen, or near the pubic tubercle. NO PALPABLE TESTIS. RISK FOR TESTICULAR
CANCER. Teach self exam for boys around age 12--most cases occur in adolescence
small testis - In adults, testicular length is usually ≤3.5 cm. Small, firm testes in Klinefelter's syndrome,
usually ≤2 cm. Small, soft testes suggesting atrophy are seen in cirrhosis, myotonic dystrophy, use of
estrogens, and hypopituitarism; may also follow orchitis.
acute orchitis - The testis is acutely inflamed, painful, tender, and swollen. It may be difficult to
distinguish from the epididymis. The scrotum may be reddened. Seen in mumps and other viral
infections; usually unilateral.
Tumor of Testis (early) - Usually appears as a painless nodule. Any nodule within the testis warrants
investigation for malignancy
Tumor of the testis (late) - - As a testicular neoplasm grows and spreads, it may seem to replace the
entire organ
- The testicle characteristically feels heavier than normal
Spermatocele and Cyst of the Epididymis - A painless, movable cystic mass just above the testis suggests
a spermatocele or an epididymal cyst. Both transilluminate. The former contains sperm, and the latter
does not, but they are clinically indistinguishable.
acute epididymitis - An acutely inflamed epididymis is tender and swollen and may be difficult to
distinguish from the testis. The scrotum may be reddened and the vas deferens inflamed. It occurs
chiefly in adults, most commonly with Chlamydia infection. Coexisting urinary tract infection or
prostatitis supports the diagnosis
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