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Health Assessment: Male Reproduction
minitest 4
13
Nursing
Undergraduate 3
03/15/2013

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Cards

Term
Anatomy of penis shaft
Definition
3 columns of vascular erectile tissue
- 2 corpora cavernosa
- corpus spongiosum (contains urethra)
Term
Prepuce
Definition
Foreskin
Term
Urethral meatus
Definition
The urethral opening at the tip of the penis
Term
Lymphatics
Definition
- Penis and scrotal surface drain into inguinal nodes
- Testes drain into abdominal node (not accessible to physical exam)
Term
Inguinal area (groin)
Definition
- Basic landmarks: anterior superior iliac spine, pubic tubercle, inguinal ligament (runs btwn them)
- Inguinal canal is 4-6cm long, has 2 openings, internal ring (not palpable) and external ring (palpable above and lateral pubic tubercule)
Term
Hernias
Definition
Loop of bowel push their way through weak areas of inguinal canal
Can also have hernia at femoral canal
Term
Health history components
Definition
- What brought the patient in
- Sexual preferences and sexual responses
- Penile discharge or lesions
- Scrotal pain or swelling
- Inguinal pain or swelling
- Problems urinating
Term
Testicular cancer
Definition
- Males 15-35 (average age 34)
- Risk factors: Cryptorchidism, hx of Ca in other testicle, mumps, inguinal hernia, or hydrocele in childhood
- Sign: unilateral hard, painless mass
- High cure rate if identified early
Term
Anal and rectum exam
Definition
- Position left lateral recumbent
- Inspect anus for lesions, blood, hemorrhoids, masses
- Palpate: anus, prostate
Term
What an abnormal prostate looks like
Definition
- >2.5cm, irregular, boggy/very mushy, nodule, very hard, tender
Term
High-sensitivity fecal occult blood test (FOBT)
Definition
- Tests for blood in the stool
- If blood is found should be followed up with colonoscopy
- Performed every year
Term
Flexible Sigmoidoscopy (Flex Sig)
Definition
- Short thin flexible tube into rectum, look for abnormalities in rectum and lower third of colon
- Done every 5 years
- Can be done in combo with FOBT (then done every 3 years)
Term
Colonoscopy
Definition
- Use thin, flexible tube to look at rectum and all of colon
- Can be done as follow up to other tests
- Done regularly every 10 years, more often if abnormalities are found
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