Male Exam Flashcards

1
Q

Most common scrotal mass, Often asymptomatic and Left sided

A

Varicocele

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2
Q

usually as a result orchitis or epididymitis

A

Hydrocele

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3
Q

Sudden onset Pain with Swelling, Tenderness, Nausea & Vomiting common

A

Orchitis

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4
Q

orchitis is caused by

A

granulomatous or viral GU infection

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5
Q

Granulomatous causes of orchitis

A

Gonorrhea/ Syphylis/ TB

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6
Q

viral causes of orchitis

A

Mumps (20-35% of cases)

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7
Q

Proteinurea or hematuria may be present in

A

orchitis

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8
Q

Gradual onset of pain, Fever, Urethral discharge, with very painful enlarged and elevated testes

A

Epididymitis

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9
Q

Ascending infection, secondary to urethritis / ascending from
prostatis

A

Epididymitis

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10
Q

Pyuria possible with

A

Epididymitis

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11
Q

Sudden onset severe unilateral scrotal pain in young males

A

Testicular

Torsion

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12
Q

All young males with acute scrotal pain should be considered

to have _______ until proven otherwise

A

testicular torsion

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13
Q

Symptoms of testicular torsion

A
• Excruciating one-sided pain & sudden
swelling.
• Nausea and vomiting (20-30%)
• Abdominal pain (20-30%)
• Fever (16%) / Urinary frequency (4%)
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14
Q

Inguinal Hernia gender ratio

A

9:1 males

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15
Q

Intestines through canal & possible into scrotum

A

Indirect (Congenital/Oblique)

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16
Q

Most common hernia in both sexes

A

indirect inguinal hernia

17
Q

Felt on the tip of finger

A

indirect inguinal hernia

18
Q

Most symptomatic type of indirect inguinal hernia

A

incarcerated/strangulated

19
Q

Hesselbach’s triagle

A

Direct (Acquired) inguinal hernia

20
Q

Felt on the pad/side of finger and Less Symptomatic

A

Direct (Acquired) inguinal hernia

21
Q

Boundaries of Hesselbach’s Triangle

A
  • Medially: Rectus Abdominus M.
  • Inferiorly: Inguinal ligament
  • Laterally: Inferior epigastric vessel
22
Q

Femoral Hernia gener ratio

A

females 3:1

23
Q

femoral hernia sac follows the potential space along the

A

femoral vessels.

24
Q
  • Weak/painful urine flow
  • Frequent urination
    (nocturia)
  • hesitation
  • Inability to completely empty bladder
  • Pushing or straining to urinate
  • (urgency)
  • Dribbling
A

BPH

25
Q

More serious consequences of BPH

A
  • Blood in the urine
  • Recurrent UTIs
  • Back-up of urine into kidneys
  • Acute urinary retention
26
Q
  • Fever possible
  • Urgency
  • Dysuria: Pain / Burning
  • Urinary Hesitancy
  • Nocturia
  • Pain in lower back, perineal area, lower abdomen, groin
  • Pain may be worse during a bowel movement.
A

Prostatitis

27
Q

Prostate s Tender, Enlarged / Median Furrow may disappear, Boggy, Hot

A

Prostatitis

28
Q

Hematuria may be present

A

Prostatitis

29
Q

Early prostate CA usually has what symptoms?

A

none

30
Q
  • dull pain in the lower pelvic area
  • frequency, dysuria, pain, burning, weakened urine flow, hematuria, painful ejaculation
  • lower back hips or upper thighs pain
  • perhaps persistent bone pain
  • loss of appetite / wt loss
A

Prostatic CA

31
Q

Detects CA long before symptoms

A

PSA

32
Q

PSA is Sensitive but not Specific for

A
  • CA
  • BPH
  • Prostatitis
33
Q

2 out of 3 of those with elevated PSA

A

do not have Cancer