Male Genitalia Flashcards

Bates Chapter 13- Male genitalia Flashcards | Quizlet
9/26/16, 1:06 PM
Bates Chapter 13- Male genitalia
76 terms by Raldog
indirect inguinal hernia
What type of hernia develops at the

internal inguinal ring, where the spermatic
cord exits the abdomen?
direct inguinal hernia
What type of hernia arises more medially

from weakness in the floor of the inguinal
canal and are associated with straining
and heavy lifting?
femoral hernia
What type of hernia is more likely to

present as an emergency with bowel
strangulation or incarceration?
May be from psychogenic causes,

especially if early morning erection is
preserved; may also reflect decreased
testosterone, decreased blood flow in the
hypogastric arterial system, impaired
neural innervation, or diabetes
What are some common causes of

erectile dysfunction?
medications, surgery, neurologic deficits

or lack of androgen
What are some common causes of

reduced or absent ejaculation?
gonorrhea, gonococcal urethritis
What is profuse yellow penile discharge

suggestive of?
non-gonococcal urethritis
What is scanty white or clear penile

discharge suggestive of?
disseminated gonorrhea
What are rash, tenosynovitis,

monoarticular arthritis, meningitis, but not
always with urogenital symptoms
suggestive of?
syphilitic chancre, herpes
What can cause ulcers on the penis?
HPV
What can cause warts on the penis?
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mumps orchitis, scrotal edema, testicular

cancer
What can cause swelling of the male

genitalia?
testicular torsion, epididymitis, orchitis
What are some common causes of pain in

the male genitalia?
gonorrhea, chlamydia, syphilis, herpes
What are some infections a/w oral-penile

transmission?
symptomatic or asymptomatic proctitis
What condition may follow anal

intercourse?
phimosis
What is tight prepuce that cannot be

retracted over the glans?
paraphimosis
What is a tight prepuce that, once

retracted, cannot be returned; edema
ensues?
balanitis
What is inflammation of the glans?
balanoposthitis
What is inflammation of the glans and

prepuce?
lice (crabs) or sometimes scabies
What are pubic or genital excoriations

suggestive of?
hypospadias
What is a congenital, ventral displacement

of the meatus on the penis?
Gram stain and culture
What is the procedure for definitive

diagnosis of gonorrhea?
urethral strictures, possibly carcinoma
What is induration along the ventral

surface of the penis suggestive of?
periurethral inflammation secondary to a

urethral stricture
What does tenderness in an indurated

area along the ventral surface of the penis
suggest?
rashes, epidermoid cysts, skin cancer

(rarely seen)
What skin conditions should you inspect

for on the posterior surface of the
scrotum?
cryptorchidism (undescended testicle)
What does a poorly developed scrotum

on one or both sides suggest?
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indirect inguinal hernias, hydroceles,

scrotal edema, testicular carcinoma
(rarely)
What are some common causes of scrotal

swelling?
acute epididymitis, acute orchitis, torsion

of the spermatic cord, strangulated
inguinal hernia
What conditions present with tender,

painful scrotal swelling?
testicular cancer
What should a painless nodule in the testis

raise your index of suspicion for?
15-34 years old
What are the peak incidence years for

testicular cancer?
varicocele
What are multiple tortuous veins in the

area of the spermatic cord, from the
epididymis to the superficial inguinal ring,
suggestive of?
hydrocele of the cord
What does a cystic structure in the

spermatic cord suggest?
may feel thickened or beaded
What occurs to the vas deferens if it is

chronically infected?
hydroceles
Swellings containing serous fluid that light

up with red glow or transilluminate are
suggestive of what condition?
normal testes, tumors, most hernias
Swellings containing blood or tissue that

do not transilluminate include what
conditions?
hernia
What does a bulge that appears with

straining suggest?
What does a bulge near the external

inguinal ring suggest?
What does a bulge near the internal

inguinal ring suggest?
surgical evaluation
If you detect a hernia of any type, what

does this warrant?
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hydrocele
If you detect a large scrotal mass that

does not return to the abdomen when the
patient is supine but you are able to get
your fingers above the mass in the
scrotum, what does this suggest?
hernia
If you detect a large scrotal mass and

upon auscultation of the mass you hear
bowel sounds, what does this suggest?
hydrocele
If you detect a large scrotal mass and

upon auscultation of the mass you do not
hear bowel sounds, what does this
suggest?
incarcerated hernia
When the contents of a hernia cannot be

returned to the abdominal cavity, what is
this condition?
strangulated hernia
When the blood supply to the entrapped

contents of a hernia is compromised, what
is this condition?
strangulation
What should you suspect if a hernia is

accompanied by tenderness, nausea, and
vomiting?
surgical intervention
What should you consider with a

strangulated hernia?
testicular carcinoma
What is the most common form of cancer

in men between the ages of 15 and 34?
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genital warts (condylomata acuminata)
What is the following presentation

suggestive of: single or multiple papules
or plaques of variable shapes; may be
round, acuminate (or pointed), or thin and
slender; may be raised, flat, or
cauliflowerlike (verrucous); can arise on
penis, scrotum, groin, thighs, or anus;
usually asymptomatic, occasionally cause
itching and pain; may disappear without
treatment?
Human papillomavirus (HPV), usually

subtypes 6, 11
What is the causative organism of genital

warts?
weeks to months after exposure
What is the incubation period for genital

warts?
genital herpes simplex -- *need to

distinguish from genital herpes zoster
(usually in older pts with dermatomal
distribution) and candidiasis

suggestive of: small scattered or grouped
vesicles, 1 to 3 mm in size, on glans or
shaft of penis; appear as erosions if
vesicular membrane breaks; primary
episode may be asymptomatic;
recurrence usually less painful, of shorter
duration; a/w fever, malaise, headache,
arthralgias; local pain and edema,
lymphadenopathy?
herpes simplex virus 2 (90%)
What is the causative organism of genital

herpes simplex?
2-7 days after exposure
What is the incubation period for genital

herpes simplex?
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primary syphilis -- *need to distinguish

from genital herpes simplex, chancroid,
granuloma inguinale from Klebsiella
granulomatis (rare in the US)

suggestive of: small red papule that
becomes a chancre, or painless erosion,
up to 2 cm in diameter; base of chancre is
clean, red, smooth, and glistening;
borders are raised and indurated; chancre
heals within 3-8 weeks; may develop
inguinal lymphadenopathy within 7 days;
lymph nodes are rubbery, nontender,
mobile?
Treponema pallidum, a spirochete
What is the causative organism of primary

syphilis?
9-90 days after exposure
What is the incubation period of primary

syphilis?
chancroid -- *need to distinguish from

primary syphilis, genital herpes simplex,
lymphomogranuloma venereum,
granuloma inguinale from Klebsiella
granulomatous (both rare in the US)

suggestive of: red papule or pustule
initially, then forms a painful deep ulcer
with ragged nonindurated margins;
contains necrotic exudate, has a friable
base; painful inguinal adenopathy;
supperative buboes in 25% of pts?
hypospadias

suggestive of: a congenital displacement
of the urethral meatus to the inferior
surface of the penis; a groove extends
from the actual urethral meatus to its
normal location on the tip of the glans?
scrotal edema

suggestive of: pitting edema may make
the scrotal skin taut; seen in heart failure
or nephrotic syndrome?
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Peyronie's disease

suggestive of: palpable, nontender, hard
plaques are found just beneath the skin,
usually along the dorsum of the penis; the
pt complains of crooked, painful
erections?
hydrocele
What is the following presentations

suggestive of: a nontender, fluid-filled
mass within the tunica vaginalis; it
transilluminates, and the examining fingers
can get above the mass within the
scrotum?
carcinoma of the penis

suggestive of: an indurated nodule or
ulcer that is usually nontender; limited
almost completely to men who are not
circumcised, it may be masked by the
prepuce; any persistent penile sore is
suspicious?
scrotal hernia

suggestive of: usually an indirect inguinal
hernia, that comes through the external
inguinal ring, so the examining fingers
cannot get above it within the scrotum?
cryptorchidism

suggestive of: the testis is atrophied and
may lie in the inguinal canal or the
abdomen, resulting in an unfilled scrotum;
there is no palpable left/right testis or
epididymis; markedly raises the risk for
testicular cancer?
Klinefelter's syndrome
What is a condition that may result in

small, firm testes?
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cirrhosis, myotonic dystrophy, use of

estrogens, hypopituitarism; may also
follow orchitis
What are conditions that may cause small,

soft testes suggesting atrophy?
orchitis

suggestive of: testis is acutely inflamed,
painful, tender, and swollen; it may be
dicult to distinguish from the epididymis;
seen in mumps and other viral infections;
usually unilateral?
tumor of the testis
What is the following condition suggestive

of: usually appears initially with a painless
nodule in the testis; as it progresses and
spreads, it may seem to replace the entire
organ; characteristically feels heavier than
normal
spermatocele (contains sperm) or

epididymal cyst (does not contain sperm)
-- clinically indistinguishable

suggestive of: a painless, moveable cystic
mass just above the testis that
transilluminates; +/- sperm-containing?
acute epididymitis

suggestive of: acutely inflamed structure
that is tender and swollen and may be
dicult to distinguish from the testis;
scrotum may be reddened and vas
deferens inflamed; occurs chiefly in adults,
most commonly with Chlamydia infection;
coexisting UTI or prostatitis supports the
diagnosis
tuberculous epididymitis

suggestive of: chronic inflammation of TB
produces a firm enlargement of this
structure, which is sometimes tender, with
thickening or beading of the vas
deferens?
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varicocele of the spermatic cord

suggestive of: varicose veins of this
structure, usually found on the left; feels
like a soft "bag of worms" separate from
the testis, and slowly collapses when the
scrotum is elevated in the supine pt;
infertility may be a/w this?
torsion of the spermatic cord

suggestive of: acutely painful, tender and
swollen organ that is retracted upward in
the scrotum; scrotum becomes red and
edematous; no associated urinary
infection; most common in adolescents;
surgical emergency due to obstructed
circulation?

suggestive of: all ages, most common
type, seen in both sexes; often in children,
may be in adults; point of origin above the
internal inguinal ligament, near its
midpoint (internal inguinal ring); often into
the scrotum; comes down and touches
the inguinal canal and touches the
fingertip?

suggestive of: less common type, usually
seen in men over 40, rare in women; point
of origin above the inguinal ligament,
close to the pubic tubercle (near the
external inguinal ring); rarely into the
scrotum; bulges anteriorly and pushes the
side of the finger forward?
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femoral hernia

suggestive of: least common type, more
common in women than men; point of
origin below the inguinal ligament;
appears more lateral than an inguinal
hernia; can be hard to dierentiate from
lymph nodes; never into the scrotum;
inguinal canal is empty?
Psychogenic causes such as depression,

endocrine dysfunction, or side eects of
medications
What are causes of lack of libido?
Page 10 of 10

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Bates Chapter 13- Male genitalia Flashcards | Quizlet

Bates Chapter 13- Male genitalia

indirect inguinal hernia

What type of hernia develops at the

direct inguinal hernia

What type of hernia arises more medially

What type of hernia is more likely to

May be from psychogenic causes,

What are some common causes of

medications, surgery, neurologic deficits

What are some common causes of

gonorrhea, gonococcal urethritis

What is profuse yellow penile discharge

What is scanty white or clear penile

What are rash, tenosynovitis,

syphilitic chancre, herpes

What can cause ulcers on the penis?

What can cause warts on the penis?

Bates Chapter 13- Male genitalia Flashcards | Quizlet

mumps orchitis, scrotal edema, testicular

What can cause swelling of the male

testicular torsion, epididymitis, orchitis

What are some common causes of pain in

gonorrhea, chlamydia, syphilis, herpes

What are some infections a/w oral-penile

symptomatic or asymptomatic proctitis

What condition may follow anal

What is tight prepuce that cannot be

What is a tight prepuce that, once

What is inflammation of the glans?

What is inflammation of the glans and

lice (crabs) or sometimes scabies

What are pubic or genital excoriations

What is a congenital, ventral displacement

Gram stain and culture

What is the procedure for definitive

urethral strictures, possibly carcinoma

What is induration along the ventral

periurethral inflammation secondary to a

What does tenderness in an indurated

rashes, epidermoid cysts, skin cancer

What skin conditions should you inspect

cryptorchidism (undescended testicle)

What does a poorly developed scrotum

Bates Chapter 13- Male genitalia Flashcards | Quizlet

indirect inguinal hernias, hydroceles,

What are some common causes of scrotal

acute epididymitis, acute orchitis, torsion

What conditions present with tender,

What should a painless nodule in the testis

15-34 years old

What are the peak incidence years for

What are multiple tortuous veins in the

hydrocele of the cord

What does a cystic structure in the

may feel thickened or beaded

What occurs to the vas deferens if it is

Swellings containing serous fluid that light

normal testes, tumors, most hernias

Swellings containing blood or tissue that

What does a bulge that appears with

direct inguinal hernia