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What is an irregular non-tender mass, fixed on the testes
Testicular tumors
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This type of growth is not usually associated with Lymphadenopathy, but sometimes can be
Testicular tumor
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A surgical emergency common in adolescense, acute onset of N/V, apon exam the testicles are exquisitely with scrotal discoloration
Testicular torsion
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Differential diagnosis of this is unexplained white blood cells and bacteria in the urine, fever
Epidimytis
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Can be secondary to UTI, STI, tuburculosis, and the chronic form may feel firm, lumpy and slightly tender
Epididymitis
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With this abnormality absence of the cremasteric reflex on teh affect side is a supportive finding
Testicular torsion
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An uncommon acute inflamation usually an expected complication of mumps in adolescense and adults. Generally unilaterally and testicular atrophy in 50% of all cases
Orchitis
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Known as the dialation of veins of the pampiniform plexus, graded as either small (palpable only with valsalva), moderate(easily palpable without valsalva) and large (visible bulging)
Varicocele
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Cystic Swelling of the epididymis, and does not transilluminate
Spermatocele
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Nontender, smooth firm mass that results from fluid accumulation in the tunica vaginalis
Hydrocele
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A mass that does not transilluminate, found to be confined to the scrotum, does not enter the inguinal canal
Hydrocele
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Hydrocele is common in infancy and if not patent how long will it usually disappear
6 months
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STI caused by poxvirus
Molluscum Contagiosum
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These lesions are pearly grey, often umbilicated, smooth, dome shaped and with discrete margins, occuring on glans penis
Molluscum Contagiosum
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Thses lesions appear on the glans penis, prepuce and penile shaft, they are soft reddish
Condyloma Acuminatum
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Infection caused by papovavirus
Condyloma Acuminatum
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Also called genital warts
Condyloma Acuminatum
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Quite painful lesions that occur on the glans penis or penile shaft, appear as superfical vesicles, and is viral
Herpes
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A painless lesion with indurated borders with a clear base located on the foreskin
Syphilitic Chancre
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Can cause gangrene or edema of the glans penis
Paraphimosis
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The inability to replace the foreskin to its usual position after it has been retracted behind the glans
Paraphimosis
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Most common hernia in children and young males
Indirect inguinal
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This type of hernia is more common in females than males especially over the age of 40
Direct inguinal
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Least common type of hernia and occurs in males more than females
Femoral hernia
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Bulge in the Hesselbach triangle, usually painless and easily reduced, hernia bulges anteriourly
Direct inguinial hernia
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SOFT SWELLING IN INTERNAL RING; PAIN ON STRAINING, HERNIA COMES DOWN INGUINAL CANAL AND TOUCHES FINGERTIP
INDIRECT INGUINAL HERNIA
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Right sided presentation more than left, pain often severe
Femoral hernia
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Protruision of the peritoneal-lined sac through some defect
Hernia
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During inspection you note hard, painless enlarged testicles, this is an indication of
Testicular tumor
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enlarged penis without enlarged testes occurs with
- Preocious puberty
- adrenal perplasia
- and some CNS lesions
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What is transillumination good for in the exam, why use it?
To detect if a mass on the testicles is hernia, hydrocele, filled with gas, or cancerous
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A mass that does not transiluminate, but does change size when reduction is attempted
Possible hernia
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A mass that does transilluminate, no change in size with reduction
Hydrocele (with tunica vaginalis)
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A mass that neither transilluminates nor change size with reduction is
Incarcerated hernia
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What hernia is a surgical emergency
Incarcerated hernia
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What determines what finger you will use when palpating for a hernia
The size of the patient
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A hernia that lies inside the inguinal canal
Indirect Inguinal hernia
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White cheesy discharge or substance that occurs on uncircumsized penis
Smegma
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A consition,Tight forskin that cannot be retracted on the uncircumsized penis
Phimosis
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How do you open the urethreal orfice on the male penis
Press the glans penis between forfinger and thumb
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What part of the male reproductive system may appear more deeply pigmented than the rest of the body, and surface may be more coarse
The scrotum
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Does the scrotal sac appear symetrical on inspection?
No, left testical usually has a longer spermatic cord
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2 occasions of gonorrhea, treated with doxy, second occasion required a second dosing of medication..., this information should be documented where
Past Medical History
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Member had three sexual partners in the past month and now has discharge to his urethera and burning with urination for about 2 days.....this is noted where
History of present illness
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Poor hygene and lack of circumsision
Condyloma acuminatum infection
these are
Penile risk factors for carcinoma
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Cryptorchidism with elevated testicular temperature
Risk factor for male genitalia
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