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GU Exam Males questions with complete solutions
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CVA tenderness related to sudden distension of renal capsule-think pyelonephritis ureteral distention ie kidney stones, results in severe pain; can radiate to groin; patient cannot become comfortable on the table. No PE findings bladder distention Can cause lower abdominal pain and...

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  • October 23, 2022
  • 5
  • 2022/2023
  • Exam (elaborations)
  • Unknown

Subjects

  • cva tenderness related to sudden distension of renal capsule think pyelonephritis
  • ureteral distention ie kidney stones
  • results in severe pain can radiate to groin patient cannot become comfortable

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  • GU Exam Males
  • GU Exam Males
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GU Exam Males
CVA tenderness - related to sudden distension of renal capsule-think pyelonephritis

ureteral distention - i.e. kidney stones, results in severe pain; can radiate to groin;
patient cannot become comfortable on the table. No PE findings

bladder distention - Can cause lower abdominal pain and suprapubic pain

groin discomfort - think spermatic cord, testicular, prostate, lymph disorders, herpes
zoster, hernia

testicular pain - consider epididymitis, orchitis, hydrocele, torsion, tumor, calculi

hydrocele - nontender fluid filled mass within the tunica vaginalis

testicular torsion - twisting of testicle on spermatic cord
acute pain and swollen
retracts into scrotum becoming tender and swollen
NEG pyrin’s sign

Pyrin’s Sign - relief of pain when elevation of testicle

testicular CA - No transillumination
Usually, painless nodule
Cryptorchidism-testicle never descends into scrotum
RISK FOR TESTICULAR CANCER

Epididymitis - Acutely inflamed epididymis
Tender and swollen
Co-existing infection usually
Positive Phrens sign (relief of pain with elevation of the testicle)

Varicocele - Varicosities of the pampiniform plexus of the veins form a soft, irregular
mass in the scrotum
Bag of worms

Spermatocele - painless movable cystic mass just above testis
transilluminates
contains sperm

acute orchitis - Inflammation of one or both testes
Usually due to infection, mumps

, indirect hernia - common at all ages
Originates above inguinal ligament and often passes into the scrotum through the
external ring
May touch the examiners finger in the inguinal canal

Direct hernia - less common than indirect
Originates above the inguinal ligament near external inguinal ring and rarely enters
scrotum

Femoral hernia - more common in women
Originates below inguinal ligament more lateral than inguinal hernia, never enters
scrotum

incarcerated hernia - ts contents cannot be returned to the abdominal cavity

strangulated hernia - the blood supply to the entrapped contents is compromised

when to suspect strangulation - in presence of tenderness, nausea, and vomiting

phimosis - inability to retract the foreskin over the glans

paraphimosis - occurs when the foreskin cannot be replaced in its normal position after
it is retracted behind the glans
Tip the penis may swell after foreskin is retracted

hypospadias - Congenital displacement of the urethral meatus to the inferior surface of
the penis

epispadias - Developmental anomaly in which the urethral meatus is on the dorsal side
of the penis

Pyronine’s Disease - irregular fibrosis of septum or sheath of corpus cavernosum penis,
extending into tunica albuginea

priapism - Erection is sustained by reflex or central nerve stimulation, or by local
mechanical causes, such as thrombosis, hemorrhage, neoplasm, injection of vasoactive
agents, and inflammation of the penis

syphilis - painless chancre

chancroid - h. dacrya
punched out ulcer

lymphogranuloma venereum - C. tracheitis
vesicular papules nodular

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