Chapter 24: Male Genitalia A&P Flashcards Preview

NURS 307 > Chapter 24: Male Genitalia A&P > Flashcards

Flashcards in Chapter 24: Male Genitalia A&P Deck (34)
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1
Q

Penis

A

composed of three cylindrical columns of erectile tissue

2
Q

Glans penis

A

distal end of the shaft, the corpus spongiosum expands into a cone of erectile tissue

3
Q

Corona

A

shoulder where the glans joins the shaft

4
Q

Urethra/Meatus

A

opening slit at the glans tip

5
Q

Foreskin

A

skin that folds over the glands

6
Q

Frenulum

A

fold of foreskin on the ventral surface of the urethral meatus

7
Q

Scrotum

A

loose protective sac

8
Q

Cremaster muscle

A

controls the size of the scrotum by responding to temperature

9
Q

Testitis

A

4-5 cm oval shaped organ located in the scrotum, produces sperm

10
Q

Epididymis

A

coiled duct system, main storage site for sperm

11
Q

Vas deferens

A

muscular duct

12
Q

Spermatic cord

A

ascends along the posterior border of the testis and runs through the inguinal canal into the abdomen, behind the bladder to form the ejaculatory duct

13
Q

Lymphatics of the penis and scrotum drain into

A

inguinal lymph nodes

14
Q

Lymphatics of the testes drain into the

A

abdomen

15
Q

Inguinal Area/Groin

A

juncture of the lower abdomen wall and the thigh

16
Q

Inguinal Ligament

A

between the anterior superior iliac spine and the symphysis pubis

17
Q

Inguinal Canal

A

a narrow tunnel passing obliquely between layers of abdominal muscle

18
Q

Femoral Canal

A

3 cm medial to the femoral artery

19
Q

History (Subjective)

A

A. Urine frequency and/or urgency
B. Nocturia
C. Dysuria
D. Urine hesitancy and straining
E. Urine color and/or odor
F. Past GU Hx - hx UTI, kidney stones, kidney disease, incontinence
G. Penile discharge, pain, and/or lesions
H. Scrotum - lumps or swelling (increased size)
I. Self Care Behavior - testicular self examination
J. Sexual activity and contraceptive use
K. STD Hx and/or Contact

20
Q

Physical Exam/Assessment (Objective)

A

A. Inspect and palpate penis - note skin lesion, color, shape, masses
B. Retract foreskin (maybe done by the patient or examiner)
-Smegma is a common finding, white cheesy substance, dead skin cells
C. Note the urethral meatus position - it should be centrally located, note any
discharge
D. Inspect and palpate scrotum, palpate testis, note nodules, absent testis, marked
tenderness, swelling
1. If swelling is present, note transillumination
E. Palpate spermatic cord - note swelling and/or tenderness
F. Inspect and palpate for hernia - inspect inguinal region for a bulge, palpate the
inguinal canal, palpate the femoral area
G. Palpate inguinal lymph nodes
H. Testicular Self Examination (TSE) Instruction

21
Q

Testicular Self Examination TSE

A

T- timing, 1x/month
S - shower, warm water relaxes scrotal sac
E - examine, check for changes, masses, nodules, etc.

22
Q

Herpes

A

clusters of small vesicular lesions with surrounding erythema
painful virus remains dormant indefinitely

23
Q

Syphilis

A

begins as a small, solitary, silvery papule that erodes to a red, round/oval superficial ulcer w/ yellowish serous discharge
palpation reveals a nontender indurated base that can be lifted like a button between the thumb and the finger

24
Q

Genital Warts

A

soft, fleshy, painless papules may be singles or multiple in a
cauliflowerlike patch, color may be gray, pink, pale yellow or flesh colored

25
Q

Phimosis

A

foreskin is fixed and so tight it is impossible to retract over glans

26
Q

Paraphimosis

A

foreskin is retracted and fixed

27
Q

Urethritis

A

infection of urethra causes painful burning urination, meatus edges are reddened and swollen

28
Q

Hypospadias

A

urethral meatus opens on the ventral (under) side of glans or shaft

29
Q

Cryptorchidism

A

absent or undescended testis

30
Q

Testicular Torsion

A

sudden twisting of spermatic cord, causing excruciating pain
in testicle of sudden onset, one testis usually higher owing to rotation and
shortening

31
Q

Epididymitis

A

acute infection of epididymis, severe pain, rapid swelling, fever,
WBC and bacteria in urine

32
Q

Varicocele

A

dilated, tortuous varicose veins in the spermatic cord, feels like a bag
of worms

33
Q

Hydrocele

A

nontender swelling of testis, collection of serous fluid in tunica
vaginalis surrounding testis, +transillumination

34
Q

Hernia

A

loop of bowel protruding through a weak spot in the musculature