Shared Flashcard Set

Details

Anus, Rectum, & Prostate
Health Assessment
15
Nursing
Graduate
03/16/2012

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Cards

Term
Anal Sphincters
Definition
two concentric layers of muscle surrounding the anal canal

- inner sphincter --> involuntary control
- outer sphincter --> voluntary control
Term
Anal columns
Definition
"columns of Morgagni"

- folds of mucosa that extend vertically down from the rectum to the anorectal junction

- each column contains an artery and a vein --> may form hemorrhoid
Term
Valves of Houston
Definition
three semilunar transverse folds in the rectal interior
Term
Prostate gland
Definition
- lies in front of the anterior wall of the rectum and 2cm behind the symphysis pubis
- surrounds the bladder neck and the urethra
- has 15-30 ducts that open into the urethra
- secretes a thin, milky, alkaline fluid to help sperm viability
- bilobed, measuring 2.5x4cm; lateral lobes separated by a median sulcus
Term
Seminal vesicles
Definition
project like "rabbit ears" above the prostate; secrete fluid rich in fructose to nourish sperm, contains prostaglandins
Term
Bulbourethral glands
Definition
aka, "Cowper glands"; pea-sized glands located inferior to the prostate on either side of the urethra; secrete a clear, viscid mucus
Term
Meconium
Definition
- dark green first stool of newborn, passed w/in 24-48 hours of birth
Term
voluntary control of anal sphincter -- age
Definition
1.5-2 years
Term
Benign prostatic hypertrophy
Definition
- present in 1 of 10 males at age 40

S: urinary frequency, urgency, hesitancy, straining to urinate, weak stream, intermittent stream, nocturia, sensation of incomplete emptying

O: symmetric nontender enlargement; surface feels smooth, rubbery, or firm (like consistency of a nose), with median sulcus obliterated
Term
Prostate cancer
Definition
- higher incidence in African American men; more likely to be diagnosed at advanced stage, mortality 2x higher than whites

- screening w/ digital rectal exam and PSA starting at 50 for most men, 40 for high-risk
Term
Colorectal cancer
Definition
- incidence 20% higher in African-American than white
- mortality 50% higher in AA than white

- colonoscopy every 10 years beginning at 50, FOB annually
Term
Pilonidal cyst
Definition
a hair-containing cyst located in midline over the coccyx; dimple w/ tuft of hair and possibly an erythematous halo; congenital disorder, often diagnosed between ages of 15-30
Term
Anorectal fistula
Definition
an abnormal passage from inner anus to skin surrounding anus; results from chronically inflamed GI tract; usually originates from a local abscess
Term
Fissure
Definition
a painful longitudinal tear in the superficial mucosa at the anal margin; frequently accompanied by a sentinel tag; often result from trauma (e.g. large stool).
Term
Prostatitis
Definition
S: fever, chills, malaise, urinary frequency and urgency dysuria, urethral discharge; dull, aching pain in perineal and rectal area

O: an exquisitely tender enlargement; with chronic inflammation, may feel boggy
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