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3 columns of vascular erectile tissue - 2 corpora cavernosa - corpus spongiosum (contains urethra) |
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The urethral opening at the tip of the penis |
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- Penis and scrotal surface drain into inguinal nodes - Testes drain into abdominal node (not accessible to physical exam) |
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- Basic landmarks: anterior superior iliac spine, pubic tubercle, inguinal ligament (runs btwn them) - Inguinal canal is 4-6cm long, has 2 openings, internal ring (not palpable) and external ring (palpable above and lateral pubic tubercule) |
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Loop of bowel push their way through weak areas of inguinal canal Can also have hernia at femoral canal |
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Health history components |
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Definition
- What brought the patient in - Sexual preferences and sexual responses - Penile discharge or lesions - Scrotal pain or swelling - Inguinal pain or swelling - Problems urinating |
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- Males 15-35 (average age 34) - Risk factors: Cryptorchidism, hx of Ca in other testicle, mumps, inguinal hernia, or hydrocele in childhood - Sign: unilateral hard, painless mass - High cure rate if identified early |
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Definition
- Position left lateral recumbent - Inspect anus for lesions, blood, hemorrhoids, masses - Palpate: anus, prostate |
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What an abnormal prostate looks like |
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Definition
- >2.5cm, irregular, boggy/very mushy, nodule, very hard, tender |
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High-sensitivity fecal occult blood test (FOBT) |
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- Tests for blood in the stool - If blood is found should be followed up with colonoscopy - Performed every year |
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Flexible Sigmoidoscopy (Flex Sig) |
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Definition
- Short thin flexible tube into rectum, look for abnormalities in rectum and lower third of colon - Done every 5 years - Can be done in combo with FOBT (then done every 3 years) |
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Definition
- Use thin, flexible tube to look at rectum and all of colon - Can be done as follow up to other tests - Done regularly every 10 years, more often if abnormalities are found |
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