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Penis
Nursing skills test 4
28
Nursing
Undergraduate 3
11/14/2010

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Cards

Term
penis
Definition
this is composed of three cylindical columns of erectile tissue.
Term
frenulum
Definition
 this is a flold of the foreskin extending from the urethral meatus ventrally
Term
scrotum
Definition
this is a loose protective sac, which is continuation of the abdominal wall. the wall consists of thin skin lying in folds or rugae
Term
cremaster muscle
Definition
 this contols the size of the scotum by responding to ambient temperature. this is to keep the testes at 3 degrees below abdominal temp, the best temperature for producing sperm.
Term
testis
Definition
these produce the sperm. have a solid oval shape which is compressed laterally and measures 4-5 cm long . the left one is lower than the right because of the left spermatic cord is longer
Term
epididymis
Definition
this is a markedly coiled duct system and the amin storage site for sperm
Term
vas deferens
Definition
theses are the lower part of the epididymis, this duct approximates with other vessels to form the spermatic cord
Term
spermatic cord
Definition
 this ascens along the posterior border of the testis and runs through the tunnel of the inguinal canal into the abdomen.
Term
inguinal area
Definition
groin, is the juncture of the lower abdominal wall and the thigh.
Term
inguinal canal
Definition
 a narrow tunnel passing obliquely between layers of abdominal muscle. it is 4-6 cm long in adult
Term
subjective history
Definition
frequency, urgency, nocturia, dysuria, hesitancy and straining, urine color,
Term
hesitancy
Definition
straining, loss of fore and decreased caliber, terminal dribbling, sense of residual urine,
Term
true incontinence
Definition
 loss of urine without warning
Term
urgency incontinence
Definition
 sudden loss, as with acute cystitis
Term
stress incontinence
Definition
loss of urine with physcial strain due to weakness of sphincters
Term
princles of interviewing adolescent male patients
Definition
  • ask questions that seem appropriate for boys age
  • ask direct matter of fact questions avoid sounding judgemental
  • try the ubiquity approach "when did you" ralther than "do you"
Term
phimosis
Definition
unable to retract the forskin
Term
paraphimosis
Definition
unable to return the foreskin to original position
Term
hypospadias
Definition
ventral location of meatus
Term
epispadias
Definition
dorsal location of meatus
Term
transillumination
Definition

perform if you note a sweling or mass, darken the room shine a strong flashligh from behind the srotal contents normal scrotal contents do not transilluminate

 

serous fluid does show as a red glow, hydrocele or spermatocele

Term
TSE
Definition

Timing, one a month

Shower, warm water relaxes scrotal sac

Examinae, check for changes report immediately

Term
indirect inguinal hernia
Definition
pain with straining, soft swelling that increases with increased intrabdominal pressure, most common, cause is congenital or acquired
Term
direct inguinal
Definition
directly behind and through external inguinal ring, above inguinal ligament, usually painless, round sewlling close to the pubis. less common, cause acquired weakness brough on by heavy lifting, muscle atrophy obesity
Term
fermoral hernia
Definition

through femoral ring and canal

pain may be severe, may become strangulated, less common, more common in women, acquired due to increased abdominal pressure, muscle weakness or frequent stooping

Term
look at page 733-738 for all the abnormalities :)
Definition
Term
A. often young men your age..
Definition

which of the following introdcutions would be the best way to start your question when interiewing an adolescent?

A. often young men your age..

B I worry that you might

C. do you...

D you dont..do you?

Term
A. elimination (urination)
Definition

which of the follwoing topics would be least embarrassing to male patients?

A. elimination (urination)

B. sexual function

C. reproduction

D. sexually transmitted infection exposure

 

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