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Ch. 24 Jarvis Male GU

Terms in this set (61)

Urethritis
infection of urethra --> painful, burning urination or pruritis; meatus edges reddened, everted, swollen with purulent drainage; 50% are chlamydia
Renal calculi
kidney stones (calcium oxalate or uric acid crystals) in kidney tubules & migrate & become urgent as they get lodged in ureter & obstruct urine flow --> abrupt severe flank pain with radiation to groin or abdomen, n/v, restlessness, hematuria
Acute urinary retention
abrupt inability to pass urine with bladder distension & lower abdominal pain; common in men due to bladder outlet obstruction such as BPH; must catheterize to relieve discomfort
Urethral stricture
pinpoint constricted opening at meatus or inside urethra; congenital or secondary to urethral injury; gradual decrease in force & caliber of urine stream; shaft feels indurated
Tinea Cruris
fungal infection of crural fold in postpubertal males (jock itch) after sweating or wearing occlusive clothing; red-brown half-moon shape with well defined borders
Genital herpes (HSV-2 infection)
clusters of vesicles with erythema that are painful & erupt on glans, foreskin, anus --> superficial ulcers; may have mild tingling before outbreak or shooting pain to butt or legs; initial outbreak treated with acyclovir; virus remains dormant indefinitely with recurrent infections
genital warts
soft, pointed, moist, fleshy painless papules occurring in single or multiple cauliflower-like patches; color may be pale yellow, pink, gray in White males or black or translucent gray-black in Black males; occur on shaft of penis, behind corona, and around anus; caused by HPV (STI; Gardasil vaccine)
Syphilitic chancre
begins within 2-4 weeks of infection, as a small solitary, silvery papule that erodes to a red, round or oval, superficial ulcer with a yellowish serous discharge. palpation reveals a nontender, indurated base that can be lifted like a button. lymph nodes enlarge early but are nontender. this is an STI easily treated with penicillin G but untreated cases lead to cardiac and neurologic problems, blindness
carcinoma
Begins as red, raised, warty growth or as an ulcer with watery discharge. As it grows, it may necrose & slough. Usually painless. Usually on glans or inner lip of foreskin. Chronic inflammation. Enlarged lymph nodes.
Hypospadias
urethral meatus opens on ventral (under) side of glans or shaft
congenital abnormality in which the male urethral opening is on the undersurface of the penis
Priapism
prolonged painful erection without sexual stimulation & unrelieved by intercourse or masturbation, lasting more than 4 hours; more common in ages 30s & 40s. Adverse effect of some drugs, with sickle cell disease, leukemia, malignancy, local trauma, autonomic dysfunction with spinal cord injury.
Phimosis
nonretractable foreskin forming pointy tip with tiny hole. foreskin is advanced and too tight to retract. congenital or acquired from adhesions secondary to infeciton.
Paraphimosis
foreskin is retracted and fixed, so it cannot be returned to original position --> constriction impedes circulation & glans swells; medical emergency
Epispadias
meatus opens on dorsal (upper) side of glans as broad, spade like penis
congenital defect in which the urethra opens on the upper side of the penis near the glans penis instead of the tip
rare, but worse than hypospadias because of associated incontinence & pubic bone separation
Peyronie Disease
hard, nontender, subcutaneous plaques palpated on dorsal or lateral surface of penis. Single or multiple & asymmetric. Associated with painful bending of penis during erection. Occurs after 45 years of age.
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