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health assessment
male genitourinary system and rectum ch 26
| Question | Answer |
|---|---|
| external genitalia (male) | penis (shaft + glans) scrotum scrotal sac |
| internal genitalia | testes spermatic cord epididymis vas deferens inguinal area prostate anus/rectum |
| inguinal area | located between anterior superior iliac spine laterally and symphysis pubis medially frequent site of hernia development |
| anus and rectum features | anal canal and anal opening |
| HIV/AIDS transmission/risk factor | mother-infant transmission during pregnancy/delivery blood/body fluid exchange (blood transfusion, needle, breast feeding, unsterile body piercings) sexual transmission |
| HIV/AIDS patient risk reduction | healthy diet avoid food/drinks that can transmit illnesses (ie. raw stuff) up to date immunizations awareness of parasitic potential from pets medical care w/ pregnancy antiretrovirals (truvada/PrEP) |
| prostate CA risk factors | rare in <40, rapid increase risk in 50+ african/whites higher risk asians/hispanic lower risk FHx (father/brother) agent orange/cadmium/toxic chemical exposure low melatonin levels/poor sleep poor diet |
| agent orange | type of herbicide/pesticide |
| prostate CA symptoms | trouble urinating decreased urination force blood in semen swelling in legs bone pain ED |
| healthy lifestyle habits for prostate CA | avoidance of overeating low fat + high fiber + high fish oil soy/legume for phytoestrogen green tea <2 EtOH drinks moderate exercise dark room while sleeping for increase melatonin |
| testicular cancer | high mortality rate w/o early detection recommend monthly self exam of testicles for early dx/tx |
| testicular self exam | exam testicles and scrotum for lumps/nodules/swelling places of pain |
| inspection and palpation of penis | palpate base of penis and pubic hair shaft/foreskin + glans inspect for urethral discharge |
| inspection/palpation of scrutum | inspect scrotum for size/shape/position + scrotal skin palpate scrotal contents auscultate transillumination |
| inspection of inguinal area | inspection for inguinal/femoral hernia palpate for inguinal hernia/nodes scrotal hernia inspect anal area |
| does femoral hernia occur mostly in women | yes |
| reiter syndrome | idiopathic inflammatory disorder affecting skin, joint and mucus membrane |
| older client consideration for GU | lumps swelling mass sexual dysfunction |