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  • Flanigan MaleGU

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    didu91
    7 просмотров28 страниц
    This document outlines how to examine the male genito-urinary system. It describes how to palpate and examine the internal organs like the kidneys, ureters, bladder, and prostate as well as the external genitals including the penis, testes, epididymis, vas deferens, and spermatic cord. For each structure, it indicates what is normally palpable, signs of abnormalities or disease to look for, and techniques for examination. The goal of the genito-urinary examination is to thoroughly inspect the male reproductive and urinary organs for any abnormalities, enlargements, or signs of disease.

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    anatomie

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    This document outlines how to examine the male genito-urinary system. It describes how to palpate and examine the internal organs like the kidneys, ureters, bladder, and prostate as well as the external genitals including the penis, testes, epididymis, vas deferens, and spermatic cord. For each structure, it indicates what is normally palpable, signs of abnormalities or disease to look for, and techniques for examination. The goal of the genito-urinary examination is to thoroughly inspect the male reproductive and urinary organs for any abnormalities, enlargements, or signs of disease.

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    © All Rights Reserved
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
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    7 просмотров28 страниц

    Flanigan MaleGU

    Загружено:

    didu91
    This document outlines how to examine the male genito-urinary system. It describes how to palpate and examine the internal organs like the kidneys, ureters, bladder, and prostate as well as the external genitals including the penis, testes, epididymis, vas deferens, and spermatic cord. For each structure, it indicates what is normally palpable, signs of abnormalities or disease to look for, and techniques for examination. The goal of the genito-urinary examination is to thoroughly inspect the male reproductive and urinary organs for any abnormalities, enlargements, or signs of disease.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 28

    Genito-Urinary Examination

    Robert C. Flanigan, MD

    GU Organs

    Internal
    Prostate

    -Kidney
    - Ureter
    - Bladder
    - Seminal vesicle
    - Vasal ampulla

    External - Penis - Testis- Epididymis - Vas deferens Spermatic cord

    Kidney

    Palpable only in children and lean adults

    Enlargement
    - Hydronephrosis
    - Tumor
    - Perinephric pathology

    Renal pain
    - Palpate in CVA
    - Pyelonephritis
    - Urolithiasis

    Ureter

    Impalpable except when massively dilated in children

    Traumatized by GSW and stabbing over a wide area of


    abdomen and back

    Best examined radiologically

    Bladder

    Extraperitoneal organ in adults

    Palpable above pubis in midline

    Dull to percussion

    Compression elicits pain

    Distension
    - Urinary retention
    - Displacement

    Prostate

    Palpable by DRE

    Chestnut-sized, squash ball consistency

    Enlargement in 30s

    Examination
    - Position
    - Landmarks
    - Prostate features

    Radiologic imaging

    Seminal Vesicle

    Impalpable except in rare cases

    Lies postero-lateral to prostate

    Function

    Radiologic imaging

    Enlargement
    - Tumor
    - Ejaculatory duct obstruction

    Vasal Ampulla

    Impalpable except in rare cases

    Lies posterior to prostate either side of midline

    Penis

    Anatomy

    Abnormalities
    - Meatus
    - Prepuce
    - Skin
    - Erectile chambers

    Testis

    Dimensions

    Consistency

    Enlargement
    - Testis versus entire hemiscrotum?
    - Get above mass?
    - Tenderness?

    Vas Deferens

    Difficult to palpate except through practice

    Fibrous, mobile cord

    Presence vs absence

    Epididymis

    Posterolateral to testis

    Anatomic parts

    Enlargement
    - Inflammation/infection
    - Tumor
    - Obstruction

    Spermatic Cord

    Varicose veins (Varicoceles)

    Lipoma

    Hernia

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