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Genito-Urinary Examination Robert C. Flanigan, MD Albert J. Jr. and Claire R

Содержание

GU OrgansInternal -Kidney - Ureter - Bladder - Prostate - Seminal vesicle - Vasal ampullaExternal - Penis - Testis - Epididymis - Vas deferens - Spermatic cord

Слайды и текст этой презентации

Слайд 1Genito-Urinary Examination Robert C. Flanigan, MD Albert J. Jr. and Claire

R. Speh Professor and Chairperson Department of Urology Loyola University Medical Center Stritch

School of Medicine
Genito-Urinary Examination   Robert C. Flanigan, MD Albert J. Jr. and Claire R. Speh  Professor

Слайд 2GU Organs
Internal -Kidney - Ureter - Bladder - Prostate - Seminal vesicle - Vasal ampulla

External - Penis -

Testis - Epididymis - Vas deferens - Spermatic cord

GU OrgansInternal									-Kidney								- Ureter								- Bladder								- Prostate								- Seminal vesicle							- Vasal ampullaExternal									- Penis								- Testis								- Epididymis								- Vas deferens							- Spermatic cord

Слайд 5Kidney
Palpable only in children and lean adults

Enlargement - Hydronephrosis - Tumor - Perinephric

pathology
Renal pain - Palpate in CVA - Pyelonephritis - Urolithiasis

KidneyPalpable only in children and lean adultsEnlargement								- Hydronephrosis							- Tumor								- Perinephric pathology									Renal pain									- Palpate in CVA							- Pyelonephritis							- Urolithiasis

Слайд 9Ureter
Impalpable except when massively dilated in children

Traumatized by GSW and

stabbing over a wide area of abdomen and back

Best examined

radiologically
UreterImpalpable except when massively dilated in childrenTraumatized by GSW and stabbing over a wide area of abdomen

Слайд 10Bladder
Extraperitoneal organ in adults

Palpable above pubis in midline

Dull to percussion



Compression elicits pain

Distension - Urinary retention - Displacement

BladderExtraperitoneal organ in adultsPalpable above pubis in midlineDull to percussion Compression elicits painDistension									- Urinary retention							- Displacement

Слайд 13Prostate
Palpable by DRE

“Chestnut-sized, squash ball consistency”

Enlargement in 30’s

Examination - Position - Landmarks -

Prostate features

Radiologic imaging

ProstatePalpable by DRE“Chestnut-sized, squash ball consistency”Enlargement in 30’sExamination								- Position								- Landmarks								- Prostate featuresRadiologic imaging

Слайд 18Seminal Vesicle
Impalpable except in rare cases

Lies postero-lateral to prostate

Function

Radiologic imaging

Enlargement -

Tumor - Ejaculatory duct obstruction

Seminal VesicleImpalpable except in rare casesLies postero-lateral to prostateFunctionRadiologic imagingEnlargement								- Tumor								- Ejaculatory duct obstruction

Слайд 19Vasal Ampulla
Impalpable except in rare cases

Lies posterior to prostate either

side of midline

Vasal AmpullaImpalpable except in rare casesLies posterior to prostate either side of midline

Слайд 20Penis
Anatomy

Abnormalities - Meatus - Prepuce - Skin - Erectile chambers

PenisAnatomyAbnormalities								- Meatus								- Prepuce								- Skin									- Erectile chambers

Слайд 22Testis
Dimensions

Consistency

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

TestisDimensionsConsistencyEnlargement								- Testis versus entire hemiscrotum?				- “Get above mass?”							- Tenderness?

Слайд 25Vas Deferens
Difficult to palpate except through practice

Fibrous, mobile cord

Presence vs

absence

Vas DeferensDifficult to palpate except through practiceFibrous, mobile cordPresence vs absence

Слайд 26Epididymis
Posterolateral to testis

Anatomic parts

Enlargement - Inflammation/infection - Tumor - Obstruction

EpididymisPosterolateral to testisAnatomic partsEnlargement								- Inflammation/infection						- Tumor								- Obstruction

Слайд 27Spermatic Cord
Varicose veins (Varicoceles)

Lipoma

Hernia

Spermatic CordVaricose veins (Varicoceles)LipomaHernia

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