GENITOURINARY ASSESSMENT

• Stage 1: Preadolescence

  Nopubichairexceptforfinebodyhair
• Stage 2 Of pubic hair development in females

  → Usuallyoccursatages11and12

  → Sparse, long, slightly pigmented curly hair develops along the labia
• Stage 3 of pubic hair development in females

  → Usually occurs between ages 13 and 14

  → Hair becomes darker in color and curlier and develops over pubic symphysis
• Stage 4 of pubic hair development in females

  tage 4

  → Usually occurs between ages 13 and 14

  → Hair assumes the texture and curl of the adult but is not as thick and does not appear on the thighs
• Stage 5 of pubic hair development in females

  → Sexual maturity

  → Hair assumes adult appearance and appears on the inner aspect of the upper thighs
• lesions in labia majora and perineum that is caused by viral infection (painful)

  Herpes
• Lesion in labia majora and perineum that is bacterial in nature

  Syphilis
• Vaginal atrophy – a condition in which the vagina becomes thinner and ryer
• Any loss of hymenal tissue between the 3 ‘o’clock position and the 9 o’clock position indicates trauma in children
• Bulging of the anterior wall – cystocele
• Bulging of the posterior wall – rectocele
• Inanon pregnant woman, a bluish cervix may indicate cyanosis – if not pregnant, should be pinkish
• In a non menopausal women, a pale cervix may indicate anemia
• Pelvic Inflammatory disease (Chandelier’s sign)

  → if there is pain in cervix

  → manipulation of cervix causes patient to lift buttocks off table.

  → infection and bacterial, can affect of chance being pregnant, and delivering normally
• Anteverted uterus

  → most typical position of uterus

  → the cervix is pointed posteriorly, and the body of the uterus is at the level of the pubis over the bladder
• anteflexion is a normal variation that consists of the uterine body flexed anteriorly in relation to the cervix
• Retroverted Uterus

  → A normal variation that consists of the cervix and body of the uterus tilting backward

  → The uterine wall may not be palpable through the abdominal wall or the rectal wall in moderate retrovertion
• Retroflexed uterus

  → A normal variation that consists of the uterine body being flexed posteriorly in relation to the cervix

  → The position of the cervix remains normal

  → The body of the uterus may be felt through the posterior fornix or the rectal wall
• Black stool – upper GI bleeding
• Gray or tan – lack of bile pigment
• Yellow stool – steatorrhea (increased fat content)
• Blood – cancer of rectum or colon
• Human Papilloma Virus

  → causeswarts
• Phimosis

  → cannot retract the foreskin
• Paraphimosis

  → after retracting you cannot cover the glans
• Hypospadias

  → abnormal opening underneath the urethra meatus
• Epispadias

  → abnormal opening in the superior potion of urethral meatus
• Yellow urethral discharge is usually associated with gonorrhea
• A clear or white urethral discharge is associated with urethritis
• Anenlarged scrotal sac may result from fluid (hydrocele), blood (hematocele), bowel (hernia), or tumor (cancer)
• cryptorchidism - Absence of testis
• Transillumination – darken the room and shine a light from the base of the scrotum through the mass. Look for red glow
• Rectal shelf – a peritoneal protrusion into the rectum may indicate cancerous lesion or peritoneal metastasis
• 50 years old and above–prostateexam yearly