male

• internal structure of the penis

  A) corona

  B) glans penis

  C) urethral opening

  D) shaft

  
• abnormal urethral opening

  • hypospadias - below (more common)
  • epispadiad - above
• in palpating the prostate gland, the access location is the rectal area

  • need lubricant for the anus
  • uses digital exam
• the testicle (scrotal sac) is asymmetrical, one is lower than the other (usually the left)
• itching of genital may indicate pediculosis
• lesions of genital: warts, genital herpes. oral herpes
• lesions may indicate STD
• discharge from penis is called gonorrhea (yellowish)
• dysuria - difficulty in urination (diuretics)
• urine has an aromatic color, 20 ml per hour and a pale straw color
• pain while urinating may indicate STI
• undigested fat in stool - steatorrhea
• testicular exam is done after a warm bath
• anal trauma may be a result from anal intercourse
• guaiac test - stool exam, to check if there is blood in the stool
• sigmoidoscopy - visual examination of the colon
• tse - testicular self exam
• scrotum contracts when in contact with cold temperature and relaxes in warm temperature
• testicular exam - palpation

  • index and middle finger is placed below and thumb placed above
  • push testes away from you (must not feel pain)
  • standing position or sitting position
• anal rectal exam - to check for hemorroids
• hemorrhoid is obtained if patient is always constipated or straining
• flaccid means not erected
• cryptorchidism - testicles cannot descend

  phimosis - testicle is hard to retract (uncircumcised)
• texture of testes is soft and rubber-like
• assessment of prostate gland: one finger inserted the anus to feel prostate gland

  • non-palpable
• urethral opening in the male is the passageway of urine and semen