NR 509 FINAL EXAM STUDY GUIDE (Summarized) CHAMBERLAIN UNIVERSITY

Prepuce and glans abnormalities
✔✔1. Phimosis is a tight prepuce that cannot be retracted over the glans.
2. Paraphimosis is a tight prepuce that, once retracted, cannot be
returned. Edema ensues.
2. Balanitis is inflammation of the glans
3. balanoposthitis is inflammation of the glans and prepuce.
Check for varicocele
✔✔Patient standing
1. palpate the spermatic cord about 2 cm above the testis.
2. Have the patient hold his breath and "bear down" against a closed
glottis for about 4 seconds (the Valsalva maneuver).
3. During this maneuver, a temporary increase in the diameter of the
spermatic cord indicates filling of abnormally dilated spermatic veins
draining the testis.
Swellings containing serous fluid, such as hydroceles, light up with a red
glow, or transilluminate. Those containing blood or tissue, such as a
normal testis, a tumor, or most hernias, do not. 4. feels like soft bag of
worms. 5. appears to distort contours of scrotal skin.
Vas Deferens abnormalities
✔✔The vas deferens, if chronically infected, may feel thickened or
beaded. A cystic structure in the spermatic cord suggests a hydrocele of
the cord.