Anatomy and Physiology Terms. Intro. to Anatomy and Physiology.
GU ANATOMY AND PHYSIOLOGY and HISTORY & PHYSICAL EXAM.
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Transcript of GU ANATOMY AND PHYSIOLOGY and HISTORY & PHYSICAL EXAM.
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GU ANATOMY AND PHYSIOLOGY
andHISTORY & PHYSICAL EXAM
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KIDNEYS
• Two kidneys, purplish brown organs• Located below the ribs toward the back• Remove waste from the blood• Keep a stable balance of salts and other
substances• Produce erythropoietin, aids in the formation
of red blood cells
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GROSS ANATOMY
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• Adrenal gland caps each kidney• Enclosed within Gerota’s fascia• Each adrenal receives three arteries• Right adrenal vein empties into the vena cava• Left terminates in the left renal vein• Lymphatic vessels drain into the lumbar lymph
nodes
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HISTOLOGY
• Functioning units of the kidneys are nephrons
• Secretory portion contained in the cortex
• Excretory portion is the collecting tubule
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BLOOD SUPPLY
• One renal artery, branch of the aorta• Renal artery divides into the anterior and
posterior branches• Renal veins are paired with the ateries• Accessory renal vessels are common
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URETERS
• Two ureters• Narrow tubes carry urine from the kidneys to
the bladder• Adult ureter 30 cm long
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STONES
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BLADDER
• Triangular-shaped, hollow organ• Located in the lower abdomen• Attached by ligaments to other organs and
pelvic bones• Nerves alert when time to urinate• Two sphincter muscles circular muscles that
keep urine from leaking
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HISTOLOGY OF THE BLADDER
• Bladder is composed of transitional epithelium• Beneath is well-developed submucosal layer• Detrusor muscle is made of a mixture of
smooth muscle fibers, three different layers
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MALE GU ANATOMY
• Seminal vesicles lie cephalic to the prostate• Spermatic cord extends from the internal
inguinal ring• Epididymis connected to the testis by
numerous ducts, markedly coiled
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PENIS AND MALE URETHRA
• Two corpora cavernosa and the corpus spongiosum, contains the urethra
• Aterial supply internal pudenda arteries• Each artery divides into a deep artery of the
penis• Dorsal vein lies external to Buck’s fascia• May be 15 to 23 cm in length
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PROSTATE GLAND
• Fibromuscular and glandular organ• Inferior to the bladder• Weighs about 20 g• Contains the posterior urethra• Consists of 5 lobes• Glands drain into the major excretory ducts,
which open in the floor of the urethra
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Digital Rectal Exam
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TESTIS
• Average testicle 4X3X2 cm• Dense covering, tunica albuginea• Covered anteriorly and laterally by serous
tunica vaginalis• Blood supply associated with that of the
kidneys
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SCROTUM
• Beneath skin of the scrotum dartos muscle• Three fascial layers from the abdominal wall• Two sacs divided by septum of connective
tissue• Helps to regulate environmental temperature
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Normal Male Anatomy
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Paraphimosis
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An Interesting Thought:
More money is spent today on Viagra and breast reconstruction than on Alzheimer's research. So by the year 2040, there will be lots of elderly people walking around with perky boobs, huge erections, and no idea what to do with them.
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FEMALE PELVIC ANATOMY
• Ovaries• Uterine fallopian tubes• Uterus• Cervix• Urinary bladder• Ureters• Vagina• Rectum
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FEMALE URETHRA
• About 4 cm long• Lies beneath the pubic symphysis anterior to
the vagina• Arterial supply from the vesical, vaginal, and
internal pudendal arteries• Lymphatic drainage from the external portion
is to the inguinal and subinguinal lymph nodes
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NORMAL DEVELOPMENT OF THE GU SYSTEM
• Three embryonic kidneys pronephros 3 weeks mesonephros 5 weeks metanephros 5 weeks Nephrogenesis complete at 34 – 36 weeks
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NORMAL DEVELOPMENT
• Bladder and ureter development third week• of gestation• Formation of the trigone by day 33• Urine production by 10-12 weeks gestation• Genital formation begins during the fifth week
of gestation
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GU ASSESSMENT OF THE INFANT AND CHILD
• Abdomen: pain, masses• External genitalia: normal or abnormal• Consider sexual abuse: must be reported
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Tanner System
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Balanitis
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Elements of Examination
• Constitutional• Head, face, eyes, ears, nose, mouth and throat• Neck• Respiratory• Cardiovascular• Gastrointestinal (Abdomen)• Lymphatic• Musculoskeletal/Extremities• Skin• Neurologic
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MALE GENITOURINARY EXAM
• Scrotum: lesions, cysts, rashes• Epididymides: size, symmetry, masses• Testes: size, symmetry, masses• Urethral meatus: size, location, lesions,
discharge• Penis: lesions, presence or absence of
foreskin, foreskin retractibility, plague, masses, scarring, deformities
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DIGITAL RECTAL EXAM
• Prostate gland: size, symmetry, nodularity, tenderness
• Sphincter tone, presence of hemorrhoids, rectal masses
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FEMALE GENITOURINARY EXAM
• External genitalia: general appearance, hair distribution, lesions
• Urethral meatus: size, location, lesions, prolapse
• Bladder: fullness, masses, tenderness• Vagina: general appearance, estrogen effect,
discharge, lesions, pelvic support, cystocele, rectocele
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Female
• Cervix: general appearance, lesions, discharge• Uterus: size, contour, position, mobility,
tenderness, consistency, descent or support• Adnexa: masses, tenderness, organomegaly• Anus, perineum