• List the risk factors for cerebrovascular accidents and why?
  • What cultures are at higher risk and why?
  • Describe the 0 to 4+ scale for scoring deep tendon reflexes.
  • What would you expect to find in a patient with diabetic peripheral neuropathy?
  • Share any experience you have encountered and elaborate.

———-

  • Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
  • Why are women at a higher risk of UTI than males?
  • What would you educate to decrease the risk of UTI?
  • Summarize the pros and cons of newborn circumcision.
  • Describe the following signs on a female examination:
    • Chadwick
    • Goodell
  • Name the characteristics of the following type of hernias:
    • Indirect inguinal
    • Direct inguinal

Module 5: Lecture Materials & Resources

ull

con 
Physical Examination Part III

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. You should always cross reference the current APA guide for correct styling of citations and references in your academic work.)

Read

· Jarvis, C. (2019).

·

· Chapter 24-25

·
Chapter_024.pptx
Download Chapter_024.pptx

·
Chapter_025.pptx
Download Chapter_025.pptx

·

· Chapter 27 & 31

·
Chapter_027.pptx
Download Chapter_027.pptx

·
Chapter_031.pptx
Download Chapter_031.pptx

·

Stroke: What is Your Risk?
Links to an external site.



Elsevier. (n.d.). Stroke. Evolve: Jarvis: Physical examination & health assessment, 6th edition – Clinical reference – Health promotion guide. https://coursewareobjects.elsevier.com/objects/elr/Jarvis6e/clinicalreference_health/?ch=23

·

Cancer of the Cervix: What Is Your Risk? 
Links to an external site.

Elsevier. (n.d.). Cancer of the cervix. Evolve: Jarvis: Physical examination & health assessment, 6th edition – Clinical reference – Health promotion guide. https://coursewareobjects.elsevier.com/objects/elr/Jarvis6e

See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/257530817

Behavior Change or Empowerment: On the Ethics of Health-Promotion Goals

Article  in  Health Care Analysis · October 2013

DOI: 10.1007/s10728-013-0265-0 · Source: PubMed

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Chapter 25

Male Genitourinary System

Copyright © 2020 by Elsevier Inc. All rights reserved.

1

Copyright 2015

Male genital structures include:

External

Penis and scrotum

Internal

Testis, epididymis, and vas deferens

Glandular structures accessory to genital organs:

Prostate, seminal vesicles, and bulbourethral glands

Male Genitourinary System

Copyright © 2020 by Elsevier Inc. All rights reserved.

Composed of three cylindric columns of erectile tissue:

Two corpora cavernosa on dorsal side

Corpus spongiosum ventrally

Glans: at distal end of shaft corpus spongiosum expands into cone of erectile tissue

Corona: shoulder where glans joins shaft

Urethra conduit for both genital and urinary systems.

Foreskin or prepuce forms hood or flap over glans.

Often removed shortly after birth by circumcision

Frenulum: fold of foreskin extending from urethral meatus ventrally

Penis

Copyright © 2020 by Elsevier Inc. All rights reserved.

Anatomy: Penis

Copyright © 2020 by Elsevier Inc. All rights reserved.

4

Scrotum

Loose protective sac; continuation of abdominal wall

Scrotal wall consists of thin skin lying in folds, or rugae, and underlying cremaster muscle.

Cremaster muscle controls size of scrotum by responding to ambient temperature.

Septum inside separates sac into halves; in each is a testis, which produces sperm.

Testes

Have a solid oval shape, suspended vertically by spermatic cord

Left testis is lower because left spermatic cord is longer.

Tunica vaginalis: double-layered membrane covers each testis and separates it from scrotal wall

Scrotum and Testes

Copyright © 2020 by Elsevier Inc. All rights reserved.

Scrotum

Copyright © 2020 by Elsevier Inc. All rights reserved.

6

Sperm

Epididymis: markedly coiled duct system and main storage site of sperm; comma-shaped structure, curved over top, and posterior surface of testis

Vas deferens: a muscular duct continuous with lower part of epididymis and with other vessels (arteries and veins, lymphatics, nerves) that forms spermatic cord

Spermatic cord

Ascends along posterior border of testis and runs through tunnel of inguinal canal into abdomen

Here, vas deferens continues back and down behind bladder, where it joins duct of seminal vesicle to form ejaculatory duct, which empties into urethra.

Sperm and Spermatic Cord

Copyright © 2020 by Elsevier Inc. All rights reserved.

Lymphatics of penis

Chapter 27

Female Genitourinary System

Copyright © 2020 by Elsevier Inc. All rights reserved.

1

Copyright 2015

External structures

Vulva, or pudendum

Mons pubis

Labia majora

Labia minora

Frenulum or fourchette

Clitoris

Vestibule

Urethral meatus

Skene’s glands

Vaginal orifice

Hymen

Bartholin’s glands

Female Genitourinary System:
External Structures

Copyright © 2020 by Elsevier Inc. All rights reserved.

External Female Genitalia

Copyright © 2020 by Elsevier Inc. All rights reserved.

3

Internal structures

Vagina

Cervix

Squamocolumnar
junction

Anterior fornix

Posterior fornix

Rectouterine pouch, or cul-de-sac of Douglas

Uterus

Fallopian tubes

Female Genitourinary System:
Internal Structures

Copyright © 2020 by Elsevier Inc. All rights reserved.

Internal Female Genitalia

Copyright © 2020 by Elsevier Inc. All rights reserved.

5

Structure:
External Genitalia (1 of 2)

Known as vulva, or pudendum

Mons pubis is a round, firm pad of adipose tissue covering the symphysis pubis.

Labia majora are two rounded folds of adipose tissue extending from mons pubis down and around to perineum.

Labia minora: inside labia majora as two smaller, darker folds of skin

Clitoris: small, pea-shaped erectile body homologous with male penis and highly sensitive to tactile stimulation

Copyright © 2020 by Elsevier Inc. All rights reserved.

Structure:
External Genitalia (2 of 2)

Vestibule: a boat-shaped space, or cleft encircled by the labial structures

Vaginal orifice: posterior to urethral meatus

Hymen: thin, circular or crescent-shaped fold that may cover part of the vaginal orifice or may be absent completely

Vestibular or Bartholin’s glands: on either side and posterior to vaginal orifice, secrete clear lubricating mucus during intercourse

Copyright © 2020 by Elsevier Inc. All rights reserved.

Structure:
Internal Genitalia (1 of 2)

Vagina: flattened, tubular canal extending from the orifice up and backward into the pelvis

Uterine cervix: at end of the canal, projects into the vagina

Cervical epithelium is of two distinct types:

Anterior fornix in front and the posterior fornix in back form a continuous recess around cervix

Behind the posterior fornix is another deep recess called the rectouterine pouch, or cul-de-sac of Douglas.

8

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