IHUMAN CASE STUDY CALEB MERTZ WEEK #10 A :13-YEAR-OLDBOY, TESTICULAR PAIN CASE

IHUMAN CASE STUDY CALEB MERTZ WEEK #10 A :13-YEAR-OLDBOY, TESTICULAR PAIN CASE

tunica albuginea
thick, fibrous encasements surrounding each testis
acts as the anchor (can get disorders such as torsion)
tunica vaginalis
covers the anterior and lateral aspect of each testis
Brainpower
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torsion (doesn't anchor like it should)
hydrocele (opening for fluid)
why is anatomy important?
hydrocele
sac of clear fluid in the scrotum (problem with the
anchor/tunica albuginea)
Epididymis
Single, fine, tubular structure promoting sperm maturation and
motility.
4-5 cm in length.
Rests posterolateral to the testis (should always be upright)
spermatic cord
Suspend the testicle superiorly
Contain internal and external spermatic arteries and spermatic
veins
scrotal ligament
gubernaculum
gubernaculum
anchors testes to scrotum
vas deferens
Distinct muscular tube
Extends cephalad in the spermatic cord from the tail of the
epididymis, passes through the inguinal canal and joins the
seminal vesicles to form the paired ejaculatory ducts in the
prostatic urethra.
1. Examine the penis, retract foreskin if uncircumcised.
2. Visualize the glans, urethral meatus, shaft
3. Inspect the glans and shaft for ulcerations, cysts, abscesses,
or plaques.
4. Check urethra for discharge, anatomical placement, erosion.
5. Scrotum may be contracted and testicles high-riding if room
is cold (give warm towel)
6. posterior laterally but may vary in alignment.
Head (globus major), body, and tail (globus minor) may elicit
discomfort with palpation
Examine each spermatic cord, vas deferens, and inguinal canals
Best done in the upright, standing position.
Look for varicoceles
7. cremesteric reflex
what do you do on a PE of the male genitalia?

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