A Guide to the Clinical Male Urogenital Examination presents a step-by-step instructional guide for performing a basic clinical well-male exam, including a physical assessment of the testicles, penis, rectum and prostate. Clinical Skills USA, Inc. provides students and practitioners in the healthcare professions with "hands-on" training in performing the female breast and pelvic exams and the male urogenital exam. Instruction is conducted by highly-trained men and women who guide the learners as they perform the exams on the instructors own body.
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This presentation provides a step-by-step instructional guide for performing a basic clinical well-woman exam, including both the breast and pelvic examination. Clinical Skills USA, Inc. provides students and practitioners in the healthcare professions with "hands-on" training in performing the female breast and pelvic exams and the male urogenital exam. Instruction is conducted by highly-trained women and men who guide the learners as they perform the exams on the instructors own body.
A Guide to the Clinical Gynecological Exam as Instructed by a Female Guiding ...CSUSA
This presentation provides a step-by-step instructional guide for performing a basic clinical well-woman exam, including both the breast and pelvic examination. Clinical Skills USA, Inc. provides students and practitioners in the healthcare professions with "hands-on" training in performing the female breast and pelvic exams and the male urogenital exam. Instruction is conducted by highly-trained women and men who guide the learners as they perform the exams on the instructors own body.
Sex is not just going backs and force, we need to understand its physiology and neural concepts, here is a detailed presentation about the physiology of sexual human response and the intercourse, in addition to the benefits and some clinical aspects
Gynecologic diseases in childhood are common. This review is intended to enable careful and sound management of pediatric patients as the initial assessment is paramount to proper management.
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Gynecologic diseases in childhood are common. This review is intended to enable careful and sound management of pediatric patients as the initial assessment is paramount to proper management.
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Defines Incest tabu; Contrasts it with rule of exogamy; Explains and evaluate three explanations of the incest tabu: inbreeding, lack of sexual interest, sexual jealousy
Sonography, also known as ultrasound, is a diagnostic test that uses high-frequency sound
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Health Services is committed to assisting women at UNH learn how to be and stay well physically and emotionally. This slide show contains information regarding women's reproductive health, contraceptive options and wellness.
Patient Information Please see attachment for Rubrics and Soap T.docxssuser562afc1
Patient Information
Please see attachment for Rubrics and Soap Template
Family Medicine 27: 17-year-old male with groin pain
User:
Beatriz Duque
Email:
[email protected]
Date:
September 5, 2020 11:01PM
Learning Objectives
The student should be able to:
Elicit focused history of patients presenting with scrotal pain.
Demonstrate the ability to perform proficient testicular examination and to elicit signs specific to identify or exclude testicular torsion.
Develop a differential diagnosis for adolescent male presenting with scrotal pain.
Identify appropriate laboratory and radiological studies as it relates to the differential diagnosis of scrotal pain. Outline the algorithmic approach to testicular pain.
Discuss management of testicular torsion.
Recognize sexually transmitted infections as a cause of testicular pain among adolescent males.
Discuss the importance of counseling to prevent sexually transmitted infections.
Discuss epidemiology and USPSTF recommendations for screening for common testicular cancers.
Knowledge
Important Features of the History for a Patient in Pain
The following acronym can be helpful:
LAQ CODIERS:
L
ocation
A
ssociated symptoms
Q
uality
C
haracter
O
nset
D
uration
I
ntensity
E
xacerbating factors
R
elieving factors other
S
ymptoms
HEEADSSS Adolescent Interview
Home
Education / Employment
Eating
Activities
Drugs
Sexuality
Suicide / Depression Safety / Violence
Scrotal Exam Findings
Cremasteric reflex
Cremasteric reflex can be assessed by lightly stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It should be assessed after inspection and before palpation of the testicles.
Blue dot sign
Tenderness limited to the upper pole of the testis suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in this region. A small bluish discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Prehn sign
Prehn reported that physical lifting of the testicles relieves the pain caused by epididymitis but not pain caused by testicular torsion. A positive Prehn sign is pain that is relieved by lifting of the testicle; if present this can help distinguish epididymitis from testicular torsion.
Causes of Testicular Torsion
Congenital anomaly
A congenital anomaly that results in failure of normal posterior anchoring of the gubernaculum, epididymis, and testis is called a bell clapper deformity because it leaves the testis free to swing and rotate within the tunica vaginalis of the scrotum much like the gong (clapper) inside of a bell, causing an intravaginal torsion. A large mesentery betwee.
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An undescended testis is commonly seen in premature male child.
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The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
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Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
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• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
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A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
3. Introduce
the purpose and process
for the URO exam.
Inquire about
present or recent URO or sexual
problems/concerns.
Reassure
that the exam should not be
painful. Ask that they report
if it is.
Explain each
PE exam maneuver in advance,
or during the process.
5Relax your patient
by relieving anxiety
and embarrassment.
Support your
patient by periodically asking
how they are doing.
Educate your patient
about self-examination and
recognizing abnormalities.
Summarize
by discussing findings and
recommending healthy
lifestyle practices.
Encourage
open discussion of questions
and concerns.
Thank your patient
for their cooperation and
schedule future exam(s).
CLINICAL SKILLS USA, INC.
Key Communication Elements
for the Male Urogenital Exam
8. Male Urogenital Exam
Order of the Physical Examination
1) Pubic and Groin Regions
2) Hernias
3) Scrotum (sac/testes/spermaticcord/vas)
4) Penis
5) Rectum and Prostate
6) Breast (asneeded,basedonfamilyhistory)
Instructed by CLINICAL SKILLS USA, Inc.
Teaching the patient-centered clinical skills required in serving the good health of men and women of all ages.
23. Teach Testicular Self-Exam
To encourage the male patient to “know his own body”.
Explain how to conduct
the testicular self-exam (TSE):
“Gently roll the testicle between the thumb and
the fingers. You may feel a soft tubular
structure (epididymis) that appears on the top
and back testis. It is normal, and should feel like
a small deflated noodle.”
“Support the testicles in one hand and feel each
simultaneously with the other hand. They
should feel glassy and smooth, like a hard
boiled egg or olive.”
“Examining during or just after a warm shower or
bath is the best time, while scrotum is loose.”
“ Feel for any nodules or tenderness. There
may not necessarily be any pain associated
with these conditions. Consult your physician
if you notice any of the above.”