27.2d | Female & Male Genitalia, Anus and Musculoskeletal Examination

sebaceous cyst, STD

inflammation, swelling, or lesions of the mons pubis, labia, or perininum can suggest a …

excoriation, or small, itchy, red maculopapules

signs of lice

clear or cloudy, little to no odor

normal vaginal discharge

candidiasis (fungal infection)

a white, curdlike vaginal discharge with no odor or a yeasty, sweet odor can indicate …

bacterial infection (gonorrhea or Gardnerella)

a yellow, green, or gray discharge with a foul or fishy odor can suggest …

gonorrhea

a profuse, yellow discharge of the penis can suggest …

nongonococcal urethritis

a scant, clear or white discharge of the penis can suggest …

testicular torsion

twisting of the testicle on the spermatic cord

swollen, very tender to the touch, and rides higher in the scrotum

a torsed testicle is usually …

associated vomiting

… is often present with a torsed testicle

acute epididymitis or testicular torsion

scrotal swelling and lower abdominal pain can suggest …

priapism

a painful and prolonged erection of the penis

cervical spine injury w/ ANS dysfunction

in a trauma patient, priapism could indicate …

sickle cell disease, other blood disorders, drug overdose, ED medication overdose

nontraumatic causes of priapism include …

trauma to tha area, excess synovial fluid in the joint space or surrounding tissue

swelling of the joints can be caused by …

rheumatoid arthritis or rheumatic fever

subcutaneous nodules in tissue can be suggestive of …

inflammation or arthritis

skin redness can suggest …

restricted range of motion, bone misalignment, dislocation, or subluxation (partial dislocation)

deformities can be produced by …

rheumatoid arthritis

symmetrical impairment is usually associated w/ a disorder such as …

muscle weakness or joint problem

passive and active range discrepancy can be indicative of …

arthritis or injury

a decreased range of motion could indicate …

loosening of structures supporting the joint

increased range of motion suggests a …

crepitus

crunching sounds of unlubricated parts rubbing against each other

inflamed joint or osteoarthritis

crepitus can indicate an …

sprained ligament, bone fracture, or dislocation

obvious traumatic deformity could indicate …

arthritis, bone misalignment

nontraumatic deformities are caused by …

carpal tunnel syndrome (painful inflammation of the median nerve)

hand pain and numbness, especially at night, suggest …

tennis elbow

inflammation of the medial epicondyle

golfer's elbow

inflammation of the lateral epicondyle

tendonitis at muscle insertion sites

tennis elbow or golfer's elbow suggests …

Dugas sign

patient unable to bring their elbow to their chest after putting the hand of the affect side on the opposite shoulder

biceps tendonitis

tenderness of the bicipital groove

bursitis

inflammation of fluid sacs between joints

gout

acute inflammation of metatarsophalangeal joint indicates …

rheumatoid arthritis

tenderness of the metatarsophalangeal joint is an early sign of …

concave in cervical/lumbar regions, convex in thorax

normal spinal curvature

exagerrated lumbar concavity (swayback)

lordosis (spinal curviture)

exaggerated thoracic convexity (hunchback)

kyphosis (spinal curvature)

lateral curvature

scoliosis (spinal curviture)