the male health exam practicum - events.mphi.org · the male health exam practicum david l. bell,...
TRANSCRIPT
![Page 1: The Male Health Exam Practicum - events.mphi.org · The Male Health Exam Practicum David L. Bell, MD, MPH Associate Professor, Dept of Pediatrics and Population and Family Health](https://reader030.vdocument.in/reader030/viewer/2022040419/5dd11aaed6be591ccb643db9/html5/thumbnails/1.jpg)
Presented by
The Male Health Exam Practicum
David L. Bell, MD, MPH
Associate Professor, Dept of Pediatrics and Population and Family Health Medical Director, The Young Men’s Clinic
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Positive experience, Apprehensions, Fears of the Male GU Exam – Group Share
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DISCLOSURE STATEMENT
David L Bell, MD, MPH
Commercial Interest Role Status
Nothing to disclose
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Learning Objectives
Review approach to male exam
Identify common male GU dermatology concerns
Refine your skills performing the male health exam.
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Male Anatomy
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Smegma
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Benign Pearly Papules
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Sebaceous Cysts
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Sebaceous Cysts (Scrotum)
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Phimosis
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Paraphimosis
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Lichen Nitidus
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Balanitis
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Balanitis Circinata
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Lichen Planus
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Psoriasis
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Psoriasis
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The celes
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Hydroceles
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Spermatoceles (Epidydimal Cysts)
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Varicocele
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Hernia
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Scabies
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Hypospadius (Malformation)
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Gonorrhea
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Chlamydia
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Syphilis
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HPV-Condyloma
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HPV Vaccine – New Recommendation
– After the October 2016 ACIP meeting, CDC now recommends that 11 or 12 year olds receive 2 doses of HPV vaccine instead of 3.
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Herpes
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Herpes Serologic Testing
HerpesSelect
– Glycoprotein
Not routine
– Previous diagnosis without testing without recurrent symptoms
– Recurrent symptoms
– Exposure to HSV + partner
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HIV PREVENTION PRIMER
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Decreasing Incidence of HIV
Recognizing Acute HIV
Testing
Early Treatment
Post-Exposure Prophylaxis (PEP)
Pre-Exposure Prophylaxis (PrEP)
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Condoms Sexual
Education
Testing Testing
Modalities
Early Treatment
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Recognizing Acute HIV is important!
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Recognizing Acute HIV is important!
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Five Generations of HIV Tests
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Generations of HIV testing
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New Testing Algorithms
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Decreasing Incidence of HIV
Recognizing Acute HIV
Testing
Early Treatment
Post-Exposure Prophylaxis (PEP)
Pre-Exposure Prophylaxis (PrEP)
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Condoms Sexual
Education
Testing Testing
Modalities
Early Treatment
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Decreasing Incidence of HIV
Recognizing Acute HIV
Testing
Early Treatment
Post-Exposure Prophylaxis (PEP)
Pre-Exposure Prophylaxis (PrEP)
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Condoms Sexual
Education
Testing Testing
Modalities
Early Treatment
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Take Away Points
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Condoms Sexual
Education
Testing Testing
Modalities
Early Treatment
Early Diagnosis – Acute HIV
PEP PrEP
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Acknowledgements
Photos courtesy of:
Dermatology Image Atlas
Centers for Disease Control & Prevention
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Approach to the Male GU Exam
Materials/Room Set-up
Stool or Chair
Sit upright
Word Choice
The Exam
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Overview of the Male GU Exam
Outside/In
Assess Pubertal Status (<18yo)
Inspect Pubic Area generally
Palpate for Lymph Nodes
Examine Testicles and Scrotum
Assess for hernias
Inspect Penis, including urethral stripping when necessary.
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MALE PRACTICUM