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Basic Urology

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Atallah A. Shaaban 76<br />

- Form:<br />

A- Preserved<br />

Kidney: bean: outer convex, inner concave.<br />

Testis: Oval<br />

Epididymis: Coma<br />

B- Similar to a ball (globular) or an egg.<br />

C- Irregular.<br />

4- Surface<br />

- Homogenous or heterogeneous.<br />

- Smooth.<br />

- Bossy (lobulated, regular, large bosses).<br />

- Nodular (regular, small bosses).<br />

- Irregular.<br />

- Combinations.<br />

<strong>Basic</strong> <strong>Urology</strong><br />

5- Sensation<br />

- Temperature.<br />

- Tenderness.<br />

- Crackling e.g. grating of multiple prostatic stones over each other.<br />

6- Skin surface changes<br />

- Inflammatory: redness, hotness, tenderness.<br />

- Infiltrative.<br />

B- Consistency<br />

The hand can be used as a model to assess consistency:<br />

- Hard as any bony prominence.<br />

- Firm as contracted thenar eminence.<br />

- Indurated as stretched extensor pollices.<br />

- Boggy as non- contracted thenar eminence.

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