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  #1  
Old 05-09-2012
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Question Downward Bent Penis Diagnosis

25 year old male, his whole life, even as a kid, I have been embarrassed for a downward bent penis. He doesn't think this has to do with this issue; because his penis has never hurt. Unlike the normal left right up bends at the shaft of the penis and only in erection form, the bend begins near the last 1/2. and some skin from under the penis, is connecting it a little, like a web (but not a terrible bend or connection). Which of the following you expect to be the diagnosis in this case?

A- Epispadias orifice (Hole)
B- Failure of urethral folds to close
C- Androgen insensitivity with 46X,Y
D- Cavernositis due to fibrous tissue
E- Presence of Schiller-Duval Bodies
F- Fluid within the tunica vaginalis



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D- Peyroni disease (sorry about the spelling).

Last edited by islandcrazy; 05-09-2012 at 09:15 PM. Reason: Put wrong letter
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B - Hypospadias..
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Originally Posted by alfjof View Post
25 year old male, his whole life, even as a kid, I have been embarrassed for a downward bent penis. He doesn't think this has to do with this issue; because his penis has never hurt. Unlike the normal left right up bends at the shaft of the penis and only in erection form, the bend begins near the last 1/2. and some skin from under the penis, is connecting it a little, like a web (but not a terrible bend or connection). Which of the following you expect to be the diagnosis in this case?
Sorry, I do not get what are you trying to say at all...
This post is either lacking punctuation badly or its just a random copy-paste mix. At least that's how it looks like
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Peyronie's disease-painful contraction of of the penis. fibromatosis causes lateral curvature of the penis. so correct answer is D - Cavernositis due to fibrous tissue
goljan rr -423p
fa-552p (2012)

Last edited by irakly; 05-09-2012 at 10:32 PM.
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WTF


I guess E... because in A the hole is looking up, in B the hole is looking down, in C the guy looks like a female, in D...mmmm WTF is that? (post infection), and F would be an indirect inguinal hernia...

So my GUESS is E
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Quote:
Originally Posted by irakly View Post
peyronie's disease-painful contraction of of the penis.fibromatosis.causes lateral curvature of the penis.so correct answer is D - Cavernositis due to fibrous tissue
goljan rr -423p
fa-552p(2012)

His penis has never hurt.... is in the stem of the Q
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in hypospadias inferior aspect of prepuce is underdeveloped while the superior aspect grows normally, so the hooded prepuce as described in the pt

and aftr the penile opening a fibrous cord is present instead of the normal urethra and corpora, erego the chordee described...

its got to be B
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Originally Posted by Dr. Mexito View Post
WTF


I guess E... because in A the hole is looking up, in B the hole is looking down, in C the guy looks like a female, in D...mmmm WTF is that? (post infection), and F would be an indirect inguinal hernia...

So my GUESS is E
Schiller-Duval bodies are seen in yolk sac tumor of the testes....

F is a hydrocoele....
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Schiller-Duval bodies are seen in yolk sac tumor of the testes....

F is a hydrocoele....
or indirect inguinal hernia... more common in kids but adults also can have it
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Quote:
Originally Posted by DocSikorski View Post
Sorry, I do not get what are you trying to say at all...
This post is either lacking punctuation badly or its just a random copy-paste mix. At least that's how it looks like

Sorry about the spelling, I was writing with sleep; at least I= He, 1/2= middle, and some.

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Goljan rr -423p
FA-552p (2012)[/QUOTE]


The Answer Is D: Peyronie' disease or cavernositis, bent of the penis due to acquired fibrous tissue formation. Reference Kaplan Qbank and FA 2010 p494
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Quote:
Originally Posted by alfjof View Post
Goljan rr -423p
FA-552p (2012)

The Answer Is D: Peyronie' disease or cavernositis, bent of the penis due to acquired fibrous tissue formation. Reference Kaplan Qbank and FA 2010 p494[/QUOTE]

Another bullet that makes me think that RR is essential
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Another bullet that makes me think that RR is essential[/QUOTE]


All is important, you have to be careful with your reading when you doing wathever Qbank
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didnt read the question, but from the title and the options,

answer is D. peyronie disease
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Quote:
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Another bullet that makes me think that RR is essential
I believe all you needed for this question was FA especially to eliminate A,B because they would have effected urine stream- Embryology section of FA.
-C is in the reproductive section and he would have been a she
-E is also in the reproductive section- it would have been yellow mass, also the steam probably would have made it a child and if they felt nice included the increase AFP
-F- Also in FA, effects the testes not the penis.
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I believe all you needed for this question was FA especially to eliminate A,B because they would have effected urine stream- Embryology section of FA.
-C is in the reproductive section and he would have been a she
-E is also in the reproductive section- it would have been yellow mass, also the steam probably would have made it a child and if they felt nice included the increase AFP
-F- Also in FA, effects the testes not the penis.
all you need to know is 'bent penis = peyronie disease = fibrosis'
Kaplan ftw.
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Originally Posted by Dr.NickRiviera View Post
all you need to know is 'bent penis = peyronie disease = fibrosis'
Kaplan ftw.
Touché! I tend to overthink every questions and clearly that what I did here.
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Quote:
Originally Posted by alfjof View Post
Goljan rr -423p
FA-552p (2012)

The Answer Is D: Peyronie' disease or cavernositis, bent of the penis due to acquired fibrous tissue formation. Reference Kaplan Qbank and FA 2010 p494[/QUOTE]

but isn't that supposed to be painful ???
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Quote:
Originally Posted by alfjof View Post
Goljan rr -423p
FA-552p (2012)

The Answer Is D: Peyronie' disease or cavernositis, bent of the penis due to acquired fibrous tissue formation. Reference Kaplan Qbank and FA 2010 p494[/QUOTE]

also peyronie is acquired right ? but this guy has had it since always... ?

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but isn't that supposed to be painful ???[/QUOTE]

May be the clinical presentation the patient can have pain, and the acquired form I nerver read yet a case
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