Presented by

The Male Health Exam Practicum

David L. Bell, MD, MPH

Associate Professor, Dept of Pediatrics and Population and Family HealthMedical Director, The Young Men’s Clinic

Positive experience, Apprehensions, Fears of the Male GU Exam – Group Share

DISCLOSURE STATEMENT

David L Bell, MD, MPH

Commercial Interest Role Status

Nothing to disclose

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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1

23 4

6

8

910

11

12

5

Male Anatomy

Smegma

Benign Pearly Papules

Sebaceous Cysts

Sebaceous Cysts (Scrotum)

Phimosis

Paraphimosis

Lichen Nitidus

Balanitis

Balanitis Circinata

Lichen Planus

Psoriasis

Psoriasis

The “celes”

Hydroceles

Spermatoceles (Epidydimal Cysts)

Varicocele

Hernia

Scabies

Hypospadius (Malformation)

Gonorrhea

Chlamydia

Syphilis

HPV-Condyloma

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.

Herpes

Herpes Serologic Testing

HerpesSelect– Glycoprotein

NOT ROUTINE– Previous diagnosis without testing without

recurrent symptoms– Recurrent symptoms– Exposure to HSV + partner

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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CondomsSexual

Education

TestingTesting

Modalities

Early Treatment

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)

41

CondomsSexual

Education

TestingTesting

Modalities

Early Treatment

Decreasing Incidence of HIV

Recognizing Acute HIV Testing Early Treatment Post-Exposure

Prophylaxis (PEP) Pre-Exposure Prophylaxis

(PrEP)

42

CondomsSexual

Education

TestingTesting

Modalities

Early Treatment

Take Away Points

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CondomsSexual

Education

TestingTesting

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

Overview of the Male GU Exam

Mp4 or live group demonstration

MALE PRACTICUM