TRy this Qn .... - paprica

[ArchivalUser]

The mother of a 2-year-old male child states that she has noticed white, cheeselike material arising from his foreskin and also that she cannot fully retract the foreskin behind the glans penis. Which of the following is the correct advice for this parent?

1. The child has phimosis and requires a circumcision

2. The child has paraphimosis, and in addition to a circumcision, likely has an infection requiring topical antibiotics

3. The child is normal

4. The child likely has a previously undiagnosed hypospadius

5. Ultrasound of kidneys, bladder, and ureters is indicated to check for unidentified associated defects

[ArchivalUser]

3)

[ArchivalUser]

33...

[ArchivalUser]

unretractable foreskin is normal in infancy and the material is smegma i guess.

[ArchivalUser]

good job
answer is c, The child is normal.[

In about 90% of boys during their first 3 years of life, adhesions between the glans and the prepuce lyse and the distal portion of the foreskin loosens, thus allowing the glans to be exposed. The collection of cellular debris under the foreskin, extruded from under the foreskin, is sometimes deemed abnormal by parents; it requires no treatment. Phimosis (inability to retract the foreskin) is normal in the first years of life and is considered physiologic; inability to retract the foreskin after an age when it would be expected (about 3 years) is considered pathologic phimosis. Paraphimosis is a painful condition occurring when the foreskin gets retracted and trapped behind the glans and, because of edema and venous congestion, cannot be relocated into its normal position. Hypospadias is defined as a urethral opening on the ventral surface of the penile shaft, usually with an absent ventral portion of the prepuce. The general arguments in favor of circumcision include religious reasons; reduced risk of urinary tract infections and sexually transmitted diseases; and reduced rate of penile cancer, phimosis, and balanitis (inflammation of the glans). Phimosis is not associated with other abnormalities of the genitourinary system.