Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AHI > Care of Patients with Male Reproductive Problems > Flashcards

Care of Patients with Male Reproductive Problems Flashcards

1
Q

Second most common type of cancer in men and if found early, has a near 100% cure rate - pretty good prognosis if caught before any metastasis and is pretty likely
Slowest growing cancer
Causes: number of factors
Risk factors
Health promotion and maintenance

A

Prostate cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Over the age of 65
Race
Family history of prostate cancer

A

Risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

African American males more often affected

A

Race

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Screening
Healthy, balanced diet

A

Health promotion and maintenance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Essential; with blood draws; DRE to eval for enlarged prostated
Consider screening at age 50

A

Screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Decrease animal fats in diet-especially red meats; high fat and low fiber diet increases risk; encourage low fat
Increase fruits, vegetables and high fiber foods

A

Healthy, balanced diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

History
Clinical manifestations
Lab
Other diagnostic assessment

A

Prostate cancer Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Early symptoms: - sim to BPH
Advanced disease symptoms: - same with adv cancer

A

Clinical manifestations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Urinary retention
Frequent bladder infections
Difficulty starting urination/ending stream
Tumor in prostate constricts on urethra just like BPH

A

Early symptoms: - sim to BPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hematuria - specific to prostate cancer
Swollen lymph nodes, especially in the groin - initially metastasis to groin but if distant can go elsewhere
Pain
Unexpected weight loss

A

Advanced disease symptoms: - same with adv cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Prostate specific antigen (PSA)
Early prostate cancer antigen (EPCA-2)
Elevated serum acid phosphatase

A

Lab

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Increases warrant that follow up
Elevated with prostate cancer and BPH
Used as a screening lab because other prostate problems can increase the level; not diagnostic tool

A

Prostate specific antigen (PSA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Can detect changes in the prostate gland early and is very sensitive
Specific to prostate cancer

A

Early prostate cancer antigen (EPCA-2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

With advanced disease

A

Elevated serum acid phosphatase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Screening - DRE, PSA, lab work; indications prostate cancer do US then biopsy to confirm diagnosis
Transrectal ultrasound (TRUS)
Biopsy

A

Other diagnostic assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lot options for client
Active surveillance
Surgery - remove entire prostate
Nonsurgical management

A

Prostate cancer interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Not do any treatment unless really symptomatic with it because such slow growing cancer; treatments and interventions could be worse for pat; may just check labs and eval over time and not cause symp
Common intervention because slow growth
If younger or progressing do other things
After initial diagnosis will monitor and only pursue active treatment if the symptoms become bothersome
Usually done if cancer is in the early stage because it is a very slow growing cancer

A

Active surveillance

18
Q

Can be used as an adjunct to surgery or alternative intervention

A

Nonsurgical management

19
Q

Used if the cancer is widespread or the patient’s condition or age prevents surgery
Radiation - implant radiation seeds in prostate
Drug therapy (hormone therapy, chemotherapy)

A

Can be used as an adjunct to surgery or alternative intervention

20
Q

Inflammation of the prostate gland
Acute bacterial prostatitis
Chronic bacterial prostatitis

A

Prostatitis assessment

21
Q

Typ if inflammation/infection of urethra or UTI; sometimes with STIs and travels to prostate
Occurs with urethritis or an infection of the lower urinary tract
Organisms may reach the prostate via the bloodstream or urethra
Symptoms of infection

A

Acute bacterial prostatitis

22
Q

fever, chills, dysuria, urethral discharge, boggy and tender prostate (classic sign of prostatitis); difficulty with urinatio

A

Symptoms of infection - Acute bacterial prostatitis

23
Q

Occurs in older men
Symptoms less dramatic - like BPH
Symptoms

A

Chronic bacterial prostatitis

24
Q

hesitancy, urgency, dysuria, difficulty initiating and terminating the flow of urine/urine stream, and decreased strength and volume of urine, urgency
discomfort in the perineum, scrotum, and penis

A

Symptoms - Chronic bacterial prostatitis

25
Q

Treatment
Complications

A

Prostatitis interventions

26
Q

Primary intervention: Antibiotics - treat bacterial infection; oral but if severe may need IV in inpat setting to prevent any comps so not get systemic infection if gone untreated
Acute bacterial prostatitis may require hospitalization with aggressive IV antibiotics

A

Treatment

27
Q

travels to other areas; that is why treat it so not have these
Epididymitis
Cystitis

A

Complications

28
Q

Inflammation of the epididymis

A

Epididymitis

29
Q

Inflammation of the bladder

A

Cystitis

30
Q

Rare cancer, most often affecting men between 20 and 35 years of age; commonly in younger pop
Common manifestation
Lab assessment
Other diagnostic assessment

A

Testicular cancer assessment

31
Q

Painless, hard swelling or enlargement of the testicle; primary symp: mass/enlargement testicle; usually unilateral and usually painless mass

A

Common manifestation - Testicular cancer assessment

32
Q

Alpha-fetoprotein (AFP) - most common
Beta human chorionic gonadotropin (hCG)
Lactate dehydrogenase (LDH)

A

Lab assessment - Testicular cancer assessment

33
Q

Ultrasonography
CT and MRI

A

Other diagnostic assessment - Testicular cancer assessment

34
Q

see mass
Drain fluid to test for cytology and get biopsy eventually to confirm diagnosis
Identify fluid or solid mass and benign versus malignant

A

Ultrasonography

35
Q

Check for metastasis

A

CT and MRI

36
Q

Typ unilateral
Surgical management
Nonsurgical management

A

Testicular cancer interventions

37
Q

Radical unilateral orchiectomy - best outcomes if remove one testicle
Radical retroperitoneal lymph node dissection (RPLND) may also be done - if lymph node involvement

A

Surgical management - Testicular cancer interventions

38
Q

In addition to surgical treatment - not as only treatment
Chemotherapy
External beam radiation therapy (EBRT) - do external radiation

A

Nonsurgical management - Testicular cancer interventions

39
Q

May be used as adjuvant therapy or as primary treatment

A

Chemotherapy

40
Q

May be used after orchiectomy for localized disease

A

External beam radiation therapy (EBRT) - do external radiation

AHI (77 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions