Day 2 Flashcards
List the 5 different categories of definitions regarding sexuality….
Gender ID Gender Role Sexual Orientation Sexual behavior Sex
List examples of each of the 5 definitions regarding sexuality
Gender ID-male/female/transgender Gender Role-masculine/feminine sex-M/F/intersex SExual orientation-gay/straight/lesbian/bi/asexual sexual behavior-homo/hetero/bi/celibate
what branch of the nervous system controls erection portion of sex
parasympathetic S2-S4
what branch of the nervous system controls the ejaculation phase
sympathetic n from T11-L2
- Pudendal n
- Skeletal muscle
List a few causes of ED caused by neurogenic problems?
dementia. PD, stroke, diabetes, chronic alcoholics w/ vitamin deficiencies such as thiamine
list some meds responsible for ED
SSRI’s, central acting antihypertensives (propranolol the BB), antihistamines (Cimetidine) & Opiates
how does the progression of alcohol effect sexual fxn?
small amounts can increase libido w/ vasodilation & decreased anxiety…. large amounts or chronic use can lead to hypogonadism & polyneuopathies.
what are some alternative to beta blockers in pt experiencing ED
CCB (diltiazem) ACE-I (lisinopril)
alpha-adrenoreceptor antagonists
what are some alternatives to SSRI’s that may lead to increase sexual fxn
Buproprion (Wellbutrin)
Buspirone
Drug holidays, lowering dose of SSRI
What would you tx a man who is unable to have an erection or has some ED
PDE-5 inhibitors such as Sildenfail (Viagra) or Tadalafil (Cialis) (longer duration)
What is the general onset of action for Sildenafil? Duration?
10 minutes onset, 4-6 hrs duration
This is a transurethral injection into the corpus cavernosum that causes vasodilation (Prostaglandin E1)
Alprostadil
How would one tx premature ejaculation? (think opposite of ED)
SSRI
Behavior therapy-condition to hold off on ejaculation
Condoms/anesthetizing creams altho undesireable by the pt
A pt is experiencing dry orgasms… (retrograde ejaculation) how are u tx
reassure, common after TURP or alpha-blocker for BPH
What type of hernia is often associated w/ more complications
femoral
why are males more at risk for hernia’s than females
Due to the scrotum descending down the inguinal canal and stretching it out…
at what age do groin hernia’s occur most?
< 1 y/o and >50 y/o
risk factors for developing groin hernias?
old age, male sex, Caucasian, smoking, cough, constipation, hx of cryptorchidism, family hx
Prime sx of hernias
heaviness/dull discomfort worse w/ lifting/coughing/standing
when would u want to attempt to manually reduce a hernia?
if it is incarcerated, but not if it’s strangulated (pain out of proportion)
Pt presents w/ dome-shaped subcutaneous papule on the srotum, how would u tx?
this is a follicular/sebaceous cyst- reassure unless bothersome
Pt in teens presents w/ pearly dome-shaped papules on coronal margin that are circumferential, how would u tx?
reassure although mistaken for STD it is common and self-resolve.
pt presents w/ well-demarcated scaly erythematous plaques, how would u tx?
hydrocortisone for sx periods as this is psoriatic in nature… Calcipotriene cream for prevention
Pt presents w/ dilated thin-walled venueles after puberty- black, blue, or dark red, dome-shaped papulesa, how do u tx
reassurance as this is angiokeratomas of Fordyce
