Disorders of prostate gland Flashcards
1
Q
BPH- Eti
A
Growth regulated by testosterone
- 50% in 50-60
- 90% in 80-90
- 20% require treatment
2
Q
BPH- Sx
A
- Diminished force of stream
- Hesitancy, intermittency, incomplete emptying
- Nocturia, freq, urgency
- Incontinance
3
Q
BPH- Tx
A
- Alpha blocker
- 5 alpha reductase inhibitors
(combination of 2 better than preventing retention) - PDE-5 inhibitors
4
Q
BPH- Dx
A
- DRE
- Postvoid residual
- Stroma to epithelial cells 5:1
- AUA symptom index
5
Q
BPH- Complications
A
- Retention
- UTI
- Calculi & stones
- CKD
- Bladder issues
6
Q
AB Prostatitis- Eti
A
- E.coli & pseudomonas infection
7
Q
AB Prostatitis- Sx
A
- Fever
- Exquisite tenderness on DRE
- Irritative voiding
- Perineal or suprapubic pain
8
Q
AB Prostatitis- Dx
A
- Urine culture
- Pyuria, bacteruia, hematuria
- CBC- left shift
9
Q
AB Prostatitis- Tx
A
- Ampicillin
- Gentamicin
- Cipro
10
Q
NB prostatitis- Eti
A
- Chlamydiae, mycoplasma & viruses
- Noninfectous inflammatory or autoimmune disorder
11
Q
NB prostatitis- Sx
A
- Irritative voiding
- No hx of UTI
- Perineal or suprapubic discomfort
12
Q
NB prostatitis- Dx
A
- Of exclusion: neg cultures
- RO bladder CA
- Leukocytes in prostatic secretions
13
Q
CB prostatitis- Eti
A
- Gram - rods
- May evolve from acute or may have no hx of acute
14
Q
CB prostatitis- Sx
A
- Irritative voiding
- Low back & perineal pain
- Hx of UTI
- PE unremarkable
- Boggy, indurated prostate
15
Q
CB prostatitis- Dx
A
- Culture
