Health Problems of the Adolescent (WEDNESDAY)

Question 1

Epididymitis

What is it?
Causes?
Symptoms?
how is pain relieved?
Test for what?

Answer 1

Inflammation of the epididymis-a narrow-coiled tube
connecting rear of the testicle. It carries and stores sperm that is created in the testes.

Causes
Infection (sexually transmitted infections-gonorrhea, chlamydia) most common cause.

Presentation—pain, redness, swelling scrotal area

(unilateral-one side)
Pain relieved with lifting of testicles.

Test for STI

Treatment—analgesics, antibiotics, and supportive brief

Question 2

Testicular torsion

Answer 2

Testicular torsion is a twisting of the spermatic cord that results in partial or complete venous occlusion and rotation of testicle.

Causes: With and without trauma, Spermatic cord anatomical defect

Presentation: sudden, severe scrotal pain (unilateral - one side), nausea, and vomiting.

Surgical emergency to prevent necrosis and permanent ischemic damage.

Delay in treatment may be associated with decreased fertility, or may necessitate orchiectomy.

Question 3

PID (Pelvic inflammatory disease)

Answer 3

Infection of upper genital tract

Untreated STI migrates upward to ovaries and fallopian tubes (Salpingitis)

Inflammation, scarring, and narrowing of the fallopian tubes-infertility

Symptoms- lower abdominal pain, fever, vaginal discharge

Treatment-admitted for IV antibiotics

Question 4

Anorexia and Bulimia Nervosa

Answer 4

1. Anorexia (AN)-social, psychological, behavioral, cultural, and physiologic components characterized by distorted body image
2. Typically extremely underweight
3. Bulimia (BN)- characterized by repeated episodes of binge eating followed by inappropriate compensatory behaviors.
4. Vomiting, laxatives, diuretics,
5. Typically average weight or slightly below
6. Diabulimia-Type 1 diabetics-reduce or stop taking insulin to lose weight
7. Considerations for AN and BN
8. Cardiac, interdisciplinary treatment