Health Problems of the Adolescent (WEDNESDAY) Flashcards

1
Q

Epididymitis

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

A

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

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2
Q

Testicular torsion

A

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.

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3
Q

PID (Pelvic inflammatory disease)

A

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

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4
Q

Anorexia and Bulimia Nervosa

A
  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
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