male Flashcards
The older male can produce sperm until:
production of sperm begins to decrease around 40 y.o., although continues into 80-90s y.o.
Gradual decrease in testosterone production in older male after:
the age of 30.
Aging male characteristics:
decreasing pubic hair penile size Slower/less intense sexual response Erection takes longer to develop Ejaculation shorter/less forceful rapid detumescence (flaccid)
Why might a man withdraw from engagement in sexual activity?
loss of spouse depression preoccupation with work marital/family conflict side effects meds heavy use of alcohol lack of privacy economic/emotional stress poor nutrition fatigue
Adolescence: puberty beginning at:
9 y.o. African Americans
10 y.o. caucasian
Older male physical changes become evident when:
later in life
What are the two main causes of chronic kidney disease:
hypertension
diabetes
hesitancy/straining
trouble starting stream strain to start urine change in force/weakness terminal dribbling residual urine UTI
what symptoms suggest BPH
hesitancy/straining loss of force terminal dribbling sense of residual urine reoccurring episodes of acute cystitis
cloudy urine indicates:
UTI
kidney stones
hematuria indicates:
danger sign warrants further work-up
pale yellow urine indicates:
acute viral hepatitis
cirrhosis
excess liquids
yellow urine indicates:
bright yellow with vitamin supplements
amber urine indicates:
dehydration (gold/concentrated)
some laxatives
food/supplements with B-complex vitamins
orange urine indicates:
medication side effects
food/dyes/laxatives
dehydration
jaundice
red urine indicates:
blood in urine nephritis cystitis cancer after prostate surgery
pink urine indicates:
with menses some foods: beats/berries/food dyes some laxatives kidney stones UTI
tea urine indicates:
liver disease (w/ pale stools, jaundice) myoglobinuria (w/ rabdo) medications foods blood in urine
dark grey urine indicates:
urine contains melanin/melanuria
blue urine indicates:
medication side effect
food: asparagus
dye after prostate surgery
frequency of urination in average adult:
voids 5-6 times/day
polyuria is:
excessive quantity of urine
oliguria is:
diminished quantity of urine
<400 mL/24 hours
dysuria is:
pain/burning with urinating
common with
acute cystitis
prostatitis
urethritisurge incontinence:
involuntary loss from overactive bladder
stress incontinence:
involuntary urine loss with physical strain, sneezing, coughing
weak pelvic floor
sexual activity questions should be asked when:
routine in review of body systems
objective and matter of fact
nocturnal enuresis:
involuntary urinating at night after age 5-6 years
later symptoms of BPH:
more dramatic
hematuria
UTI
What can cause nocturia:
diuretic medication habit fluid ingestion 3 hrs before bed coffee alcohol ------------------------ fluid retention from heart failure varicose veins
depressants to sexual desire/function in older adult:
antihypertensives sedatives tranquilizers estrogens alcohol
Inspection and Palpation in genitals:
inspect for inflammation nodules solitary ulcer (chancre) grouped vessels wartlike papules Check for scrotal swelling, inflammation
Retract foreskin:
assess for phimosis
paraphimosis
hypospadias
epispadias
Assess urine for:
color
clarity
pH (should be 4.5-8.0)
More than half of men at this age have symptoms of BPH
men in their 60’s
90% of men at this age have symptoms of BPH:
90% of men in 70’s
