Male/female Flashcards
Describe the patho of BPH
Relative increase in E and decrease testosterone levels with age
E sensitizes prostate to DHT = enlargement
Complications of BPH
Hyperplasia of periurethral tissue
Hypertrophy of smooth muscle
= compresses urethra
What are compensatory factors of BPH?
Bladder wall thickens
Trabeculations
Diverticula
= to increase bladder capacity
What 2 things will happen if urine stasis is present?
Infection (UTI)
Calculi
Consequential factors of BPH?
Hydroureter (distension of ureters)
“Fish hook” ureters
Hydronephrosis
What are the 4 dx in BPH?
PSA (prostate specific antiogen)
Inc. TPSA ( prostact mass)
PSAD( density)
PSAV ( velocity)
What are the 4 tx of BPH?
a adrenergic antogonists
5a reduce inhibitor
TURP
Prostatectomy
Where is the tumors located in prostate cancer?
Peripheral and they are adenocarcinomas
What is inflammation of the uterus called?
Endometritis
What is inflammation of tubes called?
Salpingitis
What is inflammation name of ovary?
Oophoritis
What are the 2 ET factors in PID?
Polymicrobial
( chlamydia, gonococci, staphylococci, streptococci)
Untreated bacterial infection
What is the patho of PID?
Microbes enter cervix
Endometrium
Tubes
Rapid multiply as endometrium sloughs
MNFTS of PID
Heavy gross discharge Dyspareunia Fever Infertility Leukocytosis
Dx of PID
Inc. ESR (erythrocyte sedimentation rate)
Inc. CRP