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MD2 Core Conditions > Male Genital Tract > Flashcards

Male Genital Tract Flashcards

1
Q

Prostatitis

A

Acute or chronic

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2
Q

Organisms in prostatitis (acute vs chronic)

A

Acute: Enterococcus faecalis, E. coli, chlamydia
Chronic: bacterial or non-bacterial

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3
Q

Features of acute prostatitis

A 
UTIs
Retention
Pain
Haematospermia
Swollen/boggy prostate on DRE
NB Chronic has same Sx but present for >3/12
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4
Q

Mx of acute prostatitis

A

Analgesia

Levofloxacin 500mg/d for 1/12

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5
Q

Mx of chronic prostatitis

A

Abx (note non-bacterial will not respond)
Anti-inflammatories
a-blockers
Prostatic massage

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6
Q

Presentation of penile cancer

A

Chronic fungating ulcer

Bloody/purulent discharge

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7
Q

Penile cancer

A

Rare cancer; related to chronic irritation, viruses (e.g. HPV), smegma

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8
Q

Mx of penile cancer

A

Early: radiotherapy, irridium wires
Late: amputation, LN dissection

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9
Q

Gonorrhoeal urethritis

A

Males: urethral pus, dysuria
Women: often asymptomatic, vaginal discharge, dysuria

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10
Q

Local complications of gonorrhoeal urethritis

A

Prostatitis
Cystitis
Salpingitis

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11
Q

Systemic complications of gonorrhoeal urethritis

A

Septicaemia: petechiae, hand or foot pustules
Arthritis
SBE/IE

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12
Q

Mx of gonorrhoeal urethritis

A

Ceftriaxone 500mg IM stat

Also treat for chlamydia (azithromycin 1g PO stat or doxycycline)

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13
Q

Non-gonococcal urethritis (NGU)

A

Commoner than gonorrhoeal

Discharge is thinner and signs less acute

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14
Q

Causative organisms in NGU

A 
Chlamydia trachomatis
Ureaplasma urealyticum
Mycoplasma genitalium
Trichomonas vaginalis
Gram -ives and anaerobes
Candida
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15
Q

Mx of NGU

A

Azithromycin 1g PO stat or doxycycline

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16
Q

Non-infective causes of urethritis

A

Traumatic
Chemicals
Cancer
Foreign body

17
Q

Diagnosing scrotal masses

A

1) Can you get above it?
2) Is it separate from the testis?
3) Cystic or solid?
Cannot get above = inguinoscrotal hernia, hydrocele extending proximally
Separate and cystic = epididymal cyst
Separate and solid = epididmyitis/varicocele
Testicular and cystic = hydrocele
Testicular and solid = tumour, haematocele, granuloma, orchitis, gumma

18
Q

Causes of epididymo-orchitis

A 
Chlamydia
E. coli
Mumps
Gonorrhoea
TB
19
Q

Epididymal cysts

A

Usually develop in adulthood and contain clear or milky (spermatocele) fluid
Lie above and behind the testis
Remove if symptomatic

20
Q

Causes of testicular atrophy

A 
Hormonal (e.g. chronic androgen use)
Viruses (e.g. mumps, HIV)
Testicular cancer
Testicular injury
Alcoholism
Age-related

MD2 Core Conditions (12 decks)

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