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clin med II, exam 3 > male GU disorders > Flashcards

male GU disorders Flashcards

1
Q

etiology of sexually transmitted epididymitis

A
  • N. gonorrhea
  • C. trachomatis
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2
Q

etiology of non sexually transmitted epididymitis

A

gram negative rods

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3
Q

clinical presentation

  • may follow acute physical strain, trauma, or sexual activity
  • scrotal pain
  • fever
  • swelling of epididymis
A

epididymitis

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4
Q

untreated epididymitis can lead to

A
  • orchitis
  • abscess
  • infertility
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5
Q

+ Prehns sign is typical of

A

epididymitis

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6
Q

tx of sexually transmitted epididymitis

A
  • rocephin or doxycycline x 10 d
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7
Q

tx of nonsexually transmitted epididymitis

A

levofloxacin x 10 d

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8
Q

what is the most common STD? what age group does it have highest incidence

A

Gonorrhea

  • 15-29 yo
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9
Q

clinical presentation

  • male: burning pain with urination, yellow urethral d/c
  • women: asymptomatic, or less severe
    • PE: + chandeliers sign
A

urethritis caused by gonorrhea

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10
Q

how is urethritis caused by gonorrhea diagnosed

A
  • men: culture or gram stain
  • women: culture
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11
Q

tx: urethritis caused by gonorrhea

A
  • rocephin or cefixime
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12
Q

clinical presentation

  • men: clear to white d/c, lymphadenopathy
  • women: signs and symptoms of PID, cervicitis, or salpingitis
A

urethritis caused by chlamydia

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13
Q

diagnosis: urethritis caused by chlamydia

A

culture or DNA probe

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14
Q

urethritis caused by chlamydia can cause what in females

A

infertility

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15
Q

tx: urethritis caused by chlamydia (uncomplicated)

A
  • zithromax
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16
Q

tx: urethritis caused by chlamydia empiric tx of GC

A
  • erythromycin or doxycycline x 10 d + rocephin
17
Q

what is the most common type of urinary stone

A
  • calcium
    • calcium oxalate
    • calcium phosphate
18
Q

which urinary stone is radiolucent

19
Q

testicular torsion is common in what age group

20
Q

diagnosis: testicular torsion

A

Doppler US -> surgical emergency

21
Q

presentation

  • bag of worms sensation on palpation of testes
A

varicocele

  • veins of pampinaform plexus become dilated
22
Q

what infectious process can cause infertility

23
Q

direct inguinal hernia

A
  • protrudes through hesselbachs triangle
    • inguinal ligament
    • inferior epigastric vessels
    • rectus abdominus
24
Q

which inguinal hernia more often incarcerates

A

indirect inguinal hernia

  • a leading cause of bowel obstruction
25
Q

indirect inguinal hernia

A
  • comes down inguinal canal
  • more common

clin med II, exam 3 (6 decks)

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