Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

3P > Men's Health > Flashcards

Men's Health Flashcards

1
Q

What would an enlarged, warm, boggy prostate on exam indicate?

A

Acute prostatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the most common pathogens for acute prostatitis?

A

Older patients –> E. Coli (typically)

Younger patients –>Typicall from STI (chlamydia, trichomonas vaginalis, N. gonorrhea)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why do we NOT do a DRE during suspected acute prostatitis?

A

Pain + Translocation of bacteria to urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the treatment for Prostatitis?

A

Bactrim (TMP/Sulfamethoxazole)
Fluroquinolone (Levofloxacin or Ciprofloxacin)

Doxycycline 100mg BID - Gonorrhoea coverage
Azithromycin 1g weekly x 4 weeks if chlamydial prostatitis suspected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which medication is the first line treatment for chronic bacterial prostatitis (CBP)

A

Sulfamethoxazole/trimethoprim (bactrim DS) 1 tab BID x 4-12 weeks

Prolonged ABX needed b/c prostate absorbs ABX poorly. 4-12 weeks REQUIRED
Other options:
Fluroquinolong (Levo) 500mg daily x 4-6 weeks
Macrolide
tetracycline (Doxycycline)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what symptoms would you see in prostatitis?

A

Back pain
boggy and tender prostate
perineum pain
pain of defecation/ejaculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the assessment findings for epididymis?

A

Gradual development of unilateral scrotal pain, over a FEW days

  • positive prehn sign (lift scrotum, if pain relief = positive sign) - helps differentiate epididymis vs testicular torsion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the treatment for epididymis?

A

Doxycycline & Ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how to differentiate epididymis vs testicular torsion

A

if testicular torsion present then there is ABSENT cremasteric reflex & Negative prehns sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the cause of erectile dysfunction in older men?

A
  • Low testosterone
  • drug induced (antihypertensives, antidepressants, antipsychotics, antiandrogens, recretational drugs, pain medications, anticholinergic)

**AGING IS NOT a cause for ED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is a hydrocele and how does it form?

A

its a collection of serous fluid that results from a defect or irritation in the tunica vaginalis of the scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

assessment findings for hydrocele?

A

Enlarged scrotum
typically unilateral
PAINLESS & SOFT
+ transillumination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which medications shrink the prostate?

A

5-Alpha reductase inhibitors - inhibit conversion of testosterone to DHT

ex: Dutasteride (Avodart) & Finasteride (proscar)

SE: Sexual dysfunction

Need to use for 6-12 months for maximum efficacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a 45 year old male has one testicle that is larger than the other, nontender. what do you suspect?

A

hydrocele

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the purpose of alpha adrenergic blockers in BPH?

A

“-Sin”
causes relaxation of smooth muscle in the prostate and neck of the bladder

Ex: Doxazosin, Terazosin, Tamulosin, Alfuzosin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe lesion seen in penile cancer

A

Solid, Firm, nontender lesion or nodule

17
Q

Presentation of testicular torsion

A

Sudden, severe, unilateral testicular pain

18
Q

what is usually associated with testicular cancer?

A

cryptochidism

19
Q

Alpha 1 Adrenergic Antagonist

Med examples/MOA

A

(“-sin” / “It would be a SIN to not treat their symptoms)

Ex: Tamsulosin

MOA- inhibit smooth muscle retraction –reduces symptoms

Can affect BP since it blocks Alpha 1 adrenergic receptors causes blood vessels to dilate

20
Q

What meds classe/examples do you avoid in patients with BPH?

A
  • Antihistamines (Benadryl or Tylenol PM which contains diphenhydramine)
  • nasal decongestants (Pseudoephedrine)
  • tricyclic antidepressants (Amtriptyline)

**these will promote urinary rentention & excacerbate symptoms

21
Q

How long do we treat acute prostatitis? Why?

A

4-6 weeks

Limited blood flow to prostate so takes awhile for abx to work against infection

22
Q

when should the PSA be rechecked in a patient with bacterial prostatits?

A

4 weeks

23
Q

50yr old male patient presents with fever, chills, pelvic pain and dysuria. pain with ejaculation or defecation, what do you suspect?

A

Acute Prostatitis

*UTI significantly less common in men

24
Q

Common organisms for Acute prostatitis or epididymis in Men <35 yrs old and Men >35yrs old

A

<35 yr —> STI (Chlamydia/Gonorrhea/Tricohomonas)

> 35yr –> E.coli, enterococci (UTI)

25
Q

Why do we NOT do a DRE during a suspected acute prostattis?

A

Translocation of bacteria

26
Q

What trade job is most at risk for non infectious epidiymitis?

A

Truck drivers — polonged sitting causes urine reflux into epididymis

27
Q

S/S of epididymitis

A 
GRADUAL onset 
dysuria 
epididymis tender 
Cremasteric reflex present
Prehns sign --> elevation of testicle relieves pain (positive)
28
Q

S/S of testicular torsion

A

Sudden SEVERE, UNILATERAL scrotal pain
high riding testicle
LACK of cremasteric reflex
Negative prehns sign (no pain relief with testicle elevation)

29
Q

Diagnosis for testicular torsion?

A

Ultrasound ASAP. Medical emergency.

will show reduced blood flow to testicle

30
Q

Treatment for epididymitis secondary to chlamydia/Gonorrhea

A

Doxycycline –> tx chlamydia!

Ceftriaxone IM –> tx gonorrhea

31
Q

Tx for epidiymitis secondary to UTI

A

Bactrim x 10 days (renal function good)

Cipro 500mg BID - renal adjust

32
Q

Major risk factor for testicular cancer

A

cryptorchidism

33
Q

How will testicular cancer present?

A

Solid, firm, NON tender, UNILATERAL testicular mass. negative transillumination.

examine both testicles and compare for size, tenderness, symmetry, presence of nodules.

34
Q

How will a hydrocele present?

A

Enlarged scrotum
PAINLESS
soft scrotum
+ transillumination

d/t fluid filled scrotum

**Often in conjunciton with inguinal hernia

35
Q

Name for the location of most inguinal hernia

A

Hesselbacks triangle

  • inguinal ligmaent
  • rectus muscle
  • epigastric vessel
36
Q

PDE 5 inhibitors

Ex & use

A

(-Fil) “Try to fill up the penis with blood”

Sildenafil
Tadalafil

ED medicaitons

37
Q

Important things regarding for PDE 5 inhibitors

A

Start low and go slow –> Hypotension
No Nitrates or Alpha blockers
Contraindicated in HF, Recent MI, CVA

Take on empty stomach

3P (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions