Men's health Flashcards
What two conditions present similarly to UTI in a man?
epididymitis and acute bacterial prostatitis
What are the common causes of epididymitis?
men < 35 years - chlamydia
men >/= 35 years - E. coli
What is the major diagnostic fever epididymitis?
marked scrotal edema
What sign is positive in epididymitis?
positive Prehn’s sign
What is the treatment for epididymitis?
< 35 years (STI meds)
o ceftriaxone + doxy
o azithromycin
> 35 years (UTI meds)
o TMP/SMZ
o Cipro
In a man with UTI symptoms it’s important to do what physical exam?
digital rectal exam
to check for acute bacterial prostatitis
What does the prostate feel like in acute bacterial prostatitis?
warm
boggy
painful
What is the treatment for acute bacterial prostatitis?
o TMP/SMZ
o fluoroquinalone
o sitz bath
What activity restriction goes along with acute bacterial prostatitis?
no sexual activity until acute phase resolves
When to digital rectal exams start?
40
PSA start at what age?
50
What populations are at increased risk of prostate cancer?
african americans
particulary of Jamaican descent
What does the prostate in BPH feel like?
non tender
rubbery
smooths
symmetrical or asymmetrical
What does the prostate in prostate cancer feel like?
harder than normal
obscure borders
What diet contributes to prostate cancer?
high fat
