Men's Health Flashcards
What is the positive predictive value for abnormal DRE?
18%-28%
What is an abnormal PSA antigen velocity for PSA less than and greater than 4?
<4 = .35/year >4= .75/year
When do you start screening for PSA?
- > 50 with >10 year life expectancy
2. 40-45 if risk factors
Using the American Urological Symptom Index, when is watchful waiting appropriate for BPH?
<= 7
Using the American Urological Symptom Index, when is BPH severe?
20 or greater
What medications can aggravate BPH symptoms?
Anticholinergics, antihistamines, and decongestants
How soon will finasteride shrink prostate and by how much?
50% in 6 months.
How many cases of prostatitis are bacterial?
5-10%
What organisms are most likely in men less than 35 and men older than 35?
- < 35= G and C
2. >35= enteric organisms
What is contraindicated in prostatitis?
Vigorous massage of prostate
What medication should be given for prostatitis and why?
Fluoroquinolone because of good tissue penetration. Give for 4-6 weeks.
What two medications do you not give ED meds with?
Alpha 1 antagonists, and nitrates
What is the most common extratesticular malignancy to affect the testicles?
Lymphoma
What labs should you do for testicular mass?
Alpha fetal protein
Beta humanchorionic gonadotropin- lydig cells convert testosterone to estrogen
Lactate dehydroginase
Is BPH linked to malignancy?
No
Findings for BPH on palpation of prostate?
May have loss of sulcus, enlarged, rubbery
What is the presentation of a chancroid?
painful ulcer
What organism is responsible for the chancroid?
Haemophilus ducreyi
What is unique about the lymph nodes with chancroid infection?
They may spontaneously rupture
What is the organism for lymphogranuloma venereum?
Chlamydiaphila trachomatis
What does lymphogranuloma venerum present as?
Vescular or ulcerative lesion on external genitalia with inguinal lymphadenitis or buboes
What stage of syphilis is it most contagious?
secondary stage
What strains of HPV cause anorectal carcinoma?
16 and 18
What strains of HPV are likely to cause condyloma acuminatum?
6 and 11
What would a virologic and serologic test look like for a newly infected patient with HSV?
Positive virologic test but negative serologic test
