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