Other Mens Health Problems

Question 1

Epididymitis symptoms

Answer 1

Unilateral testicular pain
Positive prehns sign
Scrotum is swollen and angry

Question 2

What is a positve prehns sign?

Answer 2

Relief when teste is lifted

Question 3

Treatment for epididymitis

Answer 3

Less than 35 years: doxycycline and ceftriaxone

Greater than 35: Levaquin

Question 4

Testicular torsion symptoms

Answer 4

Severe unilateral testicular pain and absent cremesteric reflex

Refer to ED ASAP

Question 5

What is an absent cremesteric reflex?

Answer 5

Lightly stroke inner part of thigh. Wont move.

Question 6

Erectile dysfunction treatment

Answer 6

PDE 5 inhibitors: sindelfil, Viagra

don’t give with patients who have underlying heart issues.
Do an ECG first
Avoid taking with nitroglycerin

Question 7

Erectile dysfunction drug Viagra has multiple contraindications. Besides not giving nitroglycerin for heart disease what other comorbidites is contraindicated?

Answer 7

Multiple myeloma- risk for priaprism

Pigmentary retinopathy- PDE-5 inhibitors can cause further damage to vision.

Question 8

What are the symptoms of prostatitis?

Answer 8

Tender, warm, enlarged and boggy prostate

Painful ejaculation
Dysuria
urinary frequency / weak stream / hesitancy
fever
malaise

Question 9

What is the treatment for prostatitis?

Answer 9

Men younger than 35: ceftriaxone and doxycycline

Men older than 35: cipro, levo, or bactrim