Wk 32 - Male biological sex Flashcards

1
Q

What are 5 health symptoms that shouldn’t be ignored when a male presents to a pharmacy?

A
  • Lump on testicle
  • Mole
  • Depressed
  • Trouble urinating
  • Erectile dysfunction
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2
Q

What are signs of testicular cancer?

A
  • Lump on either testicle (refer)
  • Enlarged testicle
  • Dull ache in abdomen/groin
  • Gathering of fluid in scrotum
  • Heaviness in scrotum
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3
Q

What is the cause of alopecia + how do you manage it?

A
  • Male pattern baldness
  • Effect of DHT on over sensitive hair follicles
  • Minoxidil (P), Finasteride 1mg tab (POM)
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4
Q

What are causes of snoring?

A
  • Obstruction
  • Loss of muscle tone
  • Fat deposits/weak chin
  • Collapsing nostrils
  • Deviated septum
  • Large soft palate/uvula
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5
Q

How do you manage snoring?

A
  • Less alcohol + stop smoking
  • Nasal spray + dilators
  • Oral shield + chin up straps
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6
Q

What are symptoms of benign prostatic hyperplasia?

A
  • Incomplete emptying
  • Inc frequency
  • Intermittent flow
  • Urgency
  • Weak stream
  • Nocturia
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7
Q

What do you give to treat benign prostate hyperplasia?

A

Flomax MR relief 400mcg (tamsulosin)

  • 45-75
  • Symptoms present 3 months + more
  • 2 wk initial supply
  • Improvement = further 4 wks
  • See GP w/in 6 wks
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8
Q

What are the counselling points for benign prostate hyperplasia?

A

Red alcohol, caffeine, weight + fluid intake before bed

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9
Q

When would you not supply tamsulosin?

A
  • Symptoms <3 months
  • Prostate surgery
  • Undiagnosed diabetes (thrush, UTI)
  • Liver, kidney + heart problems
  • Postural hypo
  • Cataract surgery
  • Cloudy vision
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10
Q

What is the treatment for erectile dysfunction?

A

Sildenafil 50mg

  • 50mg 1hr before intercourse
  • Sexual stim needed
  • Empty stomach
  • S/e: headache, flushing, visual disturbance. nausea
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11
Q

What are the CI/red flags for sildenafil?

A
  • Female
  • <18
  • Don’t have ED
  • Premature ejaculation
  • Hypotension
  • Hepatic impairment
  • Severe renal impairment
  • Nitrates, alpha blocker
  • MI/stroke in previous 6 months
  • Severe HF
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12
Q

What are the symptoms of thrush?

A
  • Irritation, burning around penis + under foreskin
  • White discharge
  • Unpleasant smell
  • Difficulty pulling back foreskin
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13
Q

What are the requirements to treating thrush?

A

Symptomatic AND sexual partner diagnosed

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14
Q

What is the treatment for thrush?

A
  • Fluconazole 150mg caps
  • Clotrimazole 2% cream: BD/TDS upto 2 wks
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15
Q

What are the red flags for thrush?

A
  • Partner has no candida infection
  • <16 + >60
  • Diabetic
  • 2 episodes in 6 months
  • Systemic infection
  • Hx STI
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16
Q

What is the management for hernia?

A
  • Treatment: surgery, truss
  • Prevention: diet, weight control, smoking cessation, exercise (lifting)