53. Congenital malformations and inflammatory lesions of the testis and epididymis, male infertility Flashcards

1
Q

53-1. congenital malformation of testis, epididymis

types of congenital malformation (6)

A
anorchia
monorchia
polyorchia
ectopic testis
fusio testis
cryptorchidism : failure of testicle to descend
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2
Q

53-1. congenital malformation of testis, epididymis

complication of cryptorchidism (3)

A

testicular atrophy
infertility
increased risk of seminoma

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3
Q

53-1. inflammation of testis, epididymis

types of inflammation of testis and epodidymis

A

orchitis
epididymitis
epididymo-orchitis

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4
Q

53-1. inflammation of testis, epididymis

etiology of epididymitis

A

ascending UTI by gonorrhea, syphilis, tuberculosis

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5
Q

53-1. inflammation of testis, epididymis

clinical manifestation of epididymitis (3)

A

testicular pain
red, warm, swollen scrotum
infiltration of neutrophil

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6
Q

53-1. inflammation of testis, epididymis

etiology of orchitis

A

ascending UTI

STD

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7
Q

53-1. inflammation of testis, epididymis

clinical manifestation of orchitis (3)

A

ejaculation of blood
hematuria
pain, swelling testis

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8
Q

53-1. inflammation of testis, epididymis

types of specific orchitis

A

mumps orchitis

granulomatous orchitis

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9
Q

53-1. inflammation of testis, epididymis

clinical manifestations of syphilis orchitis (5)

A
edematous, congested testis
progression to 
- tubuler necrosis
- atrophy
- fibrosis
- sterility
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10
Q

53-1. inflammation of testis, epididymis

etiology of granulomatous orchitis (2)

A

infection of syphilis

infection of tuberculosis

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11
Q

53-1. inflammation of testis, epididymis

clinical manifestation of granulomatous orchitis

A

granuloma formation with caseous necrosis

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12
Q

53-2. male infertility

types of male infertility

A

pre-testicular infertility
testicular infertility
post-testicular infertility

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13
Q

53-2. male infertility

etiology of pre-testicular infertility (4)

A

impede adequate support of testes

  • hypogonadism
  • drug, alcohol, smoking
  • strenous riding
  • absence of gonadotropins
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14
Q

53-2. male infertility

etiology of testicular infertility (7)

A

low quality/quantity of semen

  • age
  • genetic defect on Y chromosome
  • cryptorchidism
  • trauma
  • hydrocele
  • testicular cancer
  • idiopathic oligospermia
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15
Q

53-2. male infertility

etiology of post-testicular infertility (6)

A

problem of genital tract

  • vas deferens obstruction
  • lack of vas deferens
  • retrograde ejaculation
  • ejaculatory duct obstruction
  • hypospadias
  • impotence
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