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Testicular Disorders, Cancer, Hernia, ED , BPH, Prostate CA > General Male > Flashcards

General Male Flashcards

(58 cards)

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1
Q

5 Ps

A

Partners
Past Hx of STI
Practices
Prevention of STI
Prevention of Pregnancy

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2
Q

Hydrocele

A
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2
Q

Varicocele

A

Dilated veins of the spermatic cord

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3
Q

Asymptomatic UTI Males

A

WBC > 10 in single urine clean catch

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4
Q

Cystitis Meds
(TLC)

A

Urine c+s should be performed

Trimethoprim/Sulfamethoxazole
Levofloxaciin
Ciprofloxacin

7-14 days tx

Pyridium daily

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5
Q

BPH
When does it usually start what age

A

constrict urethra starts at age 40

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6
Q

Dx of BPH

A

UA,UC, PSA

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7
Q

Median sulcus

A

Separate right and left lobe of prostate

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8
Q

PSA elevated level

A

Age 55-69 y/o USPSTF
>4 increased risk of prostate ca

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9
Q

BPH Medical Management

What does Doxa, Tamsu, and Alfuz mx for what in reference to BP

A

1) Doxazosin, Tamsulosin, Alfuzosin : postural hypotension, dizziness, fatigue

2) Finasteride, Dutasteride: PSA max @ 6 months, LUTS AND BPH

3) Tadalafil

Void q 2-3 hours

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10
Q

5 Alpha Reductase

A

2) Finasteride, Dutasteride: PSA max @ 6 months, LUTS AND BPH

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11
Q

Prostatitis

A

Acute/chronic infx

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12
Q

Noninflammatory Prostatitis

A

WBC <10

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13
Q

Acute prostatitis, male, <35 y/o, urinary symptoms

A

Check for gonorrhea, and chlamydia

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14
Q

Acute Bacterial Prostatitis s/s

A

Fever, chills, malaise
Arthralgias, myalgias
Acute onset of dysuria
Obstructive urinary tract symptoms including
Hesitancy frequency, urgency, nocturia, urgency, incomplete voiding, weak stream Low back pain
Low abdominal pain
Neuropathic pain
Spontaneous urethral discharge

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15
Q

Perineal, inguinal, or suprapubic pain, irritative symptoms upon voiding, frequency and urgency, dysuria
**Hematuria, ****hematospermia or ***painful ejaculations
**Prostatic calculi

A

Chronic Bacterial Prostatitis

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16
Q

Perineal, suprapubic, coccygeal, rectal, urethral and testicular/scrotal pain for > 3***** days of the previous 6 months without documented urinary tract infection

A

Chronic Pelvic Pain Syndrome + Chronic Prostatitis

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17
Q

Penile discharge, noted during 1st BM in the day

A

NONBACTERIAL PROSTATITIS

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18
Q

Boggy and Tender Prostate

A

Acute Prostatitis

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19
Q

CBP Hallmark symptom

A

Recurrent UTI

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20
Q

Acute Prostatitis Meds
F/D

A

Fluoroquinolone or Doxycycline

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21
Q

Chronic Prostatitis and Pelvic Pain (F/T)

A

Fluoroquinolone
TMP/SMX

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22
Q

Fluoroquinolones in elderly can cause
S/D

A

Seizures + Dementia

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23
Q

Epididymitis- most common intrascrotal inflammation

How long till it takes to be chronic

Study These Flashcards
A

Scrotal bacterial infection

Chronic: >6 weeks

<35 y/o chlamydia and gonorrhea

24
Phrens sign
Unilateral swelling SO Relief when lifting the bad testicle
25
Cremasteric reflex
sign of testicular torsion check if normal get US to r/o testicular torsion
26
What urine/skin test you getting for Epidydimitis
TB, Syphillis, HIV, Chlamydia, Gonorrhea
27
Acute Epidydimits: Chlamydia and Gonorrhea meds C and D
Ceftriaxone IM + Doxycycline
28
Acute Epidydimits : MSM Meds C and L
Ceftriaxone IM + Levofloxacin
29
Acute Epidydimits : Enteric meds L
Levofloxacin
30
Epididymitis only with EcoLi prostate biopsy, vasectomy or any other urinary tract procedures using instruments
Levofloxacin
31
Testicular torsion Repair time
Twist, vas deferens Left testes, repair in 6 hours, <20 y/o
32
Testicular torsion s/s
unilateral scrotal pain Cremasteric reflex absent n/v/fever
33
top 2 STI and swabbing
1) Chlamydia 2) Gonorrhea dx: urethral swab + NAAT 1st catch
34
Chlamydia tx (ADL)
Azithro Doxy Levofloxacin
35
Gonorrhea tx C/D
Ceftriaxone IM Doxy
36
HPV External Genital Warts(pt) Meds IPS
Imiquimod + Podofilox + Sinecatcins
37
HPV External Genital Warts (provider)
Cryotherapy, Surgical Removal, TCA, BCA removal
38
Rash Mucocutaneous lesions Generalized lymphadenopathy
Triad of syphillis
39
Syphillis Dx
RPR Rapid Test VDRL, TP-PA, Neurosyphillis- Direct Fluorescent Antibody Test
40
Syphillis Meds
Benzathine PCN G IM
41
HSV 1
Oral facial
42
HSV 2
Genital dz , genital oral secretions
43
localized or genital pain, shooting, tingling pains legs hips, buttocks occurs hours to days before eruption of lesions.
Recurrent outbreak
44
HSV dx
Polymer chain reaction or PCR assays for HSV- DNA
45
Herpes 1st time Meds AFV
Acyclovir Famiciclovir Valacyclovir. 7-10 days
46
ED Penile plaques
Peyronies disease
47
48
ED Tx before you begin
Cardiology clearance, cardio embolic dz
49
ED Meds and c/i
PDE5 Sildenafil (Viagra) and Vardenafil (Levitra) Tadalafil (Cialis) c/I: high cv risk and nitrates
50
what you check for vardenafil
Check EKG- prolong QT
51
ED Intracavenous injection- with Alprostadil How long the erection last
Erection last 4 hours
52
Hypogonadism
not enough testosterone t level 300-1000
53
Secondary Hypogonadism What labs/tests to get
Prolactin Ferritin MRI Brain
54
T testing + confirmation Like what time to get the labs
don't screen when sick repeat morning t (6-8 am)
55
Hypogonadism Who do you collaborate with How often to give testosterone
work with endocrinology Primary: testosterone IM 2-4 wks
56
Testosterone tx check which labs
PSA HCT DRE
57
Male infertility meds
clomiphene citrate increase LH increase testosterone

Testicular Disorders, Cancer, Hernia, ED , BPH, Prostate CA (2 decks)

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