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Flashcards in Men's health Deck (20):
1

What two conditions present similarly to UTI in a man?

epididymitis and acute bacterial prostatitis

2

What are the common causes of epididymitis?

men < 35 years - chlamydia

men >/= 35 years - E. coli

3

What is the major diagnostic fever epididymitis?

marked scrotal edema

4

What **sign** is positive in epididymitis?

positive Prehn's sign

5

What is the treatment for epididymitis?

< 35 years (STI meds)
o ceftriaxone + doxy
o azithromycin

> 35 years (UTI meds)
o TMP/SMZ
o Cipro

6

In a man with UTI symptoms it's important to do what physical exam?

digital rectal exam

to check for acute bacterial prostatitis

7

What does the prostate feel like in acute bacterial prostatitis?

warm
boggy
painful

8

What is the treatment for acute bacterial prostatitis?

o TMP/SMZ
o fluoroquinalone
o sitz bath

9

What activity restriction goes along with acute bacterial prostatitis?

no sexual activity until acute phase resolves

10

When to digital rectal exams start?

40

11

PSA start at what age?

50

12

What populations are at increased risk of prostate cancer?

african americans

particulary of Jamaican descent

13

What does the prostate in BPH feel like?

non tender
rubbery
smooths
symmetrical or asymmetrical

14

What does the prostate in prostate cancer feel like?

harder than normal
obscure borders

15

What diet contributes to prostate cancer?

high fat

16

Treatment for BPH

alpha blockers -zocin or -ocin
terazocin
prazocin

5-alpha reductase inhibitors -steride
to shrink prostate
finasteride
dutasteride

17

PSA normal values
40-49
50-59
60-69
70-79

40-49 < 2.5
50-59 < 3.5
60-69 < 4.5
70-79 < 6.5

18

What do phospodiesterase inhibitors do?
What is their suffix?

treat erectile dysfunction
-afil

sildenafil (Viagra)
vardenafil (Levitra)
talafil (Cialis)
avanafil (Stendra)

19

What drugs should not be mixed with phosphodiesterase inhibitors?

nitrates
o nitroglycerin
o isosorbide

20

creatinine clearance formula

(140 - age in years) x ( weight in kg)
___________________________
72 x serum creatinine in mg/dL

adjust for females by muliplying by .85