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Flashcards in Men's health Deck (41):
1

s/s of BPH

decreased in force of urine stream, hesitancy, post void dribbling, frequency

2

prostate in BPH

firm, smooth, symmetrically enlarged

3

factors that can increase PSA levels

ejaculation, cycling, prostate infection, massage

4

factors that can decrease PSA levels

bed rest, 5alpha-reductase inhibitors

5

PSA levels after a DRE

increase but clinically insignificant. Okay to have labs drawn after DRE

6

disease that can cause an elevated PSA

BPH, prostate cancer, prostate infection

7

decrease bladder outlet obstruction

alpha-adrenergic antagonists

8

reduce the size of the prostate

5-alpha-reductase inhibitors

9

ex of alpha-adrenergic antagonists

terazosin (Hytrin), tamsulosin (Flomax), doxazosin (Cardura)

10

education to give when rx alpha-adrenergic antagonists

take at bedtime, may cause 1st dose orthostatic hypotension

11

education to give about 5-alpha reductase inhibitors

may take 6-12 months to see benefit

12

ex of 5-alpha reductase inhibitors

duasteride, finasteride (Proscar)

13

uro specific alpha blocker

tamsulosin (Flomax)

14

precaution with tamsulosin (Flomax)

sulfa allergy

15

Causes of acute prostatitis

E. coli (most common), Proteus, chlamydia, trich

16

s/s of acute prostatitis

fever, chills, malaise, lower abd/pelvic pain, dysuria, pain with defecation, hematuria

17

prostate in acute prostatitis

enlarged, boggy, and tender

18

medication for acute prostatitis

TMPS or cipro x 6 weeks; if no improvement in 2-6 days, REFER

19

defer PSA after acute prostatitis for

1 month after treatment

20

prostate in chronic prostatitis

normal

21

risk factors for prostate cancer

older age, African American, family hx

22

prostate in prostate cancer

asymmetry, induration, nodules

23

New onset erectile dysfunction

indicate a DRE to r/o prostate cx

24

Normal PSA is

less than 4.0

25

causes of noninfectious epididymitis

prolonged sitting (car/plane trip, desk job)

26

causes of infectious epididymitis

chlamydia or gonorrhea

27

s/s of epididymitis

gradual development of scrotal pain, dysuria, discharge, tender/enlarged/indurated epididymis

28

diagnostic for epididymitis

UA: will be normal in noninfectious, pyuria in infectious;
Ultrasound

29

trx for noninfectious epididymitis

scrotal support, ice, NSAIDs

30

trx for infectious epididymitis

ceftriaxone 250 mg IM and doxycycline 100 mg bid x 10 days

31

f/u with epididymitis

if no improvement in 3 days then refer

32

s/s of inguinal hernia

scrotal mass with active bowel sounds in scrotum

33

s/s of testicular torsion

sudden onset of tesituclar pain, N/V, absent cremasteric reflex

34

trx for testicular torsion

must be referred and trx within 4-6 hours

35

risk factors for testicular cx

men 15-30 years old, hx of cryptorchidism, family hx

36

trx for testicular cx

radical orchiectomy

37

management with 5alpha reductase inhibitors

check baseline PSA

38

avoiding given alpha adrenergic blockers with

PDE5 meds for ED

39

renal carcinoma risk factors

black men, smokers, family hx

40

bladder cancer risk factors

white older men, smokers

41

refer if testicle has not descended by age

6 months