Review 2 Flashcards

1
Q

prostate cancer

A

3rd most common cause of death from cancer

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2
Q

where does prostate cancer start

A

outer portion and moves inward

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3
Q

who gets prostate cancer

A

> 50 yrs

AA

geography (US and Scandinavian countries)

exposure to cadmium

high fat diet

alc consumption

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4
Q

prostate cancer patho

A

adenocarcinoma -> well defined glands, lined by cuboidal cells w/ large, prominent nuclei

increases PSA (prostate specific antigen)

also be caused by BPH or prostatis

irregular firm nodules –> arising from peripheral group of glands –> peripheral zone = posterior lobe

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5
Q

prostate cancer prognosis

A

93% of men live 10 years

77% of men live at least 15 years

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6
Q

PT prostate cancer

A

onset of unexplained back pain is a red flag

pelvic floor re-education –> CPPS to relax pelvic floor muscles, pelvic floor muscles strengthening

recumbent bike

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7
Q

prostatis

A

inflammation of the prostate gland

3 types

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8
Q

3 types of prostatis

A

bacterial

non-bacterial

asymptomatic

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9
Q

bacterial prostatis

A

acute (cat 1) –> infection

chronic (cat 2) –> underlying defect in prostate becomes focal point for bacteria in urinary tract

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10
Q

bacterial prostatis is..

A

gram negative

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11
Q

bacterial prostatis signs

A

urinary frequency

urgency

nocturia

dysuria

urethral discharge

high fever

chills

malaise

myalgia

arthralgia

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12
Q

treatment bacterial prostatis

A

antibiotics

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13
Q

non-bacterial prostatis

A

chronic prostatic/chronic pelvic pain syndrome (cat 3)

90% of cases non-bacterial prostatis, inflammatory (A), non-inflammatory (B)

autoimmunity may play a role

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14
Q

non-bacterial prostatis signs

A

urinary frequency

urgency

dysuria

erectile dysfunction

ejaculatory pain

decrease libido

pelvic pain

UTI

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15
Q

treatment non-bacterial prostatis

A

alpha blocker therapy

relax smooth muscle in prostate

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16
Q

asymptomatic prostatis

A

asymptomatic inflammatory prostatis (class 4)

presence of white blood cells in semen w/o pain or discomfort

asymptomatic infertility

no treatment recommended

17
Q

pyelonephritis

A

acute and chronic

18
Q

acute pyelonephritis

A

infection of the kidney

19
Q

chronic pyelonephritis

A

infection of kidney parenchyma and renal pelvis scarring

20
Q

chronic patho pyelonephritis

A

scarring w/ deformity of the calices

21
Q

symptoms pyelonephritis

A

onset of symptoms are abrupt

fever, chills, malaise, head ache, flank pain

22
Q

diagnosis pyelonephritis

A

urinalysis

23
Q

treatment pyelonephritis

A

antibiotics

maybe hospital for IV antibiotics and fluids

24
Q

renal cell carcinoma

A

flank pain

hematuria

palpable abdominal mass

25
Q

nephrotic

A

proteinuria

26
Q

nephritic

A

hematuria

27
Q

treatment of nephro/nephri

A

ACE inhibitors to control BP