S3 L2 Trends in Male Health Flashcards Preview

_Sem 4. ICA NOTES > S3 L2 Trends in Male Health > Flashcards

Flashcards in S3 L2 Trends in Male Health Deck (19)
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1
Q

What is the difference in life expectancy for males across the country?

A

Highest life expectancy 83.3 in Chelsea and lowest in Glasgow 73.3

2
Q

What is the cancer risk for males?

A
  • Men more likely to die of common cancers than female
  • More men die of breast cancer than testicular cancer
3
Q

What is the male risk of diabetes compared to females?

A
  • Men more likely to be overweight than women at every age
  • Men more likely to suffer complications of diabetes e.g foot ulcers and twice as likely to die prematurely
4
Q

What are the statistics of male mental health and suicide?

A
  • Suicide is the biggest cause of death in men under 45
  • Peak age for male suicide deaths is 45-49
5
Q

What are some risk factors for males that may lead them to having poor mental health?

A
  • Relationship breakdowns
  • Viewing talking therapies badly
  • Responding to stress with risk taking behaviour (misusing alcohol)
  • Unemployed men
  • Being midlife
6
Q

Why do males undergo health seeking behaviour much less than women, especially for mental health?

A
  • Embarrassed or ashamed to take time off like they would for a physical injury
  • Worried their employer might think worse of them
  • Most don’t feel comfortable speaking to their GP as they feel they are wasting their time
  • Main stress is often financial concerns and work related stress
7
Q

What are some factors that increase your CVD risk?

A

Monitor patients on schizophrenic drugs and if they have ED

8
Q

What are some common causes of erectile dysfunction?

A
  • Diabetes
  • Atherosclerosis
  • Smoking cigarettes
  • Side effect of prescribed drugs
  • Spinal cord injury
  • Regular heavy drinking
  • Following prostate or pelvic surgery
  • Cycling
9
Q

What are some questions you should ask a patient if they present with ED?

A
  • Determine the duration of the problem and whether it is related to time, place or partner
  • Ask about loss of sex drive
  • Ask about physical problems like pain
  • Explore sources of stress, anxiety, guilt or anger
  • Exclude illness that may affect sexual performance e.g CVD, testosterone or thyroid deficiency, pelvic or spinal trauma/surgery, arthritis
10
Q

If a male presents with ED what other risk should you consider?

A

They have a higher risk of CVD (especially MI and angina) if they present with ED!!!

11
Q

What are some drugs that have the side effect of ED?

A
  • Anti-hypertensives
  • Heart disease drugs
  • Antidepressants
  • Peptic ulcer drugs
  • Cancer drugs
12
Q

What are some treatments for erectile dysdfunction?

A
13
Q

What are risk factors for elderly males developing LUTS?

A
14
Q

What are some filling and voiding LUTS?

A
15
Q

When should you refer a male for specialist assessment with their LUTS?

A
  • If they have LUTS complication by UTIs or retention or if you suspect urological cancer
  • Men with stress incontinence
  • Bothersome LUTS that have not responded to drug treatment
16
Q

What are the symptoms of BPH?

A

Occurs in the transitional zone so will have a normal DRE

17
Q

Why shouldn’t a male with BPH take nasal decongestants for a cold?

A

Contains pseudoephedrine which is an adenergic that tightens the muscles in the bladder making it even more difficult to urinate!!!

18
Q

What are unhealthy habits of men that lead to them at risk of mental health problems?

A
  • Unhealthy lifestlye (lack of exercise and consuming too much)
  • Poor work-life balance
  • Denial
  • Alcohol
  • Smoking
  • Risk taking behaviours
19
Q

What is the PLACE advice given to men to promote good mental health?

A
  • Portion control
  • Lose the booze
  • Axe the snacks
  • Cut the carbs
  • Exercise