Flashcards in Session 7: Urology Deck (13):
What are 4 RF for LUTS
What type of urinary test should you do?
What can be measured on a dipstick? 6 things
calcium, blood, glucose, bilirubin, urobilinogen, ketones, leukocytes, creatinine, microalbumin, pH, ascorbic acid and protein.
Give 5 signs of uremia
Give an example of a 5 alpha reductase inhibitor:
Give 3 SE
Loss of libido, ejaculation
What is PSA?
PSA is a hormone that is measured in the blood. It is needed to break down teh seminal fluid so it doesn't coagulate. This is produced by epithelial prostate cells so the more cells the more that is made
What can cause PSA to be raised?
PSA can be raised due to inflammation, trauma, infection or cancer
What are the levels of PSA? in each of the age groups
What % of people with a raised PSA will not have prostate cancer?
Who can you not do a PSA test on? 3 reasons
- Active UTI
- Recent ejaculation
- Recent rectal exam
- Anal sex
What does IPSS stand for what is the score for mild, moderate and severe symptoms ?
International Prostate Symptom Score:
** ASKS about LUTS**
What counseling for PSA testing needs to be given?
Advantage: picks prostate cancer up early. Can be used to reduce metastatic spread
Disadvantage: raised PSA doesn't always mean cancer. Can cause unnecessary health anxiety and also prostate cancer isn't even that significant