UW3 (17 Male)

Question 1

Penis corona/sulcus
Small
Flesh color
Dome / Filiform
Papule

Diagnosis?

Answer 1

• Pearly Penile Papule

* Benign & Normal condition

Question 2

Dysuria
Pain @ Genitalia & Ejaculation
Prostate = Hypertrophy, Tender, Edema

• Diagnosis?
• Diagnostic eval?

Answer 2

Chronic Prostatitis

1) UA + UC
2) Prostate massage
3) Repeat UA + UC
4) Diagnostic
a. UA > 20 Leuk
b. If UC > 10 bact = bacterial

Question 3

TURP (complication)

Answer 3

Retrograde ejaculation

Question 4

Epididymitis

• Cause Age < 35
• Cause Age > 35
• Tests? 2
• Treatment?

Answer 4

• Age < 35 = G/C
• Age > 35 = Obstruction / E coli
• UA + UC
• G/C NAAT

• Ceftriaxone + Azithromycin / Doxycycline

Question 5

CryptOrchitism

• Normal progression?
• Treatment indication? 2

Answer 5

• Spontaneous descent within few months

• No descent after 6m
• Orchiopexy before 1y

Question 6

Painful Erection > 4h

• Diagnosis?
• Risk? 3
• Treatment? 4

Answer 6

• Priapism

• Sildenafil / Alprostadil
• Trazodone
• Sickle Cell

1) Urination
2) Cold compress
3) Aspiration
4) ± PhenylEphrine

Question 7

Testicle
Nodule / Edema
Painless
Unilateral
No transillumination

• Diagnosis?
• Study?
• Treatment?

Answer 7

• Testicular Cancer

• US
• AFP / bHCG
• CT

• Radical orchiectomy + Radiation

Question 8

Differential?

• Short
• Normal growth rate
• Delayed bone age
• No 2° sex
• Short
• Normal growth rate
• Normal bone age

Answer 8

• Constitutional Puberty Delay

* Familial Short Stature