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Flashcards in Wk3 Male Repro Path Deck (43):
1

Acute bacterial prostatitis usual pathogen:

G - rods (same as UTI's)

2

PE and Dx for Acute bacterial prostatitis:

PE: tender, boggy on DRE

Dx: UCx

3

Sx for chronic bacterial prostatitis:

low back pain

dysuria

pelvic pain

OR none

**may see recurrent UTI w/ same pathogen

4

Dx for chronic bacterial prostatitis:

prostatic massage fluid with > 5 WBCs per HPF

or

increased UA WBCs post massage

5

Most common form of prostatitis:

abacterial

culture neg

usually sexually active men

(Chlamydia, Mycoplasma, Ureaplasma)

6

PSA in prostatitis:

Can increase

30% decrease

7

Main idea with BPH epidimiologically:

COMMON

8

Two causes of BPH:

1. Androgens: DHT production in prostate stromal cells increases with age --> stim growth

2. Estrogens: estradiol levels increase in men with aging --> increased androgen receptor in prostate

9

Main urinary sx of BPH:

nocturia

10

BPH Tx:

5-a-reductase inhibitors

a1 blockers

11

5-a-reductase inhibitor for BPH:

Finasteride

12

a1 blocker for BPH:

Tamsulosin -- (Flomax)

13

Phase 1 of testicular descent contolled by:

mullerian inhibiting substance

14

Phase 2 of testicular descent controlled by:

androgen

15

Clinical importance of detecting cryptorchid testis:

sterility if BL and uncorrected

oncogenic

16

Age for correcting crytorchid testis:

before 2 for fertility

10 for neoplasm

17

Four causes of infertility:

1. atherosclerosis

2. malnutrition

3. irradiation

4. female sex hormones

18

Most common cause of post-testicular infertility:

obstruction

19

Cause of bacterial epididymo-orchitis:

UTIs

20

2 causes of granulomatous epididymo-orchitis:

1. TB

2. autoimmune?

21

Commonest cause of viral epididymo-orchitis:

Mumps

22

Vascular surgical emergency with risk of hemorrhagic infarction of the testes:

Torsion

23

Dilation of veins within pampiniform plexus:

Varicocele

24

More common side of varicocele:

Why?

left

drains through smaller spermatic/renal vein

25

Less agressive germ cell tumor:

seminoma

26

4 more aggressive germ cell tumors:

1. Embryonal carcinoma

2. Yolk sac tumor

3. Teratoma

4. Choriocarcinoma

27

Clinical features of testicular cancer:

painless, progressive enlargment

28

Most likely cause of testicular cancer in older males:

lymphoma

29

50% of all germ cell tumors are:

seminomas

30

Age for peak of seminoma:

30's

31

2nd most frequent type of pure Germ Cell Tumor:

Embryonal carcinoma

32

Age for emryonal carcinoma:

20-30

33

Most common tumor in children under 3:

Yolk sac

34

Clear cells

Yolk sac

35

Schiller-Duval bodies

Yolk sac

36

aFP (alpha fetoprotein)

Yolk sac

37

Highly malignant testicular tumor:

Choriocarcinoma

38

BHCG

Choricarcinoma

39

Almost universal finding at dx of choriocarcinoma:

distant mets

40

Tumor that arrises from all types of embyologic tissue:

teratoma

41

Never benign in older males:

Teratoma

42

HCG can come from what other than choricarcinoma:

syncitiotrophoblast of seminoma

43

Failure to obliterate inguinal canal:

Hernia/hydrocele