Men's Health - Test #3 - W13

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jtisby
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201086
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Men's Health - Test #3 - W13
Updated:
2013-02-16 23:36:01
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Men Health WWCC Walla Community College Nursing
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NoteCards on the Men's health slides. Created 2/16/13 - WWCC - W13
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  1. What are the 3 essential hormones of the male reproductive system?
    • Testosterone
    • FSH (follicle-stimulating hormone)
    • LH (luteinizing hormone)
  2. What are the 4 anatomical structures essential to the male reproductive system?
    • Hypothalamus
    • Pituitary Glands
    • Gonads
    • Penis
  3. Where is Testosterone produced, and what are it's 3 main functions?
    • Produced in the testes and the adrenal glands
    • -development/maintenance of male sex organs
    • -development of sperm (spermatogensis)
    • -development of muscle and bone mass
  4. Where is FSH (follicle-stimulating hormone) produced, and what is it's function?
    -Produced in the Pituitary gland.

    -stimulates semi-iniferous tubules to produce sperm (spermatogenesis)
  5. Where is LH (luteinizing hormone) produced and what are it's functions?
    -Produced in the Pituitary gland

    -triggers testosterone production

    -essential for sperm maturation
  6. Identify 4 emotional/psychological implications related to disfunction of the male reproductive system.
    • -Fear
    • -Loss (grief)
    • -Role confusion (who am I)
    • -Identity issues (manliness)
  7. What are the 3 steps used in the process of  diagnosing dysfunction in the male reproductive system?
    • -Health history
    • -Physical exam
    • -Labs/Diagnostic tests
  8. What subjects are covered in the Health Hx step of diagnosing male reproductive dysfunction? (6)
    • -Presenting problem/chief complaint
    • -S/S
    • -Chronic disease, infections, childhood illness
    • -Sexual  Hx
    • -Surgical Hx
    • -Medications
  9. What subjects are covered in the Physical Exam when diagnosing male reproductive dysfunction?
    • -Focused reproductive asssessment
    • -DRE (digital rectal exam)
    • -I/Os (post-void residual)
    • -Penis, Pubis, Scrotum, Testes
    • -Prostate & Anus
    • -Urinary system
    • (T.A.P.P. P.U.S.)

    *combines Obj. 3 & 5; found on pgs. 2 & 4
  10. What Labs/Tests are typically ordered when diagnosing male reproductive dysfunction?
    • -UA (urinary analysis w/culture)
    • -Serum studies (w/creatinine)
    • -Ultrasound
    • -MRI & Pelvic CT scans
    • -Cystourethroscopy

    • *(M.U.C.U.S.)
    • *combines Obj. 3 & 5; found on pgs. 2 & 4
  11. What does a Serum study reveal about male reproductive dysfunction?
    • -PSA (tumor marker, detects prostate cancer)
    • -Testosterone
    • -FSH (follicle-stimulating hormone)
    • -Creatinine

    *combines Obj. 3 & 5 ; found on pgs 2 & 4
  12. What does a Urine study reveal about male reproductive disfunction?
    • -Testosterone: detects tumors and anomalies of the testes
    • -Uroflowmetry: detects extent of blockage
    • -FSH (follicle-stimulating hormone): indicates gonadal failure r/t Pituitary disfunction

    *combines Obj. 3 & 5; found on pgs. 2 & 4
  13. What does an Ultrasound reveal about male reproductive dysfunction?
    • -Detects testicular masses & torsion
    • -Transrectal US (TRUS:detects prostate tumors)
    • -Biopsy
  14. What does an Cystourethroscopy reveal about male reproductive dysfunction?
    • -Prostate enlargement
    • -Bladder wall changes
    • -Calculi
    • -Raised bladder
    • -Determines best surgical procedure in BPH Pts.
  15. Describe health promotion/maintenance measures for males across the life span. (3)
    • -Testicular exams
    • -Physical exams
    • -Prevention of STDs

    *pg. 3
  16. Features of a Testicular exam
    • -starts when born
    • -self exams  @ 15 yrs
    • -perform monthly
    • -looking 4 lumps, or change in size, shape, consistency of testes
  17. Features of Physical exam of male reproductive system.
    • -regular exams after 50
    • -annual PSA and DRE
    • -Men wait longer than women to see a Dr.
  18. Nurse's role in preventing STDs?
    • -Education regarding risks and responsibilities
    • -May be nurse's responsibility (Dr's office)
    • -includes: family, school, youth group
  19. BPH (Benign Prostatic Hyperplasia)
    Pathophysiology
    • -Excessive amts. of circulating androgens (Dihydrotestosterone) = overgrowth of prostate tissue
    • -decrease in testosterone = increase in estrogen = increase in prostate growth
    • -50% of men 50yrs +, 90% of men 80yrs +
    • -Most common urologic problem
    • -NOT cancer!
  20. Clinical manifestations of BPH
    • S/S
    • -Bladder/urethral stones
    • -Urinary retention
    • -Urinary hesitance/urgency/intermittent
    • -Recurrent bladder infections
    • -Hematuria
    • -Weak urinary stream/post urinary dribble
    • -Compromised renal function (AEB labs)
    • -Dysuria
    • -Nocturia
  21. Collaborative care (treatment options) of BPH
    • -Goal of treatment: Restore, Relieve, Prevent
    • -Invasive
    • -Non-invasive (conservative)
  22. Describe Invasive treatment options of BPH
    • -TURP (transurethral prostatectomy)
    • -Prostatecotmy
  23. Describe Non-invasive (conservative) treatment options of BPH
    • -Watchfull waiting
    • -Drug therapy


    pg. 4-5
  24. What is a TURP?
    • -Transurethral Resection of the Prostate
    • -removal of prostate tissue via resectoscope thru the urethra
    • -"Gold Standard" d/t less invasive
    • -Spinal/General anesthesia = no incision = 1-2 day hospital stay
    • -CBI (Continuous Bladder Irrigation) 1st 24hrs to prevent obstructions (clots, mucus)

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