Card Set Information
peyronie ED prostatitis
prevalence of ED in men 40-70
labs if testiticular mass confirmed on u/s
"beta-HCG, lactate dehydrogenase (LDH), and alpha-fetoprotein (AFP)"
labs for suspected epididimytis
"UA, culture, urethral swab for STD, scrotal u/s"
USPSTF recommendations on prostate CA screening
against ; better test needed
acc to AUA what is threshold PSA for further eval
there is no set threshold ; individualized
PSA threshold for further eval
labs for suspected kidney stone
"CBC, BMP, UA and culture"
what drugs should not be taken with viagra b/c of risk of hypotension
nitrates or nitroglycerin
ACS recommended age to begin prostate CA screening in men at avg risk
ACS recommended age to begin prostate CA screening in AA men
recommended age to begin prostate CA screening in men at high risk
acc to ACS prostate CA screening should consist of what?
PSA with or without DRE
recommended prostate CA screening freq in men with PSA LT 2.5 ng/mL
recommendations if PSA betw 2.5 and 4 ng/mL
most common cause of epididymitis in men LT 35
most commona cause of epididimytis in men GT 35
key clinical finding with epididimytis
painful mass behind testicle
tx for epididimytis
cipro or ceftriaxone/doxy
ddx for LUTS
"BPH, prostatitis, prostate CA, UTI, overactive bladder"
labs for BPH
"UA and culture, DRE, PSA and cytology"
first line meds for BPH that ease urine flow
alpha blockers like Flomax
first line meds for BPH that decrease size of prostate
5 alpha reductase inhibitors like Finasteride
surgery for BPH
TURP transurethral resection of the prostate
do alpha blocker and 5ARIs work right away to relieve sx of BPH
no. alpha blockers 1-3 mos ; 5 ARIs 3-6 mos
mass on scrotum what is ddx ; initial dx test
scrotal CA until proven otherwise ; scrotal u/s
sudden severe testicular pain in young man or boy likely what?
testicular torsion ; emergency b/c of ischemia
clinical findings in testicular torsion
"elevated testicle, neg cremaster reflex, neg Phrehn sign (lifting testes does not relieve pain as would in epididimytis"
assume what with gross painless hematuria
in men some nonCA causes of hematuria
how does bacterial prostatitis usu present
"acute febrile illness with rectal, perineal, or LB pain"
how much more prevalent is abacterial prostatitis than bacterial prostatitis
BPH prevalence in men at 60 yo ; 85 yo?
50% ; 90%
how do 5 alpha reductase inhibitors like finasteride work?
inhibit conversion of testosterone to dihydrotestosterone and cause prostatic atrophy
meds for premature ejaculation
tricyclics ; SSRIs ; topical lidocaine
how is Cialis taken? one-off and maintenance?
works in 30-60 min ; lasts 3 days; usu dose is 5 mg ; may take 2.5-5mg daily as maintenance
gross hematuria is a common presenting sx of what?
bladder or renal CA
if microscopic hematuria consistently found what labs should be considered (think kidneys too)
"UA, culture, serum creatinine"
with finasteride tx PSA should decrease by how much at 6 mos
what dz class can give a false positive bladder tumor androgen test
What neurological dz's cause UUI
Causes of functional UI
"fecal impactioin, immobility, lack of manual dexterity"
2 drugs that block FSH and LH that used as androgen ablators in prostate CA tx
Zoladex (goserelin) and Lupron (leuprolide)
Can acyclovir cure gential herpes?
What is NPTR test and what is it used for
Nocturnal Penile Tumescence and Rigidity test used to determine if there is organic cause of ED
AUA BPH scale
0-7 no tx ; 20+ medical or surgical tx indicated
Can bowel sounds be heard over a hernia or a hydrocele
Can all hernias be reduced
inflammation of glans
inflammation of glans and prepuce
what is reserpine?
sympatholytic used to block sympathetic vasoconstriction and also used as anti-psychotic ; may contribute to ED
How long does it take a boy to progress thru all Tanner Stages
Boys Tanner Stg 1
vellus hair in pubic area
Boys Tanner Stg 2
pigmented hair at base of penis with enlargement of testes and reddening of scrotum
Boys Tanner Stg 3
penis lengthens but does not broaden
Boys Tanner Stg 4
penis lengthens and broadens and pubic hair spreads but not to thighs yet
Boys Tanner Stg 5
pubic hair spreads to inner thighs ; penis and scrotum adult size
lifestyle factors that predispose to prostatitis
Hormonal disorders that contribute to low testosterone
DM and hyperTH
how soon should pt wash off podophyllum in benzoic for gential warts
1-2 hrs after application
normal prostate volume
most common cause of gross hematuria
what d/o begins with painful tender on penis
what do seminal vesicles produce
fluid rich in fructose
urinary stones pt may have what presenting symptoms
when do testes descend in fetus
1st line tx for priapism
phenylephrine intracavernosal injection
when does fetus develop sex organs
most common hernia
what is bulbacavernous reflex
squeeze glans and anal sphincter should contract ; sx that autonomic arch innervating bladder is working
what is phimosis
inability to retract foreskin
what is paraphimosis
permanent retraction of foreskin
when should you be able to fully retract foreskin of baby
by 1 yo
race/ethnicity most at risk for testicular CA
which type of hernia may descend into scrotum
2 yo boy with undescended testes. Advice?
needs orchiopexy by age 6
most common cause of male infertility