Patient Assessment Male 1

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Author:
kyleannkelsey
ID:
249529
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Patient Assessment Male 1
Updated:
2013-11-28 13:51:51
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Patient Assessment Male
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Patient Assessment Male 1
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  1. Are mammary glands present in both sexes?
    Yes
  2. Development of breasts in males is similar to that of females up until puberty (True/False).
    True
  3. Define Gynecomastia:
    Abnormal hypertrophy of the male breast tissue
  4. What are the etiologies of Gynecomastia?
    Idiopathic, Paraneoplastic syndrome, abnormal increase in estrogen, drug therapy and Klinefelter’s syndrome
  5. What are the symptoms of gynecomastia?
    Bilateral breast enlargement with tenderness
  6. What are drugs that are exogenous estrogen sources that may cause gynecomastia?
    Phytoestrogens and Digitalis
  7. What drugs enhance estrogen secretion, potentially causing gynecomastia?
    Gonadotropins and Clomiphene
  8. What drugs can cause Gynecomastia by inhibition of testosterone?
    Spirolactone, Cimetidine, Ketoconazole and Alkylating agents
  9. What drugs can cause Gynecomastia by unknown effects?
    Finasteride, Isoniazid, Methyldopa, TCAs, Diazepam, Omeprazole, CCBs, ACEIs and Marijuana/Heroin
  10. How is Gynecomastia treated?
    Discontinue causative agent, resolve underlying endocrine disorder and surgical excision of breast tissue
  11. What is Lipomastia?
    False gynecomastia when fat stores replace muscle (often in older men)
  12. Describe the symptoms of Breast Cancer:
    Unilateral, non-tender mass, rare to have pain, discharge form nipples or skin changes
  13. Which disorder is painful: Gynecomastia, Lipomastia or Breast Cancer?
    Gynecomastia
  14. Which disorder has unilateral breast changes: Gynecomastia, Lipomastia or Breast Cancer?
    Breast Cancer
  15. Which disorder includes loss of muscle tissue: Gynecomastia, Lipomastia or Breast Cancer?
    Lipomastia
  16. What percent of cancers in men are testicular?
    1%
  17. Testicular cancer is common in what age group?
    Young men
  18. Testicular cancer is the most common cancer in young men between what ages?
    15-35
  19. Testicular tumors have a high or low degree of malignancy?
    High
  20. In the early stages, what are the symptoms of testicular cancer?
    Asymptomatic
  21. What are the symptoms of Testicular cancer?
    Change in feel of testicle, feeling of fullness of the scrotum, accumulation of blood/fluid in the scrotum, aching lower abdomen/scrotum, rare: breast tenderness
  22. Why might men with testicular cancer have breast tenderness?
    Due to an increase in Human Chorionic Gonadotropin
  23. What are the risk factors for testicular cancer?
    Cryptorchidism, Previous CA or contralateral testis, mumps orchitis, inguinal hernia, hydrocele
  24. Define Cryptorchidism:
    Failure of testes to descend into scrotum
  25. Defien Mumps orchitis:
    enlarged, inflamed testes from mumps
  26. What percent of mumps infection in men will result in Mumps orchitis?
    25%
  27. What percent of Mumps orchitis are bilateral, painful and tender?
    33%
  28. After Mumps orchitis infection resolves, what happens to the testes?
    Return to normal or atrophy
  29. What is Hydrocele?
    Collection of serious fluid in the scrotal sac
  30. What is the success rate of early treated testicular cancer?
    90%
  31. How is testicular cancer treated?
    Orchiectomy, Chemotherapy and Radiation
  32. What drugs are used for Chemotherapy treatment of Testicular Cancer?
    Etoposide, Cisplatin, Bleomycin
  33. In what age group is it important to perform a monthly testicular exam?
    15-35 years
  34. Testicular cancer occurs in one or both testes?
    Usually one
  35. How do you perform a testicular exam?
    When testes are warm, rolle ach testes between thumb and finger checking for hard lumps.

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