Patient Assessment Male 3

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kyleannkelsey
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249531
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Patient Assessment Male 3
Updated:
2013-11-28 13:53:30
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Patient Assessment Male
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Patient Assessment Male 3
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  1. What type of Testicular problem feels like a bag of worms?
    Variocele
  2. Define Hernia:
    Protrusion of part of the intestines through a tea or weakened area of the abdominal muscle
  3. Where is Hernia often located on the body?
    Inguinal or femoral area
  4. What are the risk factors for Hernia?
    Obesity, Heavy lifting, chronic constipation, Ascites, Chronic coughing or sneezing (causing abdominal muscle to tear), family or previous history
  5. What is a common cause of Hernia?
    Constipation, straining while trying to use the bathroom
  6. If a hernia is on the right it is called what?
    Inguinal
  7. If a hernia is on the left, what is it called?
    Umbilical hernia
  8. What are the symptoms of Hernia?
    Bulge in the groin, pain when bending over coughing or lifting, heavy dragging sensation in the groin, obstruction of the intestines
  9. Do all hernias require medical treatment?
    No, small non-bothersome can simply be monitored
  10. Most inguinal hernias __________ over time if they are not repaired surgically.
    Enlarge
  11. Where can Tinea Cruris occur?
    Groin, Inner thigh, Pubic, perianal areas
  12. What other location can Tinea Cruris be transmitted from?
    Foot
  13. What are the risk factors for Tinea cruris?
    Warm/damp environment, alkaline environment, obesity, excessive sweating
  14. What inanimate contact can increase chances of Tinea Cruris?
    Infected towels, hot tubs, swimming pools and common showers
  15. How is Tinea Cruris treated?
    Topical antifungals applied twice daily, keep area clean and dry
  16. How long does Tinea Cruris take to resolve with treatment?
    Usually several weeks
  17. What questions can you ask to distinguish tinea cruris from herpes, syphilis, or cancroid?
    Do you have any open sores in you genital area
  18. Define Benign Prostatic Hyperplasia:
    enlargement of the prostate gland
  19. Is BPH cancerous?
    No
  20. What group does BPH occur in?
    almost all aging men
  21. What issue does BPH usually lead to?
    Obstruction to urination
  22. Does BPH lead to prostate cancer?
    Unclear
  23. What is the etiology of BPH?
    Cause not fully understood, maybe due to increased estrogen levels in aging men leading to proliferation of prostate tissue
  24. What race is BPH most common in?
    African Americans
  25. What medications can cause BPH?
    Typical antipsychotic agents, CCBs, TCAs, BBs, Sympathomimetic agents, Antiparkinson drugs and Estrogens
  26. How is BPH treated?
    Discontinue causative agent, pharmacotherapy, sugery
  27. Is surgical treatment common with BPH?
    Yes
  28. What general types of drugs are used to treat BPH?
    Alpha-adrenergic antagonists, 5 alpha-reductase inhibitors
  29. What are the preferred drugs used to treat BPH, due to lower incidence of orthostatic hypotension than other agents?
    Alfuzolin, Tamsulosin, Silodosin
  30. What kinds of questions could you ask to distinguish BPH from a urinary tract infection?
    Fever, burning while urinating and lower back pain are common with UTIs
  31. Define what deficiencies are encompassed by erectile dysfunction:
    Inability to initiate and maintain erection, failure to ejaculate, premature ejaculation, inability to achieve orgasm, loss of libido
  32. What percent of American men experience erectile dysfunction?
    10.4% (20-30 million)
  33. (True/False) Erection requires a precise sequence of events.
    True
  34. What drug types can cause ED?
    Antiandrogens, Antihypertensive, Antidepressants, antipsychotics CNS depressants, some Social Drugs
  35. What types of drugs can be used to treat ED?
    PDE-5 inhibitors, Testosterone, Urethral Alprostadil suppositories, self- injection of alprostadil or vacuum devices
  36. Does a vacuum device for ED have fast onset?
    No, usually about 30 minutes
  37. What groups find PDE5-inhibitors less helpful for ED?
    Diabetics and prostate cancer survivors
  38. What percent of males (non-diabetic, non-prostate cancer survivors) do PDE5 inhibitor help their ED?
    70%
  39. What administration routes are available for ED treatment?
    PO, IM and topical
  40. Which ED treatment is a prostaglandin that is injected into the penis?
    Aloprostadil
  41. What is intracavernosal?
    Injection into the base of the penis
  42. What is the onset of action for MUSE (urethral suppository system) for treatment of ED?
    7 minutes
  43. Define Priapism:
    Involuntary, painful erection lasting more than 4 hours
  44. Is Priapism related to sexual stimulation?
    No
  45. What are the causes of Priapism?
    Spinal cord trauma, hematologic disorders, medications
  46. What are the treatments for Priapism?
    Ice packs, hydration, phenylephrine injections and sugery
  47. Is Priapism is not treated, what can it lead to?
    Permanent ED
  48. What drugs may cause Priapism?
    Aloprostanil, trazadone, chlorpromazine and PDE5-inhibtors

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