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26 Cards in this Set
- Front
- Back
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Inflammation/infection of the Prostate
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Prostatitis
Spontaneous Complication of another diagnosis May not be able to pinpoint cause |
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Acute Bacterial Prostatitis
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R/T UTI
E.coli Pseudomonas Klebsiella Proteus |
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Clinical Manifestations of Acute Bacterial Prostatitis
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Malaise
Fever/chills Myalgia Dysuria Urethral discharge Aching pain in perineum Cloudy-foul smelling urine Severe or untreated cases can lead to sepsis Persistent fever after antibiotics Possible abscess more likely w/Diabetes M |
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Chronic Bacterial Prostatitis
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Recurrent UTI
Gram - bacteria More difficult to treat that acute form Recurrent bladder contamination from prostate fluid |
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Clinical Manifestations of Chronic Bacterial Prostatitis
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Dysuria
Frequency Urgency Low back pain myalgia |
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Most Common/Least understood
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Chronic Prostatitis Chonic Pelvic Pain Syndrome
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Inflammatory Prostatitis
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Etiology unknown
Possible autoimmune S/S Pain- genitals, back, rectum Dysuria - without bacteria Impotence Prostate fluid - inflam cells |
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Non-imflammatory Prostatitis
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S/S similar to inflammatory
Possible extraprostate source Prostate fluid- no inflam cells Muscle pain Emotional stress bladder neck obstruction urine reflex into prostate |
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Prostate Enlargement
Not r/t clincical severity Not malignant R/T Aging unknown cause |
Benign Prostatic Hyperplasia (BPH)
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BPH Risk Factors
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Age
Family History Ethnicity African-American Native Japanese Hormonal Androgens Estrogens High fat, high calorie intake |
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BPH Clinical Manifestations
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Urinary flow obstruction
Bladder urine residual Frequency Nocturia UTI |
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BPH Complications
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Hydronephrosis
Renal Failure |
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Most common organ cancer in US
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Prostate Cancer
2nd to lung CA in deaths Increased diagnosis possibly r/t PSA lab test since 1990's |
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Incidence of Prostate CA
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Highest- African Americans
Lowest- Native Americans, Asians Increased risk age 50 Higher in blood relatives |
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CLINICAL MANIFESTATIONS
Early-asymptomatic Urgency Frequency Dysuria Hematuria |
Prostate CA
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Prostate CA Etiology
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Uncertain
Androgens/Estrogens Almost never with castration |
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Prostate CA metastasis
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Back Pain
Leg Pain Anemia Breathing problems |
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Scrotum & Testes Acquired Disorders
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Hydrocele
Variocele Hematocele Spermatocele |
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Bending spermatic Cord
Occlusion of testicular vessels Testicular necrosis |
Testicular torsion
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Incidence of Testicular Torsion
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Children and adolescents
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Testicular Torsion Clinical Manifestation
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Often Sudden onset
Severe N/V Enlarged testie Local Pain |
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Treatment of Testicular Torsion
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Intravaginal most severe
Surgical Emergency Preservation 6 hrs or less or testie Prophylactic surgery for unaffected testicle |
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Most common CA age 15-35
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Testicular CA
Cure rate >90% Etiology unknown |
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Testicular CA Risk Factors
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HIV Infection
Abnormal testies Genetics Undescended testies |
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Clinical Manifestations - Testicular CA
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Enlarged testie
Local Discomfort Metastasis Lower extremity edema Back pain Vertigo Cough Neck mass Gynecomastia |
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Secondary Prevention of Testicular CA
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Self-exam - starting around 16
Monthly |
