Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
non-cancerous enlargement of prostate restricting flow of urine
|
BPH
|
|
|
s/s void obstruction
|
decr in caliber & force of stream
difficulty initiating dribbling @ end incomplete bladder emptying due to retention |
|
|
s/s irritative obstruction
|
frequency
urgency dysuria pain nocturia incontinence due to inflammation or infection |
|
|
diagnosis for BPH
|
digital rectal exam
UA w/culture PSA to r/o prostrate cancer transrectal ultrasound |
|
|
goals for BPH
|
restore bladder drainage
relieve symptoms prevent complications "watchful waiting" no symptoms but mild ones |
|
|
drug therapy for BPH
|
alpha adrenergic receptor blockers (smooth muscle relaxation) -- cardura, hytrin -- offer symptomatic relief only
herbal therapy - saw palmetto |
|
|
non surgical tx for BPH
|
intermittent cath
short term indwelling stents in urethra balloon dilation TUNA (transurethral needle ablation) |
|
|
surgical tx for BPH
|
TURP
prostatectomy - ED TUIP TUMT TUVP |
|
|
nsg care for BPH
|
hemorrhage - bladder irrigation
infection bladder spasms kegel exercises for incontinence ED - retrograde ejaculation |
|
|
cancer of prostate info
|
usually slow growing
spread via mucosa, lymph, blood high fat diet, family hx, chemical exposure |
|
|
s/s prostate ca
|
like BPH but with lumbosacral pain with radiation down to hips or legs
|
|
|
diagnosing prostate ca
|
PSA 0-4
direct rectal exam tissue bx CT/MRI |
|
|
tx prostate ca
|
early stage curable in majority of men
surgical interventions - radical prostatectomy, cryosurgery, radiation therapy drugs-luteining hormone agonist, androgen receptor blocker, estrogen orchiectomy |
|
|
info on testicular ca
|
<1% of all ca
young men 15-35 yr predisposed: family hx, undescended testes, orchitis, HIV |
|
|
s/s testicular ca
|
lump in scrotum nontender & firm
scrotal swelling scrotal heaviness persistent dull ache acute pain in 10% of men |
|
|
metastasis symptoms of testicular ca
|
back pain
cough dyspnea dysphagia alterations in vision, mental status seizures |
|
|
diagnostic tests for testicular ca
|
palpation of scrotum
ultrasound alpha-fetoprotein human chorionic gonadotropin CXR CT of abdomin/pelvis |
|
|
tx testicular ca
|
orchiectomy & lymph node removal
radiation chemo 75% complete remission |
