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;
17 Cards in this Set
- Front
- Back
|
What is the effect of castration on urinary incontinence and obesity
|
Increased
|
|
|
What is the effect of castration on prostatic disease and roaming behavior
|
Decreased
|
|
|
Contents of spermatic cord
|
Testicular a,v = pampiniform plexus
Ductus deferens with associated a,v cremaster muscle |
|
|
Why is it important to ligate the cut edge of the tunic and cremaster
|
prevent scrotal hematoma
|
|
|
What are some problems associated with cryptorchids
|
prone to develop neoplasia, still producing hormone, smaller is size, sterile
|
|
|
How is the testicle located inside the abdominal cavity
|
Flip the bladder, locate the ductus deferens attached to the dorsal aspect of prostate, follow back to testicle
|
|
|
What is the path the testicle takes upon descent
|
Starts from region of cd pole of kidney, through vaginal ring, into scrotum
|
|
|
What are some indications for scrotal ablation
|
Pendulous scrotum, neoplasia, trauma, infection, scrotal urethrostomy needed
|
|
|
How is a scrotal ablation performed
|
Fusiform incision - save some scrotal skin for easier closure
testicles and scrotum removed together closure is standard |
|
|
What are some differentials for enlarged prostate
|
BPH, prostatitis, prostatic abscessation, paraprostatic and prostatic cysts, prostatic adenocarcinoma
|
|
|
10 yr old intact male
2wk hx - dysuria 2d hx - lethargy and vomiting PE - pyrexic, lethargic, testicles are normal dimensions, hind limb edema, splints when palapate cd abdoment, prostate is asymmetrically enlarged list differentials, dx procedures, |
Benign prostatic hyperplasia, prostatitis, prostatic abscess, paraprostatic and prostatic cysts, prostatic adenocarcinoma
U?s, rads, +/- contrast, prostatic wash, FNA or biopsy, UA with C&S, CBC, Chem, thoracic rads |
|
|
What test results would you expect with BPH
|
All WNL except enlarged prostate on imaging
|
|
|
What test results would you expect with prostatitis
|
enlarged prostate on imaging, inflammatory cells on FNA/Bx
|
|
|
What test results would you expect with prostatic abcess
|
enlarged prostate on imaging, concurrent or Hx of UTI on U/A and C&S, bacteria in prostatic wash, neutrophilia on CBC
|
|
|
What test results would you expect with Paraprostatic and prostatic cysts
|
imagins shows location of cyst; all others WNL
|
|
|
What test results would you expect with Prostatic adenocarcinoma
|
enlarged prostate on imaging +/- chest mets, possible cancer cells in prostatic wash, cancer cells on FNA/Bx, chem and CBC WNL
|
|
|
what do you recommend for prostatic abscess
|
Debride and omentalization; abx therapy
|
