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NR509- Week 7 Assessment of Pregnancy and the Reproductive System

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NR509- Week 7 Assessment of Pregnancy and the Reproductive System

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NR509-
sdWeeksd7:sdAssessmentsdofsdPregnancysdandsdthesdReproductivesdSystem




Marcosdissdasd50-year-
oldsdmalesdwhosdpresentssdwithsdconcernsdaboutsdasd"soft,sdtube-
likesdlump"sdonsdthesdbacksdofsdhissdleftsdtesticle.sdHesdhassdneversdperformedsdas
dtesticularsdself-


exam.sdHesddeniessdtesticularsdtenderness,sddysuria,sdpenilesddischarge,sdandsd
constitutionalsdsymptoms.sdHissdphysicalsdexaminationsdissdunremarkable.sd
BasedsdonsdthesdH&P,sdwhatsdissdthesdappropriatesdnextsdstep?sd-
sdcorrectsdanswer✔ ✔ -Reassuresdclientsdandsdreevaluatesdinsd2sdweeks


Thesdpatientsdidentifiedsdthesdepididymis,sdasdsoft,sdtube-
likesdstructuresdatsdthesdbacksdofsdthesdtesticlesdthatsdcollectssdandsdcarriessdsper
m.sdThesdepididymissdfeelssdnodularsdandsdcord-
likesdandsdshouldsdnotsdbesdconfusedsdwithsdansdabnormalsdlump.sdReassurance
sdandsdfollow-


upsdaresdappropriatesdactions.sdReferralssdandsdimagingsdaresdnotsdwarrantedsda
tsdthissdtimesd(Bickley,sd2020,sdp.sd685).


Jimsdissdasd47-year-
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ecentlysdseparatedsdfromsdhissdwifesdofsd20sdyears.sdHesdreportssdthatsdhesdhassde
arlysdmorningsderectionssdbutsdissdunablesdtosdachievesdansderectionsdduringsdse
xualsdactivity.sdWhichsdofsdthesdfollowingsdissdthesdmostsdlikelysdcausesdofsdJim'
ssdcomplaint?sd-sdcorrectsdanswer✔ ✔ -Psychologicalsdstresssdeffects

, Whatsdchronicsddiseasessdcontributesdtosdthesdprevalencesdofsderectilesddysfun
ction?sd-sdcorrectsdanswer✔ ✔
Diabetes,sdhypertension,sddyslipidemia,sdandsdsmoking,sdassdwellsdassdmedi
cationsdsidesdeffects


Whatsdaresdthesdmostsdcommonsdcausessdofsderectilesddysfunction?sd-
sdcorrectsdanswer✔ ✔
Vascularsdcausessdsuchsdassdatheroscleroticsdarterialsdocclusivesddiseasesdan
dsdcorporasdcavernosasdvenoussdleak.


Whatsdissdthesdordersdofsdassessmentsdofsdfemalesdgenitalia?sd-sdcorrectsdanswer
✔ ✔ Inspectionsdandsdpalpationsdofsdthesdexternalsdgenitalia.


Inspectionsdofsdinternalsdgenitaliasdwithsdasdspeculum.


Bimanualsdpelvicsdexaminationsd


Rectovaginalsdexam.


(AKAsdpelvicsdexam)


Whilesdconductingsdasdclinicalsdbreastsdexamsdonsdasd30-year-
oldsdgeneticallysddeterminedsdfemale,sdnodularsdandsdropelikesdmassessdaresdp

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