Nurs 5432 module 4: men's health and
STDs Detailed solutions.
Nurs 5432 module 4: men's health and
STDs Detailed solutions.
cryptorchidism - ANSWER undescended testicles
Cryptorchidism treatment - ANSWER orchiopexy typically at ages 6-18m
cryptorchidism risks later in life - ANSWER testicular cancer
epididymitis - ANSWER inflammation of the epididymis that is frequently caused by the spread of
infection from the urethra or the bladder
Epididymitis S/S - ANSWER o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35 - ANSWER doxy 100mg BID x 10 days AND
ceftriaxone 500mg IM once
epididymitis treatment for men over age 35 and you do not suspect STD - ANSWER Levfloxacin 500mg
PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
Epididymitis treatment for men who have sex with men - ANSWER think they need to cover gram
negative bacteria... e. coli lives in the colon so that is the likely cause.
,Nurs 5432 module 4: men's health and
STDs Detailed solutions.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO daily x 10 days
Epididymitis PE - ANSWER Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis - ANSWER Ultrasound: shows enlarged epidydimis and increased testicular blood
flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele - ANSWER scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-communicating? - ANSWER communicating
are hydroceles in adults communicating or non-communicating? - ANSWER non-communicating
what is the connection between testicular cancer and hydrocele - ANSWER 10% of testicular
malignancies present with a hydrocele
hydrocele assessment - ANSWER PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening is not closed...the
fluid has somewhere to go
o Scrotum feels heavy, especially after coughing, crying, and raising arms
o Noncommunicating hydroceles do NOT change shape with crying or straining
, Nurs 5432 module 4: men's health and
STDs Detailed solutions.
o Scrotum will transilluminate with both communicating and non-communicating
Hydrocele diagnostics - ANSWER none needed, but you have to do an ultrasound to rule out a tumor!
Hydrocele management - ANSWER The majority of infants born with hydroceles will have spontaneous
resolution by the time they are 1 year old; thus reassurance and observation are the most appropriate
forms of management.
sx only if persist for >1 year
spermatocele - ANSWER · Benign, cystic scrotal mass along spermatic cord, usually at head of
epididymis. Measures over 2cm and may contain non-viable sperm
spermatocele assessment - ANSWER o Palpable, painless, freely moveable cystic mass distinct from
testis (pretesticular lesion)
o Intratesticular lesions always require further workup
o Size 2-5cm
o Usually asymptomatic
o Always located superior to testicle...hydrocele isn't. this is something that separates the 2 diagnosis
Spermatocele management - ANSWER none needed unless it is painful
aspiration will show non-viable sperm
does not affect fertility
varicocele - ANSWER enlarged veins of the spermatic cord
Varicocele grading - ANSWER grade 1: only palpable with valsalva maneuver
grade 2: cant see it, but can feel it when they stand
grade 3: clearly visible
STDs Detailed solutions.
Nurs 5432 module 4: men's health and
STDs Detailed solutions.
cryptorchidism - ANSWER undescended testicles
Cryptorchidism treatment - ANSWER orchiopexy typically at ages 6-18m
cryptorchidism risks later in life - ANSWER testicular cancer
epididymitis - ANSWER inflammation of the epididymis that is frequently caused by the spread of
infection from the urethra or the bladder
Epididymitis S/S - ANSWER o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35 - ANSWER doxy 100mg BID x 10 days AND
ceftriaxone 500mg IM once
epididymitis treatment for men over age 35 and you do not suspect STD - ANSWER Levfloxacin 500mg
PO daily x 10 days OR Ofloxacin 300mg BID X 10 days
Epididymitis treatment for men who have sex with men - ANSWER think they need to cover gram
negative bacteria... e. coli lives in the colon so that is the likely cause.
,Nurs 5432 module 4: men's health and
STDs Detailed solutions.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO daily x 10 days
Epididymitis PE - ANSWER Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis - ANSWER Ultrasound: shows enlarged epidydimis and increased testicular blood
flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele - ANSWER scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-communicating? - ANSWER communicating
are hydroceles in adults communicating or non-communicating? - ANSWER non-communicating
what is the connection between testicular cancer and hydrocele - ANSWER 10% of testicular
malignancies present with a hydrocele
hydrocele assessment - ANSWER PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele... because the opening is not closed...the
fluid has somewhere to go
o Scrotum feels heavy, especially after coughing, crying, and raising arms
o Noncommunicating hydroceles do NOT change shape with crying or straining
, Nurs 5432 module 4: men's health and
STDs Detailed solutions.
o Scrotum will transilluminate with both communicating and non-communicating
Hydrocele diagnostics - ANSWER none needed, but you have to do an ultrasound to rule out a tumor!
Hydrocele management - ANSWER The majority of infants born with hydroceles will have spontaneous
resolution by the time they are 1 year old; thus reassurance and observation are the most appropriate
forms of management.
sx only if persist for >1 year
spermatocele - ANSWER · Benign, cystic scrotal mass along spermatic cord, usually at head of
epididymis. Measures over 2cm and may contain non-viable sperm
spermatocele assessment - ANSWER o Palpable, painless, freely moveable cystic mass distinct from
testis (pretesticular lesion)
o Intratesticular lesions always require further workup
o Size 2-5cm
o Usually asymptomatic
o Always located superior to testicle...hydrocele isn't. this is something that separates the 2 diagnosis
Spermatocele management - ANSWER none needed unless it is painful
aspiration will show non-viable sperm
does not affect fertility
varicocele - ANSWER enlarged veins of the spermatic cord
Varicocele grading - ANSWER grade 1: only palpable with valsalva maneuver
grade 2: cant see it, but can feel it when they stand
grade 3: clearly visible
