Mens health - module 4
Study online at https://quizlet.com/_hf2ohl
1. cryptorchidism undescended testicles
infertility and increased risk of CA
2. Cryptochordism one or both testicles not palpable in scrotum
exam findings may be in inguinal canal or abdomen
assess sitting squating or standing
3. cryptorchidism urology referral
management must descend by 6mo or surgery needed by 12 mo
4. epididymitis inflammation of the epididymis that is frequently caused by the spread of infection
from the urethra or the bladder
on top of testes
5. epididymitis men <35 yr:
causes STIs, chlamydia**, gonorrhea
men >35 yr:
e coli
coliform bacteria (secondary to UTI)
surgery of teste
6. epididymitis gradual onset
symptoms scrotal pain/swelling
dysuria
fever
urethral discharge
7. epididymitis unilateral scrotal tenderness
exam epididymal swelling
positive prehns sign
intact cremasteric reflex
8. Prehn's sign Relief of pain when the scrotum is lifted, indicates inflammation of the epididymis.
1/9
, Mens health - module 4
Study online at https://quizlet.com/_hf2ohl
9. cremasteric re- upward pull of testicles and scrotum due to touch of inner thighs
flex present in epididymitis
absent in torsion
10. epididymitis di- UA/urine culture
agnostics NAAT for gonorrhea and chlymadia
scrotal US (R/O torsion)
11. epididymitis tx steroids
avoid constipation, bearing down
<35 yr:
ceftriaxone IM + doxycycline x 10 days
>35 yr:
levofloxacin or ofloxacin x 10 days (fluoro - tendon rup)
12. chlamydia tx for treat any partners w/in last 60 days
partners
13. testicular torsion twisting of the spermatic cord causing decreased blood flow to the testis
14. testicular torsion most common in 10-20 yr
cause often due to bell clapper deformity
strenuous activity
trauma
puberty
extreme cold
15. testicular torsion sudden severe scrotal pain
exam high riding testicle
negative prehns sign
absent cremasteric reflex
2/9
Study online at https://quizlet.com/_hf2ohl
1. cryptorchidism undescended testicles
infertility and increased risk of CA
2. Cryptochordism one or both testicles not palpable in scrotum
exam findings may be in inguinal canal or abdomen
assess sitting squating or standing
3. cryptorchidism urology referral
management must descend by 6mo or surgery needed by 12 mo
4. epididymitis inflammation of the epididymis that is frequently caused by the spread of infection
from the urethra or the bladder
on top of testes
5. epididymitis men <35 yr:
causes STIs, chlamydia**, gonorrhea
men >35 yr:
e coli
coliform bacteria (secondary to UTI)
surgery of teste
6. epididymitis gradual onset
symptoms scrotal pain/swelling
dysuria
fever
urethral discharge
7. epididymitis unilateral scrotal tenderness
exam epididymal swelling
positive prehns sign
intact cremasteric reflex
8. Prehn's sign Relief of pain when the scrotum is lifted, indicates inflammation of the epididymis.
1/9
, Mens health - module 4
Study online at https://quizlet.com/_hf2ohl
9. cremasteric re- upward pull of testicles and scrotum due to touch of inner thighs
flex present in epididymitis
absent in torsion
10. epididymitis di- UA/urine culture
agnostics NAAT for gonorrhea and chlymadia
scrotal US (R/O torsion)
11. epididymitis tx steroids
avoid constipation, bearing down
<35 yr:
ceftriaxone IM + doxycycline x 10 days
>35 yr:
levofloxacin or ofloxacin x 10 days (fluoro - tendon rup)
12. chlamydia tx for treat any partners w/in last 60 days
partners
13. testicular torsion twisting of the spermatic cord causing decreased blood flow to the testis
14. testicular torsion most common in 10-20 yr
cause often due to bell clapper deformity
strenuous activity
trauma
puberty
extreme cold
15. testicular torsion sudden severe scrotal pain
exam high riding testicle
negative prehns sign
absent cremasteric reflex
2/9
