NSG 510 Exam 4
Study online at https://quizlet.com/_j6va6b
1. Benign prostatic older men (~80% will be diagnosed in their lifetime)
hyperplasia risk
factors
2. Benign prostatic - Progressive degrees of urinary outflow obstruction from difficulty initiating urine
hyperplasia Man- flow
ifestations - progressive decrease in force of urinary stream
- incomplete bladder emptying
- high post-void residuals
- Physical exam reveals a large, non-tender prostate.
3. Benign prosta- Obstruction of urinary flow and stasis or urine increases the risk of urinary tract
tic hyperplasia infection and prostatitis.
Complications
4. Prostatitis etiolo- Infection (e. coli, usually) by various routes:
gy - ascending from urethra
- descending from bladder or kidneys
- hematogenous from blood stream
- direct extension from rectum
5. Manifestations of -Systemic findings consistent with an infection
acute bacterial - low back pain
prostatitis - urinary frequency, urgency, and dysuria
- tender and swollen prostate
- localized lymph node tenderness
6. prostatitis diag- based on manifestations and urinalysis/culture results
nosis
7. prostate cancer - 12% of men will be diagnosed with prostate cancer at some point during their
statistics life
- Decline in new cases, flat death rate
, NSG 510 Exam 4
Study online at https://quizlet.com/_j6va6b
- A disease of older age
- Disproportionately effects Blacks
- Survival declines with late stage and advanced disease (screen with DRE and
PSA).
8. prostate cancer polygenic, multifactorial, and just bad luck on random mitotic mutations
etiology
9. prostate cancer - If a patient comes in with symptoms (bladder outlet obstruction) it typically
Manifestations suggests advanced disease and poor outcomes.
- Prostatic specific antigen testing - Abnormally high levels occur with a whole host
of prostate conditions from benign to malignant (sensitive but not specific)
- Physical findings: Urinary stream problems and hard, nodular, non-painful
prostate by digital rectal exam.
10. prostate cancer Transrectal ultrasound and biopsy
diagnosis
11. testicular cancer - Approximately 0.4 percent of men will be diagnosed with testicular cancer at
trends and statis- some point during their lifetime
tics - Increase in new cases, flat death rate
- A disease of younger age
- Disproportionately effects Whites
- Survival declines with late stage and advanced disease.
12. testicular cancer This is a disease of younger men, typically childbearing years. For the majority of
etiology cases, the cause is unknown.
13. testicular cancer Non-tender mass on palpation.
manifestations
14. Cystocele Protrusion of bladder (cysto) wall through weakened vaginal musculature.
15. rectocele protrusion of rectal (recto) wall through weakened vaginal musculature.
, NSG 510 Exam 4
Study online at https://quizlet.com/_j6va6b
16. cysto/rectocele Age and weakened vaginal musculature (think multiple vaginal deliveries)
etiology
17. cysto/rectocele Sensations of pressure, urinary incontinence, constipation.
manifestations
18. Uterine prolapse - Note the uterus is at nearly a right angle to the vagina and overlies the bladder.
- In prolapse, the uterus parallels the vagina and telescopes into it to varying
degrees (1st, 2nd, and 3rd).
19. uterine prolapse - Weakness of the supportive ligaments (uterosacral and cardinal) and weakness
etiology of the vaginal musculature.
- Occurs at any age.
- May be due to congenital weakness of musculoskeletal system or to the effects
of childbirth
20. uterine prolapse - Vaginal fullness
manifestations - with 3rd degree, cervical trauma
21. uterine prolapse Hysterectomy
treatment
22. Leiomyomas - Benign growths of the uterus during childbearing years.
- Incidence in Black women three times higher than white women.
23. leiomyomas eti- Unknown but related to estrogen and growth hormone.
ology
24. leiomyomas - Mostly asymptomatic but, depending on size, may interfere with reproduction
manifestations and other functions of the genitourinary tract.
- Those that penetrate to vasculature will cause abnormal uterine bleeding -
always worrisome.
Study online at https://quizlet.com/_j6va6b
1. Benign prostatic older men (~80% will be diagnosed in their lifetime)
hyperplasia risk
factors
2. Benign prostatic - Progressive degrees of urinary outflow obstruction from difficulty initiating urine
hyperplasia Man- flow
ifestations - progressive decrease in force of urinary stream
- incomplete bladder emptying
- high post-void residuals
- Physical exam reveals a large, non-tender prostate.
3. Benign prosta- Obstruction of urinary flow and stasis or urine increases the risk of urinary tract
tic hyperplasia infection and prostatitis.
Complications
4. Prostatitis etiolo- Infection (e. coli, usually) by various routes:
gy - ascending from urethra
- descending from bladder or kidneys
- hematogenous from blood stream
- direct extension from rectum
5. Manifestations of -Systemic findings consistent with an infection
acute bacterial - low back pain
prostatitis - urinary frequency, urgency, and dysuria
- tender and swollen prostate
- localized lymph node tenderness
6. prostatitis diag- based on manifestations and urinalysis/culture results
nosis
7. prostate cancer - 12% of men will be diagnosed with prostate cancer at some point during their
statistics life
- Decline in new cases, flat death rate
, NSG 510 Exam 4
Study online at https://quizlet.com/_j6va6b
- A disease of older age
- Disproportionately effects Blacks
- Survival declines with late stage and advanced disease (screen with DRE and
PSA).
8. prostate cancer polygenic, multifactorial, and just bad luck on random mitotic mutations
etiology
9. prostate cancer - If a patient comes in with symptoms (bladder outlet obstruction) it typically
Manifestations suggests advanced disease and poor outcomes.
- Prostatic specific antigen testing - Abnormally high levels occur with a whole host
of prostate conditions from benign to malignant (sensitive but not specific)
- Physical findings: Urinary stream problems and hard, nodular, non-painful
prostate by digital rectal exam.
10. prostate cancer Transrectal ultrasound and biopsy
diagnosis
11. testicular cancer - Approximately 0.4 percent of men will be diagnosed with testicular cancer at
trends and statis- some point during their lifetime
tics - Increase in new cases, flat death rate
- A disease of younger age
- Disproportionately effects Whites
- Survival declines with late stage and advanced disease.
12. testicular cancer This is a disease of younger men, typically childbearing years. For the majority of
etiology cases, the cause is unknown.
13. testicular cancer Non-tender mass on palpation.
manifestations
14. Cystocele Protrusion of bladder (cysto) wall through weakened vaginal musculature.
15. rectocele protrusion of rectal (recto) wall through weakened vaginal musculature.
, NSG 510 Exam 4
Study online at https://quizlet.com/_j6va6b
16. cysto/rectocele Age and weakened vaginal musculature (think multiple vaginal deliveries)
etiology
17. cysto/rectocele Sensations of pressure, urinary incontinence, constipation.
manifestations
18. Uterine prolapse - Note the uterus is at nearly a right angle to the vagina and overlies the bladder.
- In prolapse, the uterus parallels the vagina and telescopes into it to varying
degrees (1st, 2nd, and 3rd).
19. uterine prolapse - Weakness of the supportive ligaments (uterosacral and cardinal) and weakness
etiology of the vaginal musculature.
- Occurs at any age.
- May be due to congenital weakness of musculoskeletal system or to the effects
of childbirth
20. uterine prolapse - Vaginal fullness
manifestations - with 3rd degree, cervical trauma
21. uterine prolapse Hysterectomy
treatment
22. Leiomyomas - Benign growths of the uterus during childbearing years.
- Incidence in Black women three times higher than white women.
23. leiomyomas eti- Unknown but related to estrogen and growth hormone.
ology
24. leiomyomas - Mostly asymptomatic but, depending on size, may interfere with reproduction
manifestations and other functions of the genitourinary tract.
- Those that penetrate to vasculature will cause abnormal uterine bleeding -
always worrisome.
