Update ) Differential
Diagnosis in Adult-Gerontology
Primary Care | Questions and
Answers | Grade A | 100% Correct –
Chamberlain
Question:
Testicular Torsion Risk Factors
Answer:
10 and 20 y/o, trauma, exercise, extreme cold, sexual stimulation, paraplegics
Question:
Testicular Torsion Findings
Answer:
acute onset of pain accompanied by swelling, absence of the cremasteric
reflex, "bell-clapper" deformity, Prehn's sign, blue dot sign
,Question:
Testicular Torsion Diagnostics
Answer:
history and presenting manifestations, Color Doppler ultrasonography or
radionuclide scanning
Question:
Testicular Torsion Treatment
Answer:
manual reduction, surgical correction
Question:
Testicular Torsion Education
Answer:
The possibility of atrophy along with depressed sperm counts, necessitates
patient education and understanding of these potential sequelae
Question:
Acute Bacterial Prostatitis Risk Factors
Answer:
sexually active, 30 to 50 y/o, UTI,
,Question:
Chronic Bacterial Prostatitis Risk Factors
Answer:
50+ y/o, recurrent UTIs, prostatic calculi
Question:
Acute Bacterial Prostatitis Findings
Answer:
General complaints: fever, chills, low back pain, malaise, arthralgia, myalgia
Urinary complaints: frequency, urgency, dysuria, nocturia, bladder outlet
obstruction
Physical examination: warm, tense, boggy, very tender prostate
Question:
Chronic Bacterial Prostatitis Findings
Answer:
General complaints: symptoms often absent, perineal pain, low back pain,
lower abdominal pain, scrotal pain, penile pain, pain on ejaculation
Urinary complaints: dysuria, irritative voiding
Physical examination: normal, boggy, or focally indurated prostate
, Question:
Acute Bacterial Prostatitis Diagnostics
Answer:
CBC: leukocytosis and a left shift on the differential
urinalysis: bacteriuria, pyuria, and possibly hematuria
Question:
Chronic Bacterial Prostatitis Diagnostics
Answer:
culture expressed prostatic secretions
Question:
Acute Bacterial Prostatitis Treatment
Answer:
levofloxacin or ciprofloxacin, Bactrim
Question:
Chronic Bacterial Prostatitis Treatment
Answer:
levofloxacin (75% eradication rate), ofloxacin, moxifloxacin