NURS 5432 Module 4 Men's Health
Summary Notes
Cremasteric reflex - Cremasteric reflex can be assessed by lightly stroking or pinching the superior
medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction.
Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be
absent on physical exam in normal testes. It should be assessed after inspection and before palpation
of the testicles.
Prehn sign - A positive Prehn sign is pain that is relieved by the lifting of the testicle. If positive, it is
more likely epididymitis than testicular torsion.
Blue dot sign - Tenderness limited to the upper pole of the testis suggests torsion of a testicular
appendage, especially when a hard, tender nodule is palpable in this region. A small bluish
discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This
sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Why can prescribing testosterone be harmful? - · Testicular shrinkage
· Sterility
· Acne
· Gynecomastia
· Lowers HDL and Raises LDL
· Mood swings
PDE-5 inhibitors - · Common side effects are headaches and flushing
· Make sure to counsel them if they have any vision changes, hearing loss or priapism after taking one
of these, STOP taking medication and go to MD
· These need to be taken about 30 minutes to 1 hour prior to sexual intercourse
· Viagra and Cialis just went generic this year
Dutasteride: cautions - · Has the potential to harm developing fetus
o Woman need to be cautious in handling medication
Epididymitis causes - 1. Commonly occurring in men <35 years of age with chlamydia as the
causative agent
Summary Notes
Cremasteric reflex - Cremasteric reflex can be assessed by lightly stroking or pinching the superior
medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction.
Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be
absent on physical exam in normal testes. It should be assessed after inspection and before palpation
of the testicles.
Prehn sign - A positive Prehn sign is pain that is relieved by the lifting of the testicle. If positive, it is
more likely epididymitis than testicular torsion.
Blue dot sign - Tenderness limited to the upper pole of the testis suggests torsion of a testicular
appendage, especially when a hard, tender nodule is palpable in this region. A small bluish
discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This
sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Why can prescribing testosterone be harmful? - · Testicular shrinkage
· Sterility
· Acne
· Gynecomastia
· Lowers HDL and Raises LDL
· Mood swings
PDE-5 inhibitors - · Common side effects are headaches and flushing
· Make sure to counsel them if they have any vision changes, hearing loss or priapism after taking one
of these, STOP taking medication and go to MD
· These need to be taken about 30 minutes to 1 hour prior to sexual intercourse
· Viagra and Cialis just went generic this year
Dutasteride: cautions - · Has the potential to harm developing fetus
o Woman need to be cautious in handling medication
Epididymitis causes - 1. Commonly occurring in men <35 years of age with chlamydia as the
causative agent
