Urology
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Urology - Marcador
Urology - Detalles
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Preguntas:
22 preguntas
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UTI, Prostatitis, BPH, ejaculation within 2 days, DRE and trauma. Decreased from Finasteride 50% | What else can elevate PSA levels? What can decrease them? |
> 100,000 CFU on UA, leukocytes > 10 | How do you dx UTI in men? |
Instrumentation, BPH, urethral stricture, DM, uncircumcised, and anal intercourse. | What are causes of UTI in men? |
Cipro 500 bid X 7-10 days of TMP/SMX. | How do you treat UTI in men? |
Image with US or CTwithout contrast to r/o obstruction from BPH, or stones. | How do you manage a recurrent UIT in men? |
Fever, chills, dysuria, frequency, urgency, pain and cloudy urine. | What are the sx of acute bacterial prostatitis? |
Leukocytes > 10 on UA and tender prostate on exam | How do you dx bacterial prostatitis? |
E. coli, Enterobacter and Proteus. If sex active, Chlamydia and GC | What are the common organisms which cause prostatitis? |
TMP/SMX DS bid or Cipro 500 mg bid x 6 wks. Chronic sx > 3 mo referr to urology for eval. | How do you treat prostatitis? |
Notrofurantoin 100 mg bid x 5-7 d. TMP/SMX DS bid x 3 days ( resistance increasing) Reflex 5-7 days. | How do you treat UTI in women? |
Androgen deficiency, Psych (depression), Vascular, or Neurologic ETOH and drugs, metabolic, tobacco | Erectile dysfunction causes |
Oral phosphodiesterase inhibitors: Viagra ( screen for CVD before) Contraindicated with Nitrates or alpha blockers. Vacuum constrictor device Penile injection Prosthesis | How do you treat ED? |
Primary: Testicular problem. Decrease sperm production, low testosterone and elevated LH/FSH Secondary due to pituitary: Low FSH and LH. | Hypogonadism in men definition |
Treat only if symptomatic with low testosterone levels ( am best) Sx. fatigue, low of body hair, depression and decrease muscle mass, osteoporosis, and ED) | How do you treat hypogonadism? |
DM, obesity, ED, age > 62, | What are the risk factors for BPH? |
UA, BG, Cr and PSA if considering starting 5alpha reductase inhibitor ( works with large prostate) Voiding diary along with DRE | What is the w/u of BPH? |