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Reprod 5

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juniperk's version from 2017-11-03 18:36

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Question Answer
How do we treat epididymitis?Give antibiotics if bacterial, provide comfort, NSAIDS to reduce inflammation, bedrest, ice.
What education should be given to a patient with epididymtis?They should not engage in sex, strenuous lifting, or straining until infection is under control.
What is a testicular torsion?This is a twisting of the testes, or spermatic cord. this is a medical emergency.
How long do you have to fix a testicular torsion?6 hours.
What are signs and symptoms of a testicular torsion?Excruciating pain, red/discolored scrotum, abdominal pain, N/V.
How do we treat a testicular torsion?We have to prepare the patient for surgery to fix the twist in the cord.
What should we do after a testicular torsion surgery?Elevate the scrotum to decrease swelling.
Who is more at risk for testicular cancer?Someone who has a history of cryptochordism, especially if untreated.
What are signs and symptoms of testicular cancer?Painless, hard lump or swelling of one side of the testes, dull ache in testes pelvis or scrotum; often no signs and symptoms except the painless lump.
How do we treat testicular cancer?Chemo, radiation, or a orcheotomy.
What is cryptorchidism?This is a failure of one or both testes to descend.
How do we treat cryptorchidism?We will give the patient up to their 1st birthday, then we will try HCG up to their 2nd birthday, If no luck by then surgery will be done.
What is Priapism?This is a persistent penile erection that may or may not be related to sexual stimulation that has lasted for about 4 hours.
What are signs and symptoms of priapism?Harder than normal erection, painful erection not typically associated with arousal.
How do we treat priapism?We need to find out what is causing it and reverse it or surgery may be needed to aspirate or irrigate the penis.
What education should we give a patient with priapism?They need to seek medical attention quickly to prevent ischemia, fibrosis, and impotence.
What does estrogen aide in?Sexual maturation, ovulation, development and maintenance of female accessory organs, and cell division in breast and endometrium.
What does progestrone aide in?Maintaining pregnancy, breast and endometrium development, maturation of endometrium cells, increased body temp, and smooth muscle relaxation.
What hormone begins the menstrual cycle?The gonadotropin releasing hormone or GnRH from the hypothalamus begins the cycle.
What happens in the follicular phase of the menstrual cycle?GnHR is released from hypothalamus. This causes pitutiary gland to release FSH and LH. FSH and LH make ovarian follicles begin to mature.
What happens in the luteal phase of the menstrual cycle?The developing follicle produces estrogen. Estrogen decreases FSH release. The strongest follicles survive the drop in FSH and continue to grow and make estrogen. Estrogen now stimulates LH release from pituitary and the LH stimulates the release of the egg. Ovulation occurs. The follicle cells become corpus luteum, making progesterone.
What happens after the body makes corpus luteum during the luteal phase of the menstrual cycle?Progestrone prepares the body for pregnancy. If pregnancy does not occur, the corpus luteum dies. The drop in progesterone tells the hypothalamus to secrete GnRH and begin a new cycle.
What is dysmenorrhea?This is painful menstruation caused by an increased prostagladin secretion.
What is secondary amenorrhea?This is when you have started your period, but all the sudden it stops and never comes back. This can be from anorexia, excessive exercise, hormone imbalance, pregnancy or endometriosis.
What is menorrhagia?This is an increased amount and duration of flow during your period.
What is metorrhagia?This is irregular bleeding between periods due to hormonal imbalances, PID, or polyps.
What does it mean if aldosterone levels are elevated?This could indicate cancer.
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