Exam 8: Reproductive System; Infections of the Male Reproductive System
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| Prostatitis | Acute or chronic infection of the prostate gland
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| Prostatitis: Causative Organisms | E. Coli, Klebeiella, Proteus, Pseudimonas, Strptococcus, N. Gonorrhoeae, C. Trachomitis
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| Prostatitis: Assessment | Acute Phse
Chronic Prostatitis
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| Prostatitis: Diagnostic Testing | C&S, The pH of prostate fluid is generally elevated
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| Prostatitis: Medical Management | Abx therapy: up to 16 weeks in duration.
Periodic Digital Massage
Sitz bath for heat
Analgesics: anti-inflammatories
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| Prostatitis: Nursing interventions | Patient Education
Comfort measures
Bed Rest
I&O
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| Epididymitis: Etiology | Common infection of the male reproductive tract.
Can be bilateral and may recur.
Bilateral epididymitis can cause sterility.
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| Epididymitis: Causative Organisms | S. Aureus, E.Coli, Strptococcus species, N. Gonorrhea.
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| Epididymitis: Symptoms can occur after | Trauma
Instrumentation
Physical Exertion
Prolonged sexual activity
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| Epididymitis: Manifestations | Sudden appearance of severe pain
Pain radiates
Scrotal edema and tenderness
Pus in urine
Chills and fever
"Duck walk" or "waddling gait"
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| Acute vs Chronic Prostatitis | Acute Bacterial
Chronic Bacterial
Chronic Non-Bacterial Prostatitis (Chronic Pelvic Pain Syndrome)
Asymptomatic Inflammatory
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| Epididymitis: Diagnositc Tests | Symptoms and physical examination of the scrotum
Urinalysis-First daily flow
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| Epididymitis: Medical Management | Bed Rest
Scrotal Support
Application of cold for relief of edema and discomfort
ABx therapy
Incision and drainage of scrotum if abscess forms
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| Epididymitis: Nursing Interventions | Bed rest during acute phase of illness
Support of testicular area
Ice Compresses
Patient Education
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| Epididymitis | An infection of the cordliek excretory duct of the testicle.
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