NR 511 / NR511FINAL EXAM STUDY GUIDE

Identify the population most commonly affected by bacterial prostatitis: Acute bacterial prostatitis occurs predominantly in sexually active men between the ages of 30 and 50 years old, whereas chronic bacterial prostatitis is most common in men older than 50. Discuss the physical exam characteristics of acute bacterial prostatitis: urinary complains (frequency, urgency, nocturia, dysuria) pain & discomfort (LBP, penile, scrotal pain, fever, chills, malaise or painful ejaculation, arthralgia, myalgia) Discuss how the Phren sign can differentiate between testicular torsion and epididymitis: The most common symptom in testicular torsion is sudden, severe pain accompanied by swelling of the affected testis. The patient may have pain for several days without seeking medical attention. The most common finding on clinical exam is the absence of the cremasteric reflex and unlike in epididymitis, elevation of the affected testis does not relieve the pain (negative Phren’s sign).