Nurs 5432 module 4: men's health and STDs Questions With
Complete Solutions
cryptorchidism
undescended testicles
Cryptorchidism treatment
orchiopexy typically at ages 6-18m
cryptorchidism risks later in life
testicular cancer
epididymitis
inflammation of the epididymis that is frequently caused by the
spread of infection from the urethra or the bladder
Epididymitis S/S
o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35
doxy 100mg BID x 10 days AND ceftriaxone 500mg IM once
,epididymitis treatment for men over age 35 and you do not
suspect STD
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg
BID X 10 days
Epididymitis treatment for men who have sex with men
think they need to cover gram negative bacteria... e. coli lives in
the colon so that is the likely cause.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO
daily x 10 days
Epididymitis PE
Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis
Ultrasound: shows enlarged epidydimis and increased testicular
blood flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele
, scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-
communicating?
communicating
are hydroceles in adults communicating or non-communicating?
non-communicating
what is the connection between testicular cancer and hydrocele
10% of testicular malignancies present with a hydrocele
hydrocele assessment
PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele...
because the opening is not closed...the fluid has somewhere to
go
o Scrotum feels heavy, especially after coughing, crying, and
raising arms
o Noncommunicating hydroceles do NOT change shape with
crying or straining
o Scrotum will transilluminate with both communicating and
non-communicating
Hydrocele diagnostics
none needed, but you have to do an ultrasound to rule out a
tumor!
Complete Solutions
cryptorchidism
undescended testicles
Cryptorchidism treatment
orchiopexy typically at ages 6-18m
cryptorchidism risks later in life
testicular cancer
epididymitis
inflammation of the epididymis that is frequently caused by the
spread of infection from the urethra or the bladder
Epididymitis S/S
o pain
o dysuria
o urgency/frequency
o low back pain/perineal pain
o fever/chills/malaise
o scrotal edema!!
Epididymitis treatment for sexually active men under age 35
doxy 100mg BID x 10 days AND ceftriaxone 500mg IM once
,epididymitis treatment for men over age 35 and you do not
suspect STD
Levfloxacin 500mg PO daily x 10 days OR Ofloxacin 300mg
BID X 10 days
Epididymitis treatment for men who have sex with men
think they need to cover gram negative bacteria... e. coli lives in
the colon so that is the likely cause.
Ceftriaxone 500mg IM once AND Levofloxacin 500mg PO
daily x 10 days
Epididymitis PE
Prehn's sign is positive
normal cremasteric reflex
possible urethral discharge
enlarged and tender epididymis
epididymitis diagnosis
Ultrasound: shows enlarged epidydimis and increased testicular
blood flow
STD testing
US if they have pyuria and/or hematuria
elevated CBC
CRP and sed rate will be elevated
hydrocele
, scrotal swelling caused by a collection of fluid
are hydroceles in infants communicating or non-
communicating?
communicating
are hydroceles in adults communicating or non-communicating?
non-communicating
what is the connection between testicular cancer and hydrocele
10% of testicular malignancies present with a hydrocele
hydrocele assessment
PAINLESS swelling
o Scrotum size will fluctuate with communicating hydrocele...
because the opening is not closed...the fluid has somewhere to
go
o Scrotum feels heavy, especially after coughing, crying, and
raising arms
o Noncommunicating hydroceles do NOT change shape with
crying or straining
o Scrotum will transilluminate with both communicating and
non-communicating
Hydrocele diagnostics
none needed, but you have to do an ultrasound to rule out a
tumor!
