NR 511 Final
,Population most commonly affected by Bacterial Prostatis - Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - Abdominal examination to detect a
distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic massage can induce
bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - 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
BPH Symtpms - Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - Sensation that the testes feel like a "bag of worms."
, Population affected by Testicular Cancer - American males between the ages of 15 and 35.
Explain Spinal Stenosis - Most Common source of lower back pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet joints and the
intervertebral disks
Common Characteristics of lumbar spinal stenosis - Leg pain is commonly greater than back pain and
pain is characteristically worse with prolonged standing or walking and improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be present.
Pt will lean or stoop for short term relief
Chronic Pain - Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site of injury or initial
complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - Four or more joints
Four Cardinal Signs of Joint Inflammation - Erythema
Warmth
Pain
Swelling
DeQuervian's Tensynovitis - Inflammation of tendons on the side of the wrist at the base of the thumb.
Like CTS(carpul tunnel), it may be caused by repetitive movements but is also associated with
pregnancy and rheumatoid disease.
,Population most commonly affected by Bacterial Prostatis - Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - Abdominal examination to detect a
distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic massage can induce
bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - 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
BPH Symtpms - Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - Sensation that the testes feel like a "bag of worms."
, Population affected by Testicular Cancer - American males between the ages of 15 and 35.
Explain Spinal Stenosis - Most Common source of lower back pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet joints and the
intervertebral disks
Common Characteristics of lumbar spinal stenosis - Leg pain is commonly greater than back pain and
pain is characteristically worse with prolonged standing or walking and improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be present.
Pt will lean or stoop for short term relief
Chronic Pain - Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site of injury or initial
complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - Four or more joints
Four Cardinal Signs of Joint Inflammation - Erythema
Warmth
Pain
Swelling
DeQuervian's Tensynovitis - Inflammation of tendons on the side of the wrist at the base of the thumb.
Like CTS(carpul tunnel), it may be caused by repetitive movements but is also associated with
pregnancy and rheumatoid disease.
