Muscle building supplements History of testicular cancer Klinefelter syndrome

Muscle building supplements history of testicular

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Muscle building supplements History of testicular cancer Klinefelter syndrome HIV infection Normal vs abnormal bowel findings in newborns Normal vs abnormal bowel findings in newborns pg 394-397 Normal Abdomin and chest should move in sync 2 arteries and 1 vein present in umbilical cord umbilical cord stump should be dried and odorless bowel sounds present within 1-2 hors after birth more tympathy than adults on percussion due to swallowing of air with feeding and crying. Palpation of spleen tip at let costal margin Soft abdomin with palpation Bladder percussed and palpated in suprapubic area
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Slight protude of the abdomin (potbellied) when child is sitting, standing, or supine Abnormal Tenderness or pain with palpation Hard, rigid, resistant to pressure = peritoneal irritation Masses Intussusception (sausage shaped mass in LUQ or RUQ in ill looking newborn) Hirschsprung disease (midline suprapubic mass) Constipation (mass in LLQ) Liver >3cm below right costal margin = hepatomegaly Bruits and venous hums in abdomin Renal bruits = renal artery stenosis sometimes with renal arteriovenous fistula Visualization of peristaltic waves = intestinal obstruction like pyloric stenosis Unbilical hernia Spider nevi = liver disease Risk factors for colorectal cancer The majority of CRC occurrences are sporadic rather than familial but risk factors (RF) can be divided into two categories: those who confer a suficeintly high risk to alter recommendations for CRC screenings and those that do not alter screening recommendations. RF that alter screening recommendations Family members with hereditary CRC syndromes o o Familial adenomatous o polyposis (FAP) o o Lynch Syndrome (hereditary o nonpolyposis colorectal cancer {HNPCC}) o o MUTYH-Associated o polyposis (MAP) o o Hereditary breast o and ovarian cancer syndrome o o Personal or family o history of sporadic CRCs or adenomatous polyps o o IBS/UC/Chron disease o history o o Cystic fibrosis o o African-Americans o have the highest CRC rates of all ethnic groups in the US and it occurs at a younger age. o
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o Men have a higher o mortality rate than women o o Renal transplant o o Acromegaly Risk factors that do not alter screening recommendations o Obesity o Diabetes mellitus o and insulin resistance o Long-term consumption o of red meat or processed meats o o Tobacco and alcohol o use o o Use of androgen deprivation o therapy o o cholecystectomy Examination findings consistent with Benign Prostate Hypertrophy ectal exam to check for the presence of asymmetry or nodules which suggests malignancy and to assess. Tender prostate gland may reflect the prescence of prostatitis. While estimates of prostate size are unreliable, most clinicans are able to recognize a very large prostate (>50 grams). Typical presentation — Approximately 50 percent of men at age 50 and up to 80 percent of men at age 80 have lower urinary tract symptoms (LUTS) attributable to BPH [ 2,3 ]. Common manifestations include: o o Storage o symptoms
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