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Infection begins spreading systemically throughout

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Infection begins spreading systemically throughout the body and may present with:FeverHeadacheAching jointsMouth sores Rashes on palms or soles of feetVDRL test, RPR test. Smear taken from the primary lesion & examined for T. pallidum bacteria.Can be cured with a course of antibiotic therapy using penicillin GPatients are monitored with follow-up blood tests for up to 1 year to ensure elimination of infectionpenicillin G, doxycycline, azithromycin, and ceftriaxoneChancroid is a bacterial infection of the genitalia that causes a necrotizing ulceration and lymphadenopathy.Shallow and painless lesion appears on the skin or mucous membrane, at the site of entry, 7 to 10 days after sexual contact with an infected person Tender superlative inguinal adenopathy is noted upon physical examinationUlcer usually deepens and becomes purulent and can be spread to other areas of the body by autoinoculationbased on clinical apperance of lesions. Gram stain smears to confirm cause of infection. Antibiotic therapyLesions must sometimes be drained surgicallyGood personal hygieneRefrain from sexual contact during treatmentErectile Dysfunction/ImpotenceConsistent or recurrent inability to achieve or maintain penile erectionUsually occurs because of inability to attain or maintain an erection of the penis sufficient for satisfactory sexual activityPhysical examinationLab tests to rule out organic diseaseMeasurement of testosterone levelMedical history of patient and familyChange or discontinue medicationsTestosterone therapyPsychological counselingPenile implants/injection therapyExternal vacuum therapyOral drug therapySildenafil citrate [Viagra], vardenafil [Levitra], and tadalafil [Cialis]
Male and Female Infertility EpididymitisantibioticsOrchitisOrchitis is an infection of the testisTorsion of the TesticleVaricoceleInvoluntary inability to conceiveWith regular unprotected intercourse, about 90% of couples conceive within 1 yearOf those unable, approximately 40% can be attributed to male factors, 40% more to female factors, and less than 10% unknownMALE: Medical history with special attention to childhood diseasesThorough physical examSemen analysis. FEMALE: Charting of menstrual cycleBlood tests to assess hormone levelsVisual examination of fallopian tubes and uterine cavity using radiography to determine tubal patencyLaparoscopy may be necessary to rule out endometriosisVaries based on diagnosed problem, but commonly includes:Infection controlSurgery to remove blockageUse of fertility drugsArtificial inseminationIntrauterine insemination (IUI)In vitro fertilization (IVF)Epididymitis is the inflammation of the epididymis, the excretory duct of the testicles.Scrotal pain and discomfort that radiates into the groinPain with ejaculationDifficulty walkingEpididymis may become enlarged, tender, or hardGroin and scrotal tenderness with severe pain in the testesPhysical examinationUrinalysisUrine culturesUrethral swabs for Chlamydia and gonorrhea Antibiotic therapyAnalgesics (pain relief)AntiinflammatoriesRestScrotum support and elevation

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Term
Fall
Professor
Norton
Tags
Prostate cancer, Physical examination

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