I have a tuft of hair and erythema around the coccyx

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I have a tuft of hair and erythema around the coccyx and a cyst in the area as well, what  do I have? - Pilonidal cyst Papular lesions that may be pearly, filiform, cauliflower or plaquelike around the anus -  Anal warts If I have bleeding from the anus or rectum, a lump near my anus, change in bowel habits,  and pigmented mucosa around my anus what would you suspect? - Anal carcinoma
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If my perianal area was painful and tender, swollen, had a fluctuant mass, and I had a  fever what would you suspect? - Perianal or perirectal abscess History of hard stools, pain, itching and bleeding, rectal exam is very painful requiring  anestesia... - Anorectal fissure I have anal burning or itching that may interfere with sleep - Pruritus ani What does the NUTS mneumonic for BPH stand for? - Nocturia, Urine dribbles, Tried to  void but can't, Small stream If I have a hard, irregular nodule that maybe palpable on the prostate exam, the prostate  feels asymmetric, and the is urinary obstruction what would you suspect? - Prostatic  carcinoma What are the ssx in acute prostatitis? - Pain, urination problems, sexual dysfuction, fever,  chills, shakes What are the ssx in chronic prostatitis? - Asysmptomatic, frequent bladder infections,  frequent urination, persistent pain in the lower abd or back Where does the vas deferens empty into? - The prostate What special testing is used to diagnose testicular torsion? - Cremasteric reflex Where do the ejaculatory ducts empty into? - The prostate! As long as you produce what, the prostate will grow? - Testosterone What lab test are you looking for in prostititis? - WBC's in the semen (massage prostate  and then milk the penis to get the sample) What are the obstructive symptoms of BPH? - Hesitancy, hematuria, sensation of  incomplete emptying, decreased FOS and COS, intermittency, and post void dribbling What are the irritative symptoms of BPH? - Frequency, urgency, nocturia, and dysuria If you have BPH and only one ureter is blocked will Creatinine be elevated? - No What is the most important thing if the Creatinine is elevated? - To save the kindeys! What are the 2 classes of drugs that can be used to treat BPH? - Alpha 1 blockers and 5- alpha reductase inhibitors
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What is the gold standard surgical procedure for treatment of BPH? - TURP What is painless gross hematuria always until proven otherwise? - GU cancer - either #1  bladder or #2 kidney What type of bacteria is the most common organisms that are the cause for prostatitis? -  Gram Negative, also S. aureus and E.coli, gonorrhea and chlamydia are also commonly 
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  • Winter '14
  • Frick
  • Prostate cancer, testicular cancer, Testicular torsion

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