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Medicine (MD/DO)
/
USMLE Step 1
/
Nephrology & Urology
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Prostate Disorders

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Nephrology & Urology | Medicine (MD/DO) School Study Aid

Prostate Disorders
7 Picmonics to Learn | 14 mins
Prostatitis
Chronic Bacterial Prostatitis
Acute Bacterial Prostatitis
Types
Sexually Transmitted Organisms
E. Coli Infection
Assessment
Flu-Like Symptoms
Perineal Pain
Dysuria
Sexual Dysfunction
Recurrent UTIs
Urinalysis
Tender Boggy Prostate
Management
Antibiotics
Considerations
Chronic Prostatitis
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3 mins
Benign Prostatic Hyperplasia (BPH) Disease
Mechanism and Characteristics
DHT-induced Growth Factors
Common in Men > 50 Years Old
Smooth, Symmetric, Firm Enlargement
Affects Lateral and Middle (Periurethral) Gland
Urethra Compression
Symptoms and Complications
Increased Urinary Frequency
Nocturia
Dysuria
Urinary Tract Infection
Hydronephrosis
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1 min
Benign Prostatic Hyperplasia (BPH) Diagnosis and Treatment
Diagnosis
Digital Rectal Exam
Urinalysis to Detect Infection or Blood
Treatment
Alpha-1 Antagonists
Tamsulosin
5 Alpha Reductase Inhibitors
Finasteride
TURP (Transurethral Resection of Prostate)
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1 min
Prostate Cancer Assessment
Most Common Cancer in Men
Assessment
Mimics BPH
Metastasis to Back
Low Back Pain
Fatigue
Considerations
Prostate Specific Antigen (PSA)
Digital Rectal Examination (DRE)
Transrectal Ultrasound (TRUS)
Biopsy
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2 mins
Prostate Adenocarcinoma Characteristics and Presentation
Characteristics
Most Common Cancer in Men
Screening Test if Suspicious
Prostate Specific Antigen (PSA)
Peripheral Zone
Risk Factors
African American
Advanced Age
Presentation
Usually Asymptomatic
Terminal Hematuria
Urinary Retention or Incontinence
Lower Back Pain
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2 mins
Prostate Adenocarcinoma Diagnosis and Management
Diagnostic Workup
Increased Prostate Specific Antigen (PSA)
Digital Rectal Examination (DRE)
Biopsy
CT or MRI
Management
Observation
Surgery
Radiation Therapy
Anti-androgen Agents
Considerations
Metastasis
Erectile Dysfunction
Urinary Incontinence
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3 mins
Acute Prostatitis
Etiology
Older Adult
Escherichia coli
Young Adult
Chlamydia trachomatis
Neisseria gonorrhoeae
Signs and Symptoms
Urinary Frequency and Urgency
Dysuria
Low Back Pain
Warm, Tender, Swollen Prostate
Treatment
Treat Underlying Cause
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1 min

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