Aaron Shared "Pathoma 14: Male Genital System" - 5 Picmonics
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Pathoma 14: Male Genital System
Varicocele
Pathophysiology
Dilation of Pampiniform Plexus Veins
Signs and Symptoms
Soft Left-Sided Scrotal Mass
Bag of Worms
Increased Size with Standing or Valsalva
Decreased Size while Supine
Testicular Atrophy
Subfertility
Diagnosis
Ultrasound
Retrograde Venous Flow
Treatment
Surgical Gonadal Vein Ligation
Scrotal Support
3 mins
Hydrocele
Mechanism
Impaired Lymphatic Drainage
Signs and Symptoms
Large Scrotum
Painless
Considerations
Needle Aspiration or Surgery
Scrotal Support
Monitor for Bleeding and Infection
1 min
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
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)
1 min
Kallman Syndrome
Mutation in KAL-1 or FGFR-1 Gene
Failure of GnRH Secreting Neurons
Delayed Puberty
Anosmia
Hypogonadism
Infertility
2 mins
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