Latest 2023 / 2024
Bacterial Prostatitis
- Chronic bacterial prostatitis, a recurrent bacterial infection of the
prostate and urinary tract, affects men aged 50 to 80.It is accompanied by bladder obstruction symptoms such as weak urine stream, hesitancy or dribbling, hematuria, hematospermia, and/or painful ejaculation.
Most common pathogen of bacterial prostatitis
- Coli
Young adult males in their 20s usually have acute prostatitis from
- Gonorrhea or other bacterial infections
Is prostatic massage contraindicated?
- Yes
Acute bacterial prostatitis is always associated with a
- UTI and has a characteristically abrupt onset. Fever, chills, low back
pain, tenesmus, and urinary complaints typical of UTI are common. 1 / 3
Prostate cancer is associated with
- Human cytomegalovirus
Latent symptoms of prostate cancer
- Bone pain, weight loss, anemia, shortness of breath, lymphedema,
and lymphadenopathy
High risk factors of prostate cancer
- A man with a first degree relative with prostate cancer is twice as
likely to develop the disease. Men with diets high in fat, particularly animal fat and smoking are also risk factors.
Treatment of prostate cancer
- Gosselin acetate (Zoladex) and leuprolide acetate (Lupron) block the
release of FSH and LH.
- Administered intramuscularly.
Carpal tunnel syndrome
- Inflammation of the Median Nerve
- Characterized by: wrist achiness that radiates to the base of the
thumb on the palm of the hand; may be awakened at night with pain and numbness in the area
- Initial treatment is wrist splint and NSAID
Most common area for herniated disc
- L4-L5 (weakness in the great toe) 2 / 3
Straight leg test
- With patient in supine position, elevate affected leg; if this elicits
back and sciatic nerve pain, this is a positive test for herniated disc
The McMurray test
- Is used to evaluate individuals for tears in the meniscus
Phalen's test
- Involves flexing the wrist for 60 seconds, leads to pain or
paranesthesia in the median nerve
Anterior drawer test
- Used in initial clinical assessment of suspected rupture of the
cruciate ligaments in the knee
Rovsing's sign
- Refers to pain felt in the RLQ of abdomen on palpation fo the left
side. Positive sign indicates acute appendicitis. Will see RLQ pain when palpating the left side of the lower abdomen.
Lumbar Spinal Stenosis
- In lumbar spinal stenosis there is often radicular complaints in the
legs (with or without associated back pain).
- Symptoms progress from proximal to distal direction and walking or
- / 3
prolonged standing causes pain and weakness in the legs and buttocks.• Patients often report short term relief with leaning forward and often lean on counters when standing or grocery carts when shopping.