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Is there a history of alcohol or drug ingestion? A host of antihypertensive drugs, including the beta-blockers, may cause impotence. In addition, tricyclic drugs, nicotine, and alcohol intoxication may cause impotence.
Is ... DIAGNOSTIC WORKUP
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Is there paraplegia or other neurologic signs? Neurologic findings would suggest spinal cord trauma, tumor or inflammation, multiple sclerosis, and several other disorders.
Is there splenomegaly or lymphadenopathy? These ... DIAGNOSTIC WORKUP
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Is it diffuse or focal? Diffuse scrotal swelling would suggest congestive heart failure, nephrosis, uremia, and cirrhosis, as well as focal disease such as filariasis or bilateral hydrocele. Focal scrotal swelling would suggest a hernia ... DIAGNOSTIC WORKUP
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Priapism is an undesired, prolonged, sustained erection of the penis that may last hours to days, with or without pain. Priapism, particularly low-flow, must be considered a urologic emergency, and consultation should be sought immediately. Initial medical therapies can be... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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A scrotal mass may or may not be detected by the patient or the patient's parent. Many are discovered by the clinician during routine physical examinations. Most scrotal masses seen in infants are hydroceles and inguinal hernias; both are more... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Impotence may be due to local end-organ disease, dysfunction of the peripheral nerve pathways, disease of the spinal cord or brain, pituitary and other endocrine disorders, and “supratentorial” disorders. Thus recall of the various causes is based on both
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... This unfortunate condition may be humorous to everyone but the one who is “blessed” with it. The common causes are few, and the mnemonic MINT is an easy method for recall of these.
PRIAPISM
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may or may not be affected. Impotence varies from occasional and minimal to permanent and complete. Occasional impotence... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Pictures
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... A urologic emergency, priapism is a persistent, painful erection that’s unrelated to sexual excitation. This relatively rare sign may begin during sleep and appear to be a normal erection, but it may last for several hours or days. It’s usually accompanied by a... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful or painless.
The sudden onset... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Among the diverse lesions that may affect the male genitalia are warts, papules, ulcers, scales, and pustules. These common lesions may be painful or painless, singular or multiple. They may be limited to the genitalia or may also occur elsewhere on the body. (See ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Aging
Psychogenic causes
Testicular causes (primary or secondary)
Congenital hypogonadism (especially Froehlich's syndrome, Klinefelter's
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... Sexuality is an integral human function that’s inevitably colored and influenced by a host of interrelated factors. Its expression reflects the interaction of all the biological, psychological, and sociologic ingredients that affect a person’s self-image and behavior.... Hazards to sexual health ... Physical assessment ... Sexual history ... Types of sex therapy ... Pictures
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may or may not be affected. Impotence varies from occasional and minimal to permanent and complete. Occasional impotence occurs... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Patient counseling ... Pictures
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... A urologic emergency, priapism is a persistent, painful erection that’s unrelated to sexual excitation. This relatively rare sign may begin during sleep and appear to be a normal erection, but it may last for several hours or days. It’s usually accompanied by... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful or painless. ... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Among the diverse lesions that may affect the male genitalia are warts, papules, ulcers, scales, and pustules. These common lesions may be painful or painless, singular or multiple. They may be limited to the genitalia or may also occur elsewhere on the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Louis Kuritzky
Approach Impotence, defined as the consistent inability to get or maintain an erection sufficient for intercourse, is a patient-defined diagnosis. Because up to one-third of men aged more than 65 years have... History ... Physical examination ... Testing ... Diagnostic assessment
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... David B. Feller
Priapism is defined as a persistent, often painful penile erection not associated with sexual stimulation. Although relatively uncommon, priapism represents a urologic emergency. Without prompt recognition and treatment, priapism can result in... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Pain Predominant
❑ Epididymitis
❑ Testicular torsion
❑ Prostatitis
❑ Referred pain ... Diagnostic Approach ... Clinical Findings
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... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful or painless. ... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful or painless.
... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Among the diverse lesions that may affect the male genitalia are warts, papules, ulcers, scales, and pustules. These common lesions may be painful or painless, singular or multiple. They may be limited to the genitalia or may also occur elsewhere on the body. (See Recognizing... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Impotence is the inability to achieve and maintain penile erection sufficient to complete satisfactory sexual intercourse; ejaculation may be affected. Impotence varies from occasional and minimal to permanent and complete. Occasional impotence occurs in... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... A urologic emergency, priapism is a persistent, painful erection that's unrelated to sexual excitation. This relatively rare sign may begin during sleep and appear to be a normal erection, but it may last for several hours or days. It's usually... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful or... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Among the diverse lesions that may affect the male genitalia are warts, papules, ulcers, scales, and pustules. These common lesions may be painful or painless, singular or multiple. They may be limited to the genitalia or may also occur elsewhere on the body. ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Impotence is now more commonly referred to as erectile dysfunction.
Impotence may be due to local end-organ disease, dysfunction of the
peripheral nerve pathways, disease of the spinal cord or brain, pituitary
and other endocrine disorders, and... Pictures
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...
This unfortunate condition may be humorous to everyone but the one who
is “blessed” with it. The common causes are few, and the mnemonic
MINT is an easy method for recall of these.
M—Malformation suggests phimosis and... Pictures
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... Cindy W. Christian, MDMatthew J. Cox, MD Sexual Abuse - BASICS Sexual Abuse - description Sexual abuse is the involvement of children in sexual activities that they cannot understand, for which they are not developmentally prepared, to which they cannot... Sexual Abuse - DIAGNOSIS ... Sexual Abuse - TREATMENT ... Sexual Abuse - FOLLOW UP ... Sexual Abuse - bibliography ... Sexual Abuse - CODES ... Sexual Abuse - FAQ
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... J. Nina Ham, MDLorraine E. Levitt Katz, MD Sexual Ambiguity - BASICS Sexual Ambiguity - description Genitalia can be defined as ambiguous when it is not possible to categorize the gender of the child based on outward appearances. ... Sexual Ambiguity - DIAGNOSIS ... Sexual Ambiguity - TREATMENT ... Sexual Ambiguity - FOLLOW UP ... Sexual Ambiguity - bibliography ... Sexual Ambiguity - CODES ... Sexual Ambiguity - FAQ
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By now, ViagraTM has become virtually a household name. But there are many possible causes of erectile dysfunction and various treatment options for...
Despite what many people think, elder women can lead healthy and active sexual lives. But this doesn't mean it will always be easy. Our panel...
In many people's eyes, advanced age and sexual intimacy go together like milk and orange juice. But sexuality can be an important part of any...