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Does the history indicate that the difficulty is on penetration? Difficulties on penetration usually point to a vulval or vaginal origin for the problem. In that case, bartholinitis, vulvitis, ... DIAGNOSTIC WORKUP
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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 ... DIAGNOSTIC WORKUP
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Dyspareunia is defined as painful and/or difficult sexual intercourse. There is a large differential requiring detailed history and physical exam. Distinguish primary dyspareunia (dyspareunia occurs from the outset of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Painful introduction of the male organ or pain during intercourse are both considered under this title. The mnemonic to use here is MINT. This can then be applied to the anatomic structures as we explore the genital tract. Of
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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
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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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... 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.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Pictures
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... Aging
Psychogenic causes
Testicular causes (primary or secondary)
Congenital hypogonadism (especially
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... Dyspareunia is genital pain associated with intercourse. It may be mild, or it may be severe enough to affect enjoyment of intercourse. Dyspareunia is commonly associated with physical problems; less... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... A major obstacle to sexual enjoyment, dyspareunia is painful or difficult coitus. Although most sexually active women occasionally experience mild dyspareunia, persistent or severe dyspareunia is... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric 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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Impotence
(Professional Guide to Signs & Symptoms (Fifth Edition))
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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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers ... Patient counseling ... Pictures
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Impotence
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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.... History ... Physical examination ... Testing ... Diagnostic assessment
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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... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
Painful introduction of the male organ or pain during intercourse are
both considered under this title. The mnemonic to use here is MINT.
This can then be applied to the... 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,... Pictures
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... Author:
Caroline Rassbach, MD
What to Do - Gather Appropriate Data
Testicular torsion and ectopic pregnancy present similarly to appendicitis,
and both have serious morbidity if not quickly diagnosed.
... Suggested Readings
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