Presentation
CASE PRESENTATION A 26-year-old heterosexual man presented with a six-month history of persistent urethritis. He complained of urethral discharge, dysuria and a recent onset of perineal and ejaculatory pain. [ncbi.nlm.nih.gov]
Urine cultures are over-used in evaluating patients with cystitis; for young woman with symptoms who are presenting with an initial presentation consistent with cystitis and without concern for complications, empiric antibiotic treatment can be done without [clinicaladvisor.com]
This reference guide will be the must-have of any internist or medical professional, as it takes a vast quantity of data across a sweeping grid of disorders, diseases, and presentations, and boils them down to individual parts, facilely indexed, and located [books.google.com]
Improve your interpretation of presenting symptoms with 39 new topics in the Differential Diagnosis section, and optimize patient care with 12 new tables in the Clinical Practice Guidelines section. [books.google.de]
Entire Body System
- Infertility
It was found that there is an association between HPV and infertility, particularly between the presence of these agents and tubal factor infertility that cause a sort of infertility [ 16 ]. [intechopen.com]
Urogenital Infection as a Risk Factor for Male Infertility [aerzteblatt.de]
According to recent findings 15–20% of infertile male subjects are affected by semen infection [8], and most data have been concordant with respect to the relevance of STDs to male infertility [7], [8]. [journals.plos.org]
Finally, we discuss the role of human papilloma virus infection in male infertility. [jmm.microbiologyresearch.org]
- Perineal Pain
Prostate pain in the perineum Prostate pain between anus and scrotum Lower back pain Urinary frequency and urgency Frequent urination at night Difficult urinating Burning or painful urination Perineal pain Joint and muscle pain Blood in urine Painful [prostatitischina.com]
Respiratoric
- Pneumonia
streptococcal viral, virus (see also Pneumonia, viral) 480.9 lobular (confluent) - see Pneumonia, broncho- Löffler's 518.3 massive - see Pneumonia, lobar meconium aspiration 770.12 metastatic NEC 038.8 [484.8] Mycoplasma (pneumoniae) 483.0 necrotic [theodora.com]
[…] conjuctivitis, arthritis trichomonas Trichomoniasis: cervicitis, prostatitis, epididymitis, vesiculitis. cystitis, pyelonephritis micrococcus, staphylococcus, stomatococcus, planococcus Arthritis, staphylococc, epidermia, staphylodermia, hidradenitis, pneumonia [normaflor.ru]
[…] ascending infection from the urethra Bacterial Orchitis - Sexually active > 15 yr - Men > 50 yr w/ BPH Common pathogens associated with Bacterial Orchitis - Chlamydia trachomatis - Neisseria gonorrhea - E. coli - Pseudomonas aeruginosa - Klebsiella pneumonia [quizlet.com]
[…] with topical steroids; antibiotics may be given in cases where itching has resulted in a secondary infection. [34] Infectious vulvovaginitis can be caused by group A beta-hemolytic Streptococcus (7-20% of cases), Haemophilus influenzae, Streptococcus pneumoniae [en.wikipedia.org]
Immediately report unexpected changes in the patients condition. weight within an acceptable Monitor him for such complications as infection, fistula formation, pneumonia, range. empyema, and malnutrition. The patient will swallow If an anastomosis [slideshare.net]
Gastrointestinal
- Abdominal Pain
Gastrointestinal or Nutrition Issues Antibiotic-associated diarrhea or Clostridium difficileinfection should be considered in patients with new-onset diarrhea or abdominal pain after initiation of antibiotics. J. [clinicaladvisor.com]
- Suprapubic Pain
Both cystitis and urethritis may present with pain or difficulty on urination (dysuria), frequency, urgency, and/or suprapubic pain or heaviness. A careful history may help differentiate between the two diseases. [clinicaladvisor.com]
- Foul-Smelling Stools
Advise him to watch for and report any of the following signs and symptoms: fatty, frothy, foul-smelling stools; abdominal distention; cramping; and skin excoriation.3. [slideshare.net]
Liver, Gall & Pancreas
- Jaundice
[…] complete) (incomplete) (inevitable) (with retained products of conception) 637.9 [114 subitems] Abortus fever 023.9 Aboulomania 301.6 Abrachia 755.20 Abrachiatism 755.20 Abrachiocephalia 759.89 Abrachiocephalus 759.89 Abrami's disease (acquired hemolytic jaundice [icd9cm.chrisendres.com]
Neurologic
- Headache
Pain pays the groin, perineum, lower back and sacrum scrotum increases, her skin is smooth, red and hot Patients with orchitis palpation sore testicle painful, its size is increased, deteriorating overall health (fever, headache, nausea, chills). [minclinic.ru]
Research shows that alpha blockers are modestly beneficial in some patients with prostatitis; however, there are several side effects to be aware of when taking alpha blockers, including dizziness, headache, vertigo, chest pain, headache, blurred vision [draxe.com]
Common side effects include headaches and a decrease in blood pressure. - Pain medications. - Muscle relaxants. - Surgical removal of the infected portions of the prostate. [zglizy.com]
[…] postmenopausal osteoporosis (M81.0-) postmenopausal osteoporosis with current pathological fracture (M80.0-) postmenopausal urethritis (N34.2) N95.0 Postmenopausal bleeding N95.1 Menopausal and female climacteric states Symptoms such as flushing, sleeplessness, headache [en.wikisource.org]
NEC 625.9 psychogenic 307.89 finger 729.5 flank 789.0 foot 729.5 gallbladder 575.9 gas (intestinal) 787.3 gastric 536.8 generalized 780.96 genital organ female 625.9 male 608.9 psychogenic 307.89 groin 789.0 growing 781.99 hand 729.5 head (see also Headache [theodora.com]
Urogenital
- Dysuria
These BPH symptoms are similar to that of prostatitis: Urgent urination Frequent urination Weak urine flow Dribbling after urination Difficult starting urination Weak Erection Pain during urination (dysuria) Frequent urination at night (nocturia) Unable [prostatitischina.com]
Cystitis is much more common in women than in men; young adult men with dysuria should be evaluated for signs of urethritis prior to considering cystitis. A. [clinicaladvisor.com]
He complained of urethral discharge, dysuria and a recent onset of perineal and ejaculatory pain. [ncbi.nlm.nih.gov]
Acute current form is expressed in the turbulent manifestation of trichomoniasis symptoms: there are copious purulent discharge from the urethra and dysuria. [menimpotency.com]
"Non-gonococcal" => Chlamydia trachomatis => 50% nonspecific - Mycoplasma genitalium - Trichomonas vaginalis - Ureaplasma urealyticum - Dysuria (burning) - Pruritus - Urethral orifice erythema - Serous or milky urethral discharge (+/- blood-tinged) - [quizlet.com]
- Sexual Dysfunction
They occur during sexual stimulation and excesses (alcohol use). Characterized by reduced disease resistance, sexual dysfunction, changes in Hp environment in the vagina and urethra. [menimpotency.com]
Prostatitis can result in four significant symptoms: pain, urination problems, sexual dysfunction, and general health problems, such as feeling tired and depressed. [abchomeopathy.com]
[…] erectile dysfunction N52.9 Male erectile dysfunction, unspecified Impotence NOS N53 Other male sexual dysfunction [ edit ] Excludes1: psychogenic sexual dysfunction (F52.-) N53.1 Ejaculatory dysfunction Excludes1: premature ejaculation (F52.4) N53.11 [en.wikisource.org]
High frequency of sexual dysfunction in patients with male accessory gland infections.. Andrologia 44 : ( Suppl 1 ), 438– – 446. [CrossRef] [PubMed] [Google Scholar] La Vignera S., Calogero A. E., Condorelli R. A., Vicari L. [jmm.microbiologyresearch.org]
The primary examination has found that 79.1% examinees has CP complicated with sexual dysfunction, disturbed spermatogenesis and psychoneurological disorders. [healinglightseminars.com]
- Prostatic Pain
Prostate pain in the perineum Prostate pain between anus and scrotum Lower back pain Urinary frequency and urgency Frequent urination at night Difficult urinating Burning or painful urination Perineal pain Joint and muscle pain Blood in urine Painful [prostatitischina.com]
(6) prostatic pain and prostate congestion. [greatloseweightdiet.altervista.org]
Keywords Anaerobic Bacterium Chlamydia Trachomatis Seminal Fluid Chronic Prostatitis Chronic Pelvic Pain Syndrome These keywords were added by machine and not by the authors. [link.springer.com]
Prostatitis can cause many symptoms, including the following: - Difficult or painful urination - Frequent/urgent urination - Fever - Low-back pain - Pain in the penis, testicles or perineum (the area between the testicles and the anus) - Pain with/after [zglizy.com]
Does the chronic prostatitis/ pelvic pain syndrome differ from nonbacterial prostatitis and prostatodynia ? J Urol 2000; 164: 1554. 26. Weidner W. [indianjurol.com]
- Nocturia
These BPH symptoms are similar to that of prostatitis: Urgent urination Frequent urination Weak urine flow Dribbling after urination Difficult starting urination Weak Erection Pain during urination (dysuria) Frequent urination at night (nocturia) Unable [prostatitischina.com]
[…] chronic nonbacertial Chronic non-bacterial prostatitis (Chronic pelvic pain syndrome) S&S's - Most common (90% of cases) - Obstructive sx's (Slow stream, hesitancy, dribbling) - Persistent irritative sx's & pain ≥ 3 mo (mimics IC) (Urgency, frequency, nocturia [quizlet.com]
'Yes' Frequent urination, particularly at night (nocturia). 'Yes' Urgent need to urinate. 'Yes' Pain in the abdomen, groin or lower back. [abchomeopathy.com]
N40.0 Enlarged prostate without lower urinary tract symptoms (LUTS) Enlarged prostate NOS N40.1 Enlarged prostate with lower urinary tract symptoms (LUTS) Use additional code for associated symptoms, when specified: incomplete bladder emptying (R39.14) nocturia [en.wikisource.org]
- Painful Ejaculation
[…] intercourse or ejaculation Swelling in penis or groin area Congested prostate Prostatitis [prostatitischina.com]
'No' Pain or discomfort of the penis or testicles. 'Yes' Painful ejaculations. 'Yes' There are notable differences in symptoms of the four categories. [abchomeopathy.com]
[…] urination; pain in the pelvic area, groin and lower back; flu-like symptoms; and issues during intercourse, such as painful ejaculation and erectile dysfunction. [draxe.com]
(F52.4) N53.11 Retarded ejaculation N53.12 Painful ejaculation N53.13 Anejaculatory orgasm N53.14 Retrograde ejaculation N53.19 Other ejaculatory dysfunction Ejaculatory dysfunction NOS N53.8 Other male sexual dysfunction N53.9 Unspecified male sexual [en.wikisource.org]
Workup
The symptoms are progressive, and workup commonly results in negative urine cultures. [clinicaladvisor.com]
Trichomoniasis workup. Medscape. Available online at http://emedicine.medscape.com/article/230617-workup. Accessed February 2017. (2016 November). Advances in laboratory detection of Trichomonas vaginalis (updated). [labtestsonline.it]
This classification system does not address adequately several important problems concerning diagnostic workup of chronic prostatitis. [indianjurol.com]
Urine
- Pyuria
(Urgency, frequency, nocturia & Painful perineum, low abdomen, testicles, penis, ejaculation) - +/- bloody ejaculate, Possibly enlarged prostate - Non-tender or mildly tender prostate - Firm prostate Dx studies for Acute Bacterial prostatitis - U/A: Pyuria [quizlet.com]
The majority of patients with cystitis will have pyuria (≥10 WBCs per mm3) on microscopy; however, pyuria without symptoms and signs is not sufficient to make the diagnosis. [clinicaladvisor.com]
[…] of unknown origin) (P.U.O.) 780.6 atmospheric 992.0 during labor 659.2 environmentally-induced newborn 778.4 heat 992.0 newborn, environmentally-induced 778.4 puerperal 672 Pyroglobulinemia 273.8 Pyromania 312.33 Pyrosis 787.1 Pyrroloporphyria 277.1 Pyuria [theodora.com]
Microbiology
- Chlamydia
"Non-gonococcal" => Chlamydia trachomatis => 50% nonspecific - Mycoplasma genitalium - Trichomonas vaginalis - Ureaplasma urealyticum - Dysuria (burning) - Pruritus - Urethral orifice erythema - Serous or milky urethral discharge (+/- blood-tinged) - [quizlet.com]
Urethritis usually caused by gonorrhea, chlamydiae, ureaplasmas, and trichomoniasis [ 5 – 10 ]. Many infectious organisms can affect fertility. [intechopen.com]
DUE TO CHLAMYDIA TRACHOMATIS ANUS AND RECTUM 099.53 OTHER VENEREAL DISEASES DUE TO CHLAMYDIA TRACHOMATIS LOWER GENITOURINARY SITES 099.54 OTHER VENEREAL DISEASES DUE TO CHLAMYDIA TRACHOMATIS OTHER GENITOURINARY SITES 099.55 OTHER VENEREAL DISEASES DUE [automatedworldhealth.com]
And STIs like chlamydia, mycoplasma all can be cured by herbal medicine Diuretic and Anti-inflammatory Pill. [greatloseweightdiet.altervista.org]
In men, chronic nongonococcal urethritis forms 50% of the proceeds to the background chlamydia infection («Chlamydia trachomatis»). [noillen.bitballoon.com]
Treatment
The prostatitis treatment with herbal medicine is the core part of our home prostatitis treatment system. [prostatitischina.com]
Sexually transmitted diseases treatment guidelines 2006. < http://www.cdc.gov/std/treatment/2006/toc.htm> (Version current at May 28, 2007) 14. Woolley PD, Kinghorn GR, Talbot MD, Duerden BI. [ncbi.nlm.nih.gov]
The survey was conducted before treatment and at 13-15 days from the beginning of treatment. Treatment of chronic urogenital trichomoniasis was conducted in 3 phases: preparatory, causal, and rehabilitation (rehabilitation). [russianpatents.com]
The treatment schedule was 1 treatment every two days (treatment’s time of 12 minutes,wave lenght 3000 Hz)) for a total of 12 applications. [healinglightseminars.com]
Treatment of urethritis Previously, the standard treatment of urethritis in men and women were the direct introduction of antiseptics to the urethra. Today it is possible tableted or intramuscular injection treatment of urethritis. [noillen.bitballoon.com]
Prognosis
"Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi : 10.1097/AOG.0b013e3182117c9e. PMID 21422855. ^ Tansarli, G. S.; Kostaras, E. K.; Athanasiou, S.; Falagas, M. E. (2013). [en.wikipedia.org]
Prognosis and Patient Counseling. For cystitis, patients should be counseled on methods to reduce the risk of recurrence, including voiding after intercourse and avoiding spermicide or diaphragm use. [clinicaladvisor.com]
IL-6 expression regulates tumorigenicity and correlates with prognosis in bladder cancer. PLoS One 8, e61901 (2013). Article ADS CAS PubMed PubMed Central Google Scholar Inoue, K. et al. [nature.com]
[…] syndromeCurrently one of the Activity The patient will verbalize the Recognize that a diagnosis of AIDS is profoundly distressing because of the diseasesmost widely publicized intolerance importance of balancing social impact and the discouraging prognosis [slideshare.net]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
It can be advantageously used for treatment of orchoepididymitis, cervicitis, salpingooophoritis of staphylococcal, mycoplasmal, ureaplasmal and candidal etiology and in lues, gonorrhea, trichomoniasis therapies. [normaflor.ru]
Perhaps if we could find the few missing links in the etiology and the life cyle of the Trichomonas, our understanding would be more complete. [jamanetwork.com]
The broad group of NBP includes men with prostatitis which could result from a variety of different postulated etiologies: autoimmune, immunological or secondary to non-uropathogenic or cryptic micro-organism. [indianjurol.com]
Types urethritis Depending on the etiology of the disease is customary to distinguish two main types of urethritis. [noillen.bitballoon.com]
Epidemiology
Development of the unfavorable epidemiological situation in respect of trichomoniasis is caused by factors such as intensive migration processes, the presence of the social conditions that contribute to random sexual relations generic viagra versus brand [menimpotency.com]
McNaughton Collins, M., and Barry, M.J., 1998, Epidemiology of chronic prostatitis. Current Opinion in Urology 8 : 33–37. Google Scholar 4. Nickel, J.C. 1998, Prostatitis: considerations for the next millenium. Current Opinion in Urology 8 : 31–32. [link.springer.com]
The prostatitis syndrome is of great significance for urologists as has been demonstrated in recent studies dealing with epidemiological data. A new classification has been suggested which appears promising. [indianjurol.com]
Epidemiological data on the prevalence of azoospermia/infertility after infection-related orchitis are almost entirely lacking. [aerzteblatt.de]
Linguistic Variant - Portuguese, Brazil) 2015AB LNC-RU-RU (LOINC Linguistic Variant - Russian, Russia) 2015AB LNC-TR-TR (LOINC Linguistic Variant - Turkish, Turkey) 2015AB LNC-ZH-CN (LOINC Linguistic Variant - Chinese, China) 2015AB MCM (Glossary of Clinical Epidemiologic [doctor.am]
Pathophysiology
Pathophysiologic Renal concentrating function disorder Renal function impairment Heirarchical Major Groups Prostate disorders Drugs Water intake Caffeine Administration/Toxicity/ingestion Licorice excess/ingestion Hypervitaminosis D Poisoning (Specific [openemr.com.ar]
Source: prostatitis(dot)org According to the book 'Essentials of pathophysiology' by Carol Porth (page 914), there are 4 types of Prostatitis. 1. [abchomeopathy.com]
The clinical andrologist should be aware of the pathophysiological role of the main determinants of sperm damage when these conditions occur, in particular, seminal leukocytes, oxidative stress and cytokines. [jmm.microbiologyresearch.org]
In the near future, the elucidation of underlying pathophysiological mechanisms and the identification of suitable biomarkers may enable new strategies for conservative treatment. [aerzteblatt.de]
Prevention
NIH: National Institute of Allergy and Infectious Diseases Condom Fact Sheet in Brief (Centers for Disease Control and Prevention) Trichomoniasis (Centers for Disease Control and Prevention) Trichomoniasis [ Read More ] [icdlist.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
Centers for Disease Control and Prevention. Available online at http://www.cdc.gov/std/trichomonas/STDFact-Trichomoniasis.htm. Accessed February 2017. Centers for Disease Control and Prevention: Trichomonas Fact Sheet. [labtestsonline.it]
Advise the patient and family members to alternate periods of rest and activity to promote energy and prevent fatigue. [slideshare.net]
Treatable - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [medicbind.com]