NR 511 Final
Population most commonly affected by Bacterial Prostatis - Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - Abdominal examination to
detect a distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic
massage can induce bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - The most common finding on clinical exam is the
absence of the cremasteric reflex and unlike in epididymitis elevation of the affected
testis does not relieve the pain
BPH Symtpms - Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - Sensation that the testes feel like a "bag of
worms."
,NR 511 Final
Population affected by Testicular Cancer - American males between the ages of 15 and
35.
Explain Spinal Stenosis - Most Common source of lower back pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet
joints and the intervertebral disks
Common Characteristics of lumbar spinal stenosis - Leg pain is commonly greater than
back pain and pain is characteristically worse with prolonged standing or walking and
improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be
present.
Pt will lean or stoop for short term relief
Chronic Pain - Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site
of injury or initial complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - Four or more joints
Four Cardinal Signs of Joint Inflammation - Erythema
Warmth
Pain
Swelling
DeQuervian's Tensynovitis - Inflammation of tendons on the side of the wrist at the base
of the thumb.
Like CTS(carpul tunnel), it may be caused by repetitive movements but is also
associated with pregnancy and rheumatoid disease.
, NR 511 Final
Most common in middle-aged women.
The main symptom is pain felt over the thumb side of the wrist that may travel up the
forearm.
The pain is worse when forcefully grasping objects or twisting the wrist.
A catching or snapping sensation may be felt when moving the thumb.
Carpal Tunnel Syndrome (CTS) - Occurs when the median nerve, which runs from the
forearm into the palm of the hand, becomes constricted.
Repetitive activity with the hands that cause irritated tendons, causing compression of
the median nerve.
Symptoms may include burning, tingling, or itching numbness of the hand and fingers,
especially the thumb, middle, and index fingers.
Medial Epcondylitis - Golfer's Elbow
Pain is often sharp in the medial epicondyle and radiates down the arm from the inside
of the elbow.
Pain occurs upon extension of the wrist or supination of the forearm such as when
gripping, twisting, or flexing at the wrist.
There may be weakness in the hand or wrist as well or numbness and tingling in the
ring and little fingers.
Lateral Epicondylitis - Tennis Elbow
Pain is often sharp in the lateral epicondyle and radiates from the outside of the elbow
and down the forearm.
Pain occurs upon extension of the wrist or supination of the forearm such as when
gripping and twisting.
There may be weakness in the forearm or a weak grip.
Difference between lateral and medial epicondylitis & treatment - location of the pain
Imaging is unnecessary but it may be useful if needed to rule out alternative diagnoses.
Treatment: The patient should be educated to avoid or alter activities responsible for
symptoms. PT may speed improvement or recovery, and braces may reduce pain and
improve function.
Population most commonly affected by Bacterial Prostatis - Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - Abdominal examination to
detect a distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic
massage can induce bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - The most common finding on clinical exam is the
absence of the cremasteric reflex and unlike in epididymitis elevation of the affected
testis does not relieve the pain
BPH Symtpms - Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - Sensation that the testes feel like a "bag of
worms."
,NR 511 Final
Population affected by Testicular Cancer - American males between the ages of 15 and
35.
Explain Spinal Stenosis - Most Common source of lower back pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet
joints and the intervertebral disks
Common Characteristics of lumbar spinal stenosis - Leg pain is commonly greater than
back pain and pain is characteristically worse with prolonged standing or walking and
improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be
present.
Pt will lean or stoop for short term relief
Chronic Pain - Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site
of injury or initial complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - Four or more joints
Four Cardinal Signs of Joint Inflammation - Erythema
Warmth
Pain
Swelling
DeQuervian's Tensynovitis - Inflammation of tendons on the side of the wrist at the base
of the thumb.
Like CTS(carpul tunnel), it may be caused by repetitive movements but is also
associated with pregnancy and rheumatoid disease.
, NR 511 Final
Most common in middle-aged women.
The main symptom is pain felt over the thumb side of the wrist that may travel up the
forearm.
The pain is worse when forcefully grasping objects or twisting the wrist.
A catching or snapping sensation may be felt when moving the thumb.
Carpal Tunnel Syndrome (CTS) - Occurs when the median nerve, which runs from the
forearm into the palm of the hand, becomes constricted.
Repetitive activity with the hands that cause irritated tendons, causing compression of
the median nerve.
Symptoms may include burning, tingling, or itching numbness of the hand and fingers,
especially the thumb, middle, and index fingers.
Medial Epcondylitis - Golfer's Elbow
Pain is often sharp in the medial epicondyle and radiates down the arm from the inside
of the elbow.
Pain occurs upon extension of the wrist or supination of the forearm such as when
gripping, twisting, or flexing at the wrist.
There may be weakness in the hand or wrist as well or numbness and tingling in the
ring and little fingers.
Lateral Epicondylitis - Tennis Elbow
Pain is often sharp in the lateral epicondyle and radiates from the outside of the elbow
and down the forearm.
Pain occurs upon extension of the wrist or supination of the forearm such as when
gripping and twisting.
There may be weakness in the forearm or a weak grip.
Difference between lateral and medial epicondylitis & treatment - location of the pain
Imaging is unnecessary but it may be useful if needed to rule out alternative diagnoses.
Treatment: The patient should be educated to avoid or alter activities responsible for
symptoms. PT may speed improvement or recovery, and braces may reduce pain and
improve function.
