Visualize the abnormal prostate with Medcomic

In this Medcomic, we’ll visualize three common abnormalities of the prostate.  Let’s meet our new friends. On the left is Burney and he could certainly benefit from a trial of antibiotics and an analgesic. The large fellow in the middle straining to urinate goes by the name of Turp. On the far right is Grampa Addy, currently dealing with the stresses of a slow-growing adenocarcinoma. The normal prostate is a rounded structure with a median sulcus between two lateral lobes. It encircles the urethra just inferior to the bladder. The ducts of the seminal vesicles join that of the ductus deferens to form the ejaculatory ducts, which pass through the prostate and open into the prostatic urethra. Nonbacterial prostatitis is the most common of the prostatitis syndromes. Its mechanism is unknown and is a diagnosis of exclusion. Acute bacterial prostatitis is usually caused by gram-negative pathogens found in other urinary infections (note the pink, rod-shaped E. coli bacteria around Burney) and less commonly by gram-positive organisms (e.g., enterococci). Patients are typically acutely ill with fever, chills, dysuria, perineal or suprapubic pain, and cloudy urine. Sexually transmitted pathogens are possible etiologies in sexually active men (note the pink, ovoid Chlamydia trachomatis bacteria also found around Burney). Chronic bacterial prostatitis has more variable symptoms, ranging from asymptomatic to acute symptomatology. Continue reading ... Your patients are rating you on...
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Cancer Source Type: blogs