Question

What I need is for you diagnose, Tell me why you chose that diagnosis. Signs, Symptoms,...

What I need is for you diagnose, Tell me why you chose that diagnosis. Signs, Symptoms, Age, lifestyle, any other factors to lead you to your conclusion. Give some diagnostic tests to confirm your Dx. Then a treatment plan.

a 26 year old male baseball player comes in for a pulled hamstring. After diagnosing the hamstring Mr. Beefcake requests a prescription for Viagra. You maintain your professionalism and inquire as to why. Mr. Beefcake states, I has been having some difficulty maintaining an erection and knows it is the stress of trying to make the team. He also states, he has been having trouble sleeping because of that stress. To be tactful you ask if he has done a self-exam for testicular cancer recently, and if so did he noticed any lumps or changes in their size, either larger or smaller. Mr. Beefcake states maybe a little smaller, but they are fine. Physical examination shows mild hypertension. Mr. Beefcake suffers from facial acne. He denies taking any steroids.

Homework Answers

Answer #1

Based on Symptoms that is patient is suffering with "MALE HYPOGONADISM"

Symptoms includes:

  • Difficulty in erection
  • Trouble in sleeping
  • Depression
  • Facial acne
  • Testicular changes

It may caused due to pulled hamstring or any injury to the testicles because he is basket player.If any injury happen outside the abdomen testicles get injured.Damage to testicles can cause hypogonadism that is due to impair testosterone production.

It can treated by providing testosterone replacement therapy either taken as gel,injection,implants,nasal sprays and through buccal.

It can be diagnosed by

  • Hormone testing
  • Semen analysis
  • Testicular biopsy
  • Pituitary imaging

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