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Priapism

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Reproductive system

Pathology

Male and female reproductive system disorders
Male reproductive system disorders
Female reproductive system disorders
Reproductive system pathology review

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Priapism

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High Yield Notes
15 pages
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Priapism

10 flashcards
Questions

USMLE® Step 1 style questions USMLE

1 questions
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A 22-year-old man presents to the emergency department for evaluation of penile pain of six hours duration. Past medical history is significant for sickle cell disease. He does not use illicit drugs or take any medications daily. Temperature is 37.0°C (98.6°F), pulse is 94/min, and blood pressure is 125/80 mmHg. Physical examination demonstrates an engorged penis that is painful with manipulation. No urethral discharge is noted. The testicles are nontender, and the cremasteric reflex is intact. Which of the following best describes the underlying pathophysiology of this patient’s condition?

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Summary

Priapism is a persistent and often painful erection of the penis that occurs without sexual stimulation or desire and lasts for at least four hours. It is a medical emergency and requires prompt treatment as it can cause permanent damage to the erectile tissue. There are two main types of priapism. First, there is ischemic priapism, which is often associated with sickle cell disease. The second type is non-ischemic, mostly seen in settings of prior trauma or instrumentation of the penis. Symptoms include a prolonged erection lasting at least four hours. There is also pain, and color change to the penis.