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Nocturnal Penile Tumescence and Rigidity Test (NPTR); Special device measures number and rigidity of erection episodes at night. It is useful to differentiate organic from psychogenic ED.
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Advanced workup:Nocturnal Penile Tumescence and Rigidity Test (NPTR)-Duplex ultrasound of the penis-Penile arteriography(component)
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exogenous androgen is pretesticular cause whereas defective androgen activity is testicular cause for infertilty
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The strongest intercellular barrier in the body is the blood-testis barrier. It consists of tight junctions between Sertoli cells.
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Estrogen, thyroid hormone: increase SHBG, decrease free T.
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Androgen, growth hormone, obesity: increase free T
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spermiogenesis phase in which spermatids undergo a profound metamorphosis to become mature spermatozoa
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بقولوكو محتارين ف الاندرولوجي وعايزين النوتس المهمة فيه عشان تحلو التوصيل او ترو وفالص 🙈♥️♥️♥️!⏳⏳
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Repost from Final questions (Clinical)
◼️تعريف AKI according to KDIGO♥️
📌خدو بالكو دا اجابة السؤال الصح من محاضرة الانفيرتيد عشان محلول غلط ف فاينال 39
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spermiogenesis phase in which spermatids undergo a profound metamorphosis to become mature spermatozoa
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Seminoma
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70% confined to the testes.
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40% incidence.
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Radio and chemo sensitive.
Classified into three subtypes:
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- Classic, 80%
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- Spermatocytic: best prognosis, 50% above 50 years old
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- Anaplastic: higher rate of local recurrence and metastasis with bad prognosis. Non-seminomatous germ cell tumours
Main four types:
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- Yolk sac tumors: most common in infancy, alpha fetoprotein (AFP) is elevated in 90% of cases.
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- Embryonal carcinoma: smallest germ cell tumors, 40% less than 2 cm, highly malignant.
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- Teratoma: can contain bone, or cartilage, or intestinal tissues.
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- Choriocarcinoma: commonly present with metastasis, worst prognosis, human chorionic gonadotropin (HCG) is elevated in all cases.
