36-Year-Old Man With Persistent Erection
A 36-year-old white man with developmental delay presented to the primary care clinic for evaluation of a persistent erection of at least 8 hours' duration. He was nonverbal but appeared uncomfortable to his caregivers. There were no known urinary symptoms, perineal trauma, urological procedure...
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| Veröffentlicht in: | Mayo Clinic proceedings 2020-05, Vol.95 (5), p.1059-1063 |
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| creator | Zhang, Catherine D. Clark, Jennifer Greenlund, Laura S. |
| description | A 36-year-old white man with developmental delay presented to the primary care clinic for evaluation of a persistent erection of at least 8 hours' duration. He was nonverbal but appeared uncomfortable to his caregivers. There were no known urinary symptoms, perineal trauma, urological procedures, or previous episodes of similar symptoms. His medical history was notable for seizure disorder, hypothyroidism, and hyperlipidemia. Medications included phenobarbital, levothyroxine, simvastatin, and a multivitamin. No new medications had been initiated recently.On physical examination, he appeared to be in pain with his knees drawn to his chest. Vital signs were within normal limits. Genital examination revealed a tender, erect penis with rigid corpora cavernosa and bilateral descended testes. The glans penis was soft. There were no signs of trauma, urethral discharge, pelvic lymphadenopathy, or rash. |
| doi_str_mv | 10.1016/j.mayocp.2019.10.043 |
| format | Article |
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He was nonverbal but appeared uncomfortable to his caregivers. There were no known urinary symptoms, perineal trauma, urological procedures, or previous episodes of similar symptoms. His medical history was notable for seizure disorder, hypothyroidism, and hyperlipidemia. Medications included phenobarbital, levothyroxine, simvastatin, and a multivitamin. No new medications had been initiated recently.On physical examination, he appeared to be in pain with his knees drawn to his chest. Vital signs were within normal limits. Genital examination revealed a tender, erect penis with rigid corpora cavernosa and bilateral descended testes. The glans penis was soft. There were no signs of trauma, urethral discharge, pelvic lymphadenopathy, or rash.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/j.mayocp.2019.10.043</identifier><identifier>PMID: 32299673</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Antifungal agents ; Blood ; Glans penis ; Hemoglobin ; Hyperlipidemia ; Hypothyroidism ; Lymphadenopathy ; Pain ; Phenobarbital ; Seizures ; Sickle cell disease ; Simvastatin ; Thyroid hormones ; Thyroxine ; Trauma ; Ultrasonic imaging ; Urinary tract diseases ; Urinary tract infections ; Urogenital system</subject><ispartof>Mayo Clinic proceedings, 2020-05, Vol.95 (5), p.1059-1063</ispartof><rights>2020 Mayo Foundation for Medical Education and Research</rights><rights>COPYRIGHT 2020 Frontline Medical Communications Inc.</rights><rights>Copyright Mayo Foundation for Medical Education and Research May 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3703-966284aeb742888ce3f1d4ea7c981a574da6b458612d4cb486399f81a6a30a383</cites><orcidid>0000-0003-2784-2673 ; 0000-0003-1215-9185 ; 0000-0002-9040-920X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2401324822?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32299673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Catherine D.</creatorcontrib><creatorcontrib>Clark, Jennifer</creatorcontrib><creatorcontrib>Greenlund, Laura S.</creatorcontrib><title>36-Year-Old Man With Persistent Erection</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>A 36-year-old white man with developmental delay presented to the primary care clinic for evaluation of a persistent erection of at least 8 hours' duration. He was nonverbal but appeared uncomfortable to his caregivers. There were no known urinary symptoms, perineal trauma, urological procedures, or previous episodes of similar symptoms. His medical history was notable for seizure disorder, hypothyroidism, and hyperlipidemia. Medications included phenobarbital, levothyroxine, simvastatin, and a multivitamin. No new medications had been initiated recently.On physical examination, he appeared to be in pain with his knees drawn to his chest. Vital signs were within normal limits. Genital examination revealed a tender, erect penis with rigid corpora cavernosa and bilateral descended testes. The glans penis was soft. There were no signs of trauma, urethral discharge, pelvic lymphadenopathy, or rash.</description><subject>Antifungal agents</subject><subject>Blood</subject><subject>Glans penis</subject><subject>Hemoglobin</subject><subject>Hyperlipidemia</subject><subject>Hypothyroidism</subject><subject>Lymphadenopathy</subject><subject>Pain</subject><subject>Phenobarbital</subject><subject>Seizures</subject><subject>Sickle cell disease</subject><subject>Simvastatin</subject><subject>Thyroid hormones</subject><subject>Thyroxine</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urogenital system</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUtr3DAURkVpaCaPf1DKQCFkY0cvy9KmEIbJAxImi4SQldDI1x0NtjWV7ML8-8o4KU0WRQvB1fl0L_cg9JXgnGAiLrZ5a_be7nKKiUqlHHP2Cc2I4jQrCi4-oxnGtMgEUeIQHcW4xRiXSvEv6JBRqpQo2QydM5G9gAnZqqnm96abP7t-M3-AEF3soevnywC2d747QQe1aSKcvt7H6Olq-bi4ye5W17eLy7vMshKzTAlBJTewLjmVUlpgNak4mNIqSUxR8sqINS-kILTids2lYErV6UkYhg2T7BidT__ugv81QOx166KFpjEd-CFqyhRRJSkITej3D-jWD6FL02nKMWGUSzpS-UT9NA1o19W-D8amU0HrrO-gdql-KagoORNSpcDZP4ENmKbfRN8M4xbie5BPoA0-xgC13gXXmrDXBOvRkd7qyZEeHY3V5CjFvr2OPaxbqP6G3qQk4McEQNrzbwdBR-ugs1C5UYauvPt_hz8yXZ7_</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Zhang, Catherine D.</creator><creator>Clark, Jennifer</creator><creator>Greenlund, Laura S.</creator><general>Elsevier Inc</general><general>Frontline Medical Communications Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2784-2673</orcidid><orcidid>https://orcid.org/0000-0003-1215-9185</orcidid><orcidid>https://orcid.org/0000-0002-9040-920X</orcidid></search><sort><creationdate>202005</creationdate><title>36-Year-Old Man With Persistent Erection</title><author>Zhang, Catherine D. ; Clark, Jennifer ; Greenlund, Laura S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3703-966284aeb742888ce3f1d4ea7c981a574da6b458612d4cb486399f81a6a30a383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Antifungal agents</topic><topic>Blood</topic><topic>Glans penis</topic><topic>Hemoglobin</topic><topic>Hyperlipidemia</topic><topic>Hypothyroidism</topic><topic>Lymphadenopathy</topic><topic>Pain</topic><topic>Phenobarbital</topic><topic>Seizures</topic><topic>Sickle cell disease</topic><topic>Simvastatin</topic><topic>Thyroid hormones</topic><topic>Thyroxine</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><topic>Urinary tract diseases</topic><topic>Urinary tract infections</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Catherine D.</creatorcontrib><creatorcontrib>Clark, Jennifer</creatorcontrib><creatorcontrib>Greenlund, Laura S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Catherine D.</au><au>Clark, Jennifer</au><au>Greenlund, Laura S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>36-Year-Old Man With Persistent Erection</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2020-05</date><risdate>2020</risdate><volume>95</volume><issue>5</issue><spage>1059</spage><epage>1063</epage><pages>1059-1063</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><abstract>A 36-year-old white man with developmental delay presented to the primary care clinic for evaluation of a persistent erection of at least 8 hours' duration. He was nonverbal but appeared uncomfortable to his caregivers. There were no known urinary symptoms, perineal trauma, urological procedures, or previous episodes of similar symptoms. His medical history was notable for seizure disorder, hypothyroidism, and hyperlipidemia. Medications included phenobarbital, levothyroxine, simvastatin, and a multivitamin. No new medications had been initiated recently.On physical examination, he appeared to be in pain with his knees drawn to his chest. Vital signs were within normal limits. Genital examination revealed a tender, erect penis with rigid corpora cavernosa and bilateral descended testes. The glans penis was soft. 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| ispartof | Mayo Clinic proceedings, 2020-05, Vol.95 (5), p.1059-1063 |
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| subjects | Antifungal agents Blood Glans penis Hemoglobin Hyperlipidemia Hypothyroidism Lymphadenopathy Pain Phenobarbital Seizures Sickle cell disease Simvastatin Thyroid hormones Thyroxine Trauma Ultrasonic imaging Urinary tract diseases Urinary tract infections Urogenital system |
| title | 36-Year-Old Man With Persistent Erection |
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