A couple both in their late thirties are undergoing evaluation of infertility. A semen specimen was collected at home and brought to the lab for routine testing. The following are the Semen analysis results: Physical exam: Color-gray; volume 4.5ml; liquefaction-50mins; viscousity- 0 Microscopic exam: motility-70%, concentration: 15M sperm/ml; morphology 70% normal; vitality-60%; leukocytes- 0.8 x (10 to the 6th) cell/ml 1. What are the abnormal results? 2. Do any of the results obtained suggest improper collection or lab error? 3. which of the following results suggest male infertility?

A couple both in their late thirties are undergoing evaluation of infertility. A semen specimen was collected at home and brought to the lab for routine testing. The following are the Semen analysis results: Physical exam: Color-gray; volume 4.5ml; liquefaction-50mins; viscousity- 0 Microscopic exam: motility-70%, concentration: 15M sperm/ml; morphology 70% normal; vitality-60%; leukocytes- 0.8 x (10 to the 6th) cell/ml 1. What are the abnormal results? 2. Do any of the results obtained suggest improper collection or lab error? 3. which of the following results suggest male infertility?

Comprehensive Medical Terminology

4th Edition

ISBN:9781133478850

Author:Jones

Publisher:Jones

Chapter17: The Female Reproductive System

Section: Chapter Questions

Problem B1CRE

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A couple both in their late thirties are undergoing evaluation of infertility. A semen specimen was collected at home and brought to the lab for routine testing. The following are the Semen analysis results: Physical exam: Color-gray ; volume 4.5ml; liquefaction-50mins; viscousity- 0 Microscopic exam: motility-70%, concentration: 15M sperm/ml; morphology 70% normal; vitality-60%; leukocytes- 0.8 x (10 to the 6th) cell/ml 1. What are the abnormal results? 2. Do any of the results obtained suggest improper collection or lab error? 3. which of the following results suggest male infertility? Suggest chemical test, based on the given results, that can be used to evaluate functional integrity of the male reproductive system.
appearance and liquefication - a normal sample has a gray-opalescent appearance, homogenous and liquefies within 60 min. at room temperature under the influence of prostatic enzymes. liquefaction that does not occur within the normal period may suggest functional disturbance of the prostate. Normal semen samples may contain jelly-like grains which do not liquefy. The sample may appear clear if the sperm concentration is too low. It may also appear brown when red blood cells are present in the ejaculate (haematospermia) Liquefaction time Clinical Implication Within 60 minutes Beyond 60 minutes
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Sperm number and motility are typically the first parameters assessed in a semen sample. Vitality is another commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope would you recommend using to observe sperm cells for this laboratory test and why?
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Sperm number and motility are typically the first parameters assessed in a semen sample. Vitality is another commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope would you recommend using to observe sperm cells for this laboratory test and why? Describe what you would expect to observe in the case of a live sperm cell and why? How can you distinguish it from a dead sperm cell in the same sample?
Patient KP, a 68 male, came in due to dribbling urine. KUB ultrasound confirmed benign enlargement of the prostate leading to frequency and urgency. Which of the followinglobes of the prostate gland is commonly involved in benign hypertrophy obstructing the prostatic urethra thus the dribbling or incontinuous flow of urine? Patient BT, a 65YO man, smoker for almost 30 years of his life, suddenly had gradual onset of shortness of breath and hemoptysis. Chest tomography with contrast medium revealed a mass fixated on the tongue-like protrusion region of the superior lobe of the left lung. Which bronchopulmonary segments will be most likely resected? Patient NK, a 35YO woman, sought consult with her OBGYN specialist due to painless swelling in her groin and fever. Physical examination revealed cystic lesion on the vaginal opening surrounded by a collection of pus. As a nurse assisting the visual inspection, you would document the said lesion with the correct knowledge of the labial…
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Vitality is a commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope (light or electron) would you recommend using to observe sperm cells for this laboratory test and why?
Mrs. Vanessa Narciso, a 35 weeks pregnant client approaches the hospital and verbalizes "Nurse Marina, my water broke. Which of the Following findings would Nurse Marina expect? Nitrogen paper indicated acidic pH of fluid Contractions occurring every 3 minutes Female patterns when vaginal fluid dries on a glass slide Cervical dilatation of 11 cm
Mrs. Vanessa Narcisoa 22 year old Gravida 1 who vaginally delivered her first infant The vaginal delivery was uncomplicatedhour after delivery, which of the following findings would the Nurse Marina expect in a patient who didn't have complications? Firm uterus; scant amount of lochia serosa Boggy uterus; heavy amount of lochia rubra with small clots Firm uterus; heavy amount of lochia rubra with small clots Boggy uterus; moderate amount of lochia serosa
For each of the following structures or organs, indicate the function or importance of each product. Structure/Organ Product Purpose or Function Testes Sperm/testosterone Seminal vesicle Fructose/prostaglandins/proseminogelin Prostate Gland Clotting enzyme/serine protease/buffer Bulbourethral gland Clear slippery fluid
website is https://www.cdc.gov/reproductivehealth/infertility/index.htm According to the CDCLinks to an external site. (and most sources), infertility issues are a common problem in the United States. Review the CDC Frequently Asked Questions about infertility and answer the following questions: What causes infertility issues? What are some current treatments for infertility? Did you find anything else surprising? Research any controversial infertility treatments. Do you think that there should be genetic manipulation to conceive? Why or why not? Be sure to include legitimate sources! 200-250 words or more
Tim's semen analysis Semen Analysis Normal Tim Total volume 2.0 ml + 0.2 ml Sperm 20 million/ ml + 1.0 million/ concentration ml Motility 50%+ 76% Normal 30%+ 54% morphology Total sperm 40 million + 2.6 million count Total motile 20 million + 1.8 million sperm Total functional 6 million + 650,000 sperm How are Tim's varicoceles affecting the ability to conceive?
The most common method of male sterilization is vasectomy, in which the ductus (vas) deferens is tied, cut, or both. What is the equivalent method of female sterilization?Why are the difficulty and risks of that procedure greater than for a vasectomy?