Ejaculatory Disorder? | Figure 1

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Ejaculatory Disorder?

A 21y/o male patient who came into the clinic complaining of "leaking semen out of penis" the day after engaging in sexual activity. He states he is able to ejaculate, but he leaks a moderate amount of semen the next day. He said he has tried kegels and has had no luck. Been going on for a few years. He does not seem to have any significant health history, none that I was able to see. Unfortunately, I was unable to stay longer due to my clinical rotation being over. Any ideas of what this could be? I've heard of retrograde ejaculation, but he is ejaculating during orgasm. Thought this was an interesting case to use for a care plan/case study presentation.

Cases

1. Semen analysis 1st while drinking 6 pack a day. 2nd after giving up alcohol.

2. May I share case outside dentistry? A male patient, 26 yr old come to our dental clinic to discuss his problem. First of all, we are in deep palm plantation in the village and there is no medical doctor near our clinic. He said that his penis have red spot. He is not feel pain or anything, just red spot. He never have sexual relationship with anyone. This red spot appear since 1 month ago. Do you have any idea what is this? And treatment for him? Thank you for your help.

3. 48 yrs male came with erectile dysfunction since 8 months history of bypass cardiac surgery done 2 yrs back. no history of any substance abuse no history of any other illness and medicine. patient is on statin, anticoagulant, and mitoprolol 25 mg since 2 yrs. semen examination and serum testosterone normal. patient came to me, should we prescribe sildenafil in such type of cardiac patient as patient is receiving it since 3 months from other Dr.
   \n\n4. 24 year old male, diabetic for 5 years for this he takes insulin, married for 2 years and come for infertility. Semen analysis done. Any guess how to proceed next?
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Trending cases

1. A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

2. A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

3. A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

4. patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?