DHD&NMHC

Low Testosterone Low serum testosterone, also called Hypogonadism or Andropause, severely affects around 39% of men over the 45 years of age. The incidence of low testosterone generally increases with age. Symptoms Symptoms related with low testosterone could be either sexual or non-sexual. Sexual symptoms usually include weak erectile function, low libido and decreased sexual activity. Nonsexual symptoms often include increase in body fat, fatigue, decrease in muscle mass, and depression. Causes High blood pressure High cholesterol levels Diabetes Obesity Men who have a history of chronic opioid use                              Treatment options for Hypogonadism Testosterone. Gel therapy Testosterone injections and testosterone patches. Oral testosterone or implantable testosterone pellets Diagnosis Several tests are done to diagnose side effects such as: PSA test (a screening test for diagnosing prostate cancer).

Differential Diagnosis of HF Exacerbation/ Dyspnea Cardiac Myocardial HF exacerbation, myocardial infarction Valvur aortic stenosis, acute aortic regurgitation, mitral regurgitation/stenosis, endocarditis Pericardial Tamponade Dysrhythmia Respiratory Airway COPD exacerbation, asthma exacerbation, acute bronchitis, bronchiectasis, foreign body obstruction Parenchyma pneumonia, cryptogenic organizing pneumonia, ARDS, interstitial lung disease exacerbation Vascular pulmonary embolism, pulmonary hypertension Pleural pneumothorax, pleural effusion Systemic sepsis, ARDS, metabolic acidosis, anemia, neuromuscular, psychogenic, anxiety. Pathophysiology Anatomic/Physiologic Classification of Cardiomyopathy Dilated (dilatation and impaired contraction of one or both ventricles) idiopathic, ischemic, valvular, viral, genetic, late manifestation of hypertrophic heart disease, tachycardia induced, alcohol induced, peripartum. Hhypertrophic (disorder with dispro