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A patient attends his surgery for review of the investigation of erectile dysfunction. he is 5 5years old fit and muscular landscape gardener who is well known to his GP. Three years ago he was successfully treated for a depressive episode with a 6 month course of antidepressants medication. He describes his relationship with his wife as close and loving. They always liked to be physically intimate and used to have a regular sex life. Over the last two years he has noticed his erectile becoming less strong and more recently he has experienced erectile failure.
On examination he finds normal external genitalia, with adequate sized testicls.
a) What is the differential diagnosis
b) What are the next steps in management
c) Which tests did the GP initiate that were not indicated by patient initial presentation
d) What further tests might the GP have reasonably ordered..
e) What would you tell this patient.
The effectiveness of dieting has been debated for years. There are several diets available including Atkins, Zone, Carbohydrate, Weight â Watchers, Jenny Craig
Nitrogen fixation represents a process by which atmospheric nitrogen is oxidized to make 2 ammonium ions.
your friend is intrigued by a recent report of a new species of bacteria that used arsenic instead of phosphate within their DNA. this report spurs his curiosity about alternative life chemistries. he decides to test whether he can find a life fro..
Describe the major land biome where you live. How have human activities changed the landscape and how has this affected native species? Include specific examples.
Compute the heat of vaporization of water from these data.
A 40-year old recovering IV drug addict is evaluated for fever, malaise, anorexia, vomiting and jaundice. He also has red bumps on the skin of his lower extremities.
A technician wearing a circular metal band on his wrist moves his hand (from a region where the magnetic field is zero) into a uniform magnetic field of magnitude.
Describe the risks associated with excess body fat - Discuss at least five factors that influence the obesity epidemic - Explain the various strategies
Explain why photosynthetic organisms are sometimes net producers of oxygen (produce more than they consume) and sometimes net users of oxygen. When would you expect them to play each role?
Describe an experimental approach to determining the processivity of a DNA polymerase (i.e., the number of nucleotides incorporated per chain per polymerase binding event)
Present the comparison of clinical benefits of the use of antineoplastic drugs. What criteria are used for selection and for monitoring of most commonly used antineoplastic drugs?
Summarize the main point/s or key conclusion/s presented in the article:
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