Chief Complaint (CC)
“It burns when I urinate”
History of Present Illness (HPI)
A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia
PMH
Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment.
Drug Hx
Rosuvastatin 20 mg
Olmesartan 20 mg
Subjective
Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria.
Yellowish urethral secretion.
VS
B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180;
Neurological & Male Genitourinary Disorders
General
well-developed male, no acute distress
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs
CTA AP&L
Card
S1S2 without rub or gallop S4 present
Abd
No tenderness normoactive bowel sounds x 4;
Rectal exam
Warm, swollen and painful prostate gland
Integument
good skin turgor noted, moist mucous membranes
Neuro
No obvious deformities, CN grossly intact II-XII
Answer the following questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
- What teachings will you provide?
Submission Instructions:
- Your instructor will assign you your case number and you will post on the case number you have been assigned.
- You will reply to the other two case studies (One of each).
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
- All replies must be constructive and use literature where possible.