It burns when I urinate”A 68-year-old Caucasian male who reports to…
It burns when I urinate”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.Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatmentRosuvastatin 20 mg
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Olmesartan 20 mgFever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria.
- Yellowish urethral secretion.B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180;well-developed male, no acute distressAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.CTA AP&LS1S2 without rub or gallop S4 presentNo tenderness normoactive bowel sounds x 4;Warm, swollen and painful prostate glandgood skin turgor noted, moist mucous membranesNo obvious deformities, CN grossly intact II-XIIWhat other subjective data would you obtain?
- What other objective findings would we look for?
- What diagnostic exams do we want to order?
- Name three differential diagnoses based on this patient presenting symptoms?
- Give rationales for each differential diagnosis.
- What teachings will we provide?
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