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
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?
