Neurological & Male Genitourinary Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.
| Case 1 | |
| 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; |
| 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:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
· 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.