Problem concerning neurological-male genitourinary disorders


Assignment Task: 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:

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.

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