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.