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You are looking after 69-year-old Bert Schmert on the ward today. Medical history: hypertension, T2DM, chronic allergies (sneezing, runny nose which he takes over the counter antihistamines PRN for) and obesity. Background: Bert presented with acute urinary retention, pain, difficulty initiating a urine stream, dysuria, a diminishing force of urinary stream, urinary urgency, and frequency. Bert's primary diagnosis is Benign Prostatic Hyperplasia (BPH). Medications: Propranolol, Metformin, Finasteride, Tamsulosin, Paracetamol. The doctors are monitoring the current conservative management and have discussed the possibility of a transurethral resection of the prostate (TURP) if medications are not effective.
Refer to the question related to your chosen case study patient only. You must provide current evidence-based research from the literature to support your answer.
Bert When looking at Bert's history, can you identify an issue that may have contributed to his condition of Benign Prostatic Hyperplasia? Explain how your identified issue has impacted his condition and include what education you might provide to Bert regarding this.
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