Neurological and male genitourinary disorders

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Reference no: EM133791626

Informative Essay - Neurological & Male Genitourinary Disorders

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 below questions. Note that all your responses should apply to your specific patient from your assigned case study.
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms.
Give rationales for each differential diagnosis.
What teachings will you provide?

Your initial post should be at least 500 words, formatted and cited in the current APA style.

Reference no: EM133791626

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