What is the most appropriate next step in the management

Reference no: EM133297047

Case: A 95-year-old man patient with a medical history of hypertension, type 2 diabetes mellitus (T2DM), stage 3 chronic kidney disease, coronary artery disease, and a cerebrovascular accident presents to you for routine examination. He has no new complaints and says he is feeling fine. He denies smoking, alcohol, or illicit drug use. He has no known allergies. His hypertension and T2DM are well controlled with lisinopril/hydrochlorothiazide 20/12.5 mg daily and glyburide 20 mg twice a day, respectively. He also takes 81 mg aspirin daily.

His last glycated hemoglobin level was 6.2%. His blood pressure reading today was 134/86 mm Hg. All other vital signs are within normal limits, and the physical examination is unchanged from last visit.

Laboratory studies are positive for deficient renal function (glomerular filtration rate = 35), serum glucose level of 144 mg/dL, and prostate specific antigen (PSA) level of 4.5 ng/mL.

You refer him to a urologist for biopsy of the prostate. Results on biopsy confirm localized prostate cancer with a Gleason score of 3.

What is the most appropriate next step in the management of this patient?

Reference no: EM133297047

Questions Cloud

What education could you provide to the patient : what education could you provide to the patient that may help them to understand that a statin is then indicated

Summarize the articles on general data protection rules : Summarize the two (2) articles in 300 words or more. Please use your own words. No copy-and-pasteBe sure to look at what others have posted.

Discussed sister chromatids and homologous chromosomes : We have discussed sister chromatids and homologous chromosomes. "Sister chromosomes," however, is a new term for us. define "sister chromosomes"

Why is it important that miguel keep track of the usage : NRNP 6540 Walden University Why is it important that Miguel keep track of the usage of the various types of administrative equipment and supplies used by BWW

What is the most appropriate next step in the management : NUR 571 University of Alabama What is the most appropriate next step in the management of this patient - His last glycated hemoglobin level was 6.2%

Experiences hormonal imbalance : Predict what can happen if someone experiences a hormonal imbalance. Be specific in your example by naming the hormone and the disease you can encounter.

Changing and opportunities for accessibility : NURSING 607 Southern New Hampshire University The climate for international students seems to be changing and opportunities for accessibility to jobs in your

How often are policies updated : How often are policies and/or procedures updated? How often would you suggest they be reviewed and updated? Why?

Skin color is polygenetic trait controlled by two genes : If skin color is a polygenetic trait controlled by two genes (A and B) we can have the following phenotypes. Black, Dark Brown, Brown, Tan, and White.

User Account

All Pages