Case1week6discussion.docx
Case 1
Chief Criticism (CC)
“It burns as soon as I urinate”
History of Reveal Illness (HPI)
A 68-one year-historical Caucasian male who experiences to hold originate bigger on the frequency of urination with urgency for the leisure 5 days. He also fresh dysuria and nocturia.
PMH
Benning prostatic hyperplasia recognized 3 years within the past, UTI 6 months within the past, Lithotripsy left kidney 10 years within the past. No disorders after treatment
Drug Hx
Rosuvastatin 20 mg Olmesartan 20 mg
Subjective
Fever and chills, no changes in vision or hearing, no downside chewing or swallowing. No sexually filled with life, nocturia, dysuria. Yellowish urethral secretion.
VS
B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180;
Total
neatly-developed male, no acute wound
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera positive, nares patent, nasopharynx positive, edentulous.
Lungs
CTA AP&L
Card
S1S2 without rub or sprint S4 fresh
Abd
No tenderness normoactive bowel sounds x 4;
Rectal exam
Heat, swollen and painful prostate gland
Integument
accurate pores and skin turgor eminent, moist mucous membranes
Neuro
No evident deformities, CN grossly intact II-XII
Whereas you acquired your case quantity, acknowledge the next questions:
1. What other subjective records would you manufacture?
2. What other goal findings would you peek?
3. What diagnostic checks manufacture you would perhaps perchance well most definitely be attempting to expose?
4. Name 3 differential diagnoses in step with this affected person presenting symptoms?
5. Give rationales in your every differential prognosis.
6. What teachings will you provide?
Your preliminary put up needs to be as a minimum 500 phrases, formatted and cited in fresh APA model with enhance from as a minimum 2 tutorial sources.
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