Please help me solve this urinary diagonsis. THANK YOU! - 88 year old male has d
ID: 49741 • Letter: P
Question
Please help me solve this urinary diagonsis. THANK YOU!
- 88 year old male has difficulty in urination, began 3 months ago.
- Before he had trouble just initiating a stream, but feels like he is not completely emptying his bladder.
- Therefore, he goes to the bathroom a lot more now.
- Experiences dribbling between trips to the bathroom
- Never had a problem like this before
- No sexual activity because cannot achieve or maintain erection for this past year
- NO pain, no burning, no discharge upon urination
- Also has back pain on and off for a few weeks, but doesn't think it's related to urination problem
- Would rate back pain 3/10 on pain scale
- Back pain around the lumbosacral junction, achy in nature
- Occurs when standing/sitting for a long time
- No medical history or family history relevant to this
- Taking coumadin for atrial fibrillation.
Examination findings:
- Vitals are normal limits for his age.
- Abdominal auscultation and palpation was negative.
- A digital rectal examination showed a hardened, non-tender nodule on his prostate.
- No tenderness was produced with palpation of the lumbar spine.
- Thoracolumbar ranges of motion were full, but there was mild discomfort in all directions.
- Straight leg raising exacerbated his back pain bilaterally at 65 degrees.
- no sensory or motor weakness findings
QUESTION
- Which symptoms relate to the aging process
- diagonsis for this case and why
- which studies prove the diagonsis
- who should treat the patient, and with what treatment
- what type of lifestyle changes would you recommend to him
Explanation / Answer
The symtoms relate to prostrate cancer.
Diagnosis would require a digital rectal exam and blood test
Studies relating to prostrate cancer prove the diagnosis
An oncologist should treat the patient
lifestyle changes would include:
Exercising regularly
Eating healthy and
The symtoms relate to prostrate cancer.
Diagnosis would require a digital rectal exam and blood test
Studies relating to prostrate cancer prove the diagnosis
An oncologist should treat the patient
lifestyle changes would include:
Exercising regularly
Eating healthy and nutritious food
Cutting down on alcohol and tobacco
food
Cutting down on alcohol and tobacco