Uncategorized

Life of Pencil

The modern 7-inch-long lead pencil can draw a line 35 miles in length; it can write an average of 45,000 words; and it can take an average of 17 sharpening.

Uncategorized

BPH with lower urinary tract symptoms (LUTS), Prostatic Neoplasms (benign or malignant) vs. Prostatitis

For this week’s discussion I will discuss the case for topic number 3.  Mr. E.D. is a 63-year-old retired mail carrier who presents to his primary care provider for a routine follow up for his hypertension. He complains of a 4-day history of dysuria, increased urinary frequency, and nocturia. He states that he has been having fever and chills. Denies any recent sexual activity. On examination, his temperature is 99.5 F., pulse 75 and regular, respiratory rate 16 and unlabored, and blood pressure 135/85. He does not appear acutely ill and is in no apparent distress. Examination of the abdomen was normal. A digital rectal exam revealed a moderately enlarged, firm, non-tender prostate gland. He states that he has severe urgency and difficulty urinating.

Appropriate Questions for this Patient

 

Continue reading “BPH with lower urinary tract symptoms (LUTS), Prostatic Neoplasms (benign or malignant) vs. Prostatitis”