Name 3 differential diagnoses based on this patient presenting symptoms.

Neurological & Male GI Disorders

Case 1    
Chief Complaint


“It burns when I urinate”    
History of Present Illness (HPI) A 68-year-old Caucasian male who reports having an increase in the frequency of urination with urgency for the last 5 days. He also presents dysuria and nocturia.    
PMH Benning prostatic hyperplasia was diagnosed 3 years ago, UTI 6 months ago, and 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, or dysuria.

Yellowish urethral secretion.

Objective Data
VS B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180;    
General well-developed male, with 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?


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