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4 Cards in this Set

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  • Back
  • 3rd side (hint)
60 yo M presents with nocturia, urgency, weak stream, and terminal dribbling. He denies any weight loss, fatigue, or bone pain. He has had two episodes of urinary retention that required catheterization.
Benign Prostatic Hypertrophy
Prostatic cancer
UTI
Bladder stones
Rectal exam
UA
CBC, BUN/Cr, PSA
U/S-prostate (transrectal)
71 yo M presents with nocturia, urgency, weak stream, terminal dribbling, hematuria, and lower back pain over the past four months. He has also experienced weight loss and fatigue.
Prostate cancer
BPH
Renal cell carcinoma
UTI
Bladder stones
Rectal exam
UA
CBC, BUN/Cr, PSA
U/S-prostate (transrectal)
CT-pelvis
IVP
18 yo M presents with a burning sensation during urination and urethral discharge. He recently had unprotected sex with a new partner.
Urethritis
Cystitis
Prostatitis
Genital +- rectal exam
UA
Urine culture
Gram stain and culture of urethral discharge
Chlamydia and gonorrhea PCR
45 yo diabetic F presents with dysuria, urinary frequency, fever, chills, and nausea over the past three days. There is left CVA tenderness.
Acute pyelonephritis
Nephrolithiasis
Renal cell carcinoma
Lower UTI (cystitis, urethritis)
UA
Urine culture and sensitivity
CBC, BUN/Cr
U/S-renal
CT-abdomen