The 52-year-old African American has insufficient personal medical and family history because his father died in an automobile accident when he was a child, and he has not seen a doctor in the last 10 years. I will ask the patient if his mother told him about any concerning health issue regarding his late father, and if any of his uncle on his father side has any health issue and what type. Also, when he had his last routine physical and was there any abnormal findings, again why he decided not continue routine physical in the last 10 years. Although obtaining a correct diagnosis could be challenging, but a thorough history, physical assessment and conducting required test such as urinalysis, serum creatinine, postvoid residue and prostatic
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A serum creatinine level to assess the renal function.
Check the PSA, if the patient’s life expectancy is above 10 years, prostate cancer is suspected during physical examination, and treatment plan includes the use of 5 alpha reductase inhibitor therapy. A urologist referral for a prostate ultrasound or a magnetic resonance imaging (MRI) if indicated (Buttaro, et al, 2013).
Diagnosis
Benign prostatic hyperplasia is the benign enlargement of the prostate gland common in male age 50 and above, black males are at a higher risk compared to their white counterparts. Although, advancing in age is considered a contributing factor for BPH, androgen secretion, its receptors function, the presence of both testes, and the formation of the Dihydrotestosterone (DHT), and its maintenance level contributes to prostate enlargement, therefore monitoring the above is recommended. In addition, common characteristic signs and symptoms of BPH are urinary frequency, urgency, nocturia, urge or overflow incontinence, difficulty in starting or stopping urine stream, postvoid dribbling and reduction in the force of the stream (Buttaro, et al, 2013). However, the patient in the case scenario has experienced the urinary frequency for several months, and have increased over the past week. Considering, the urinary symptom presented, its progression, patient’s age, and the ethnic background BPH is my confirmatory
A serum creatinine level to assess the renal function.
Check the PSA, if the patient’s life expectancy is above 10 years, prostate cancer is suspected during physical examination, and treatment plan includes the use of 5 alpha reductase inhibitor therapy. A urologist referral for a prostate ultrasound or a magnetic resonance imaging (MRI) if indicated (Buttaro, et al, 2013).
Diagnosis
Benign prostatic hyperplasia is the benign enlargement of the prostate gland common in male age 50 and above, black males are at a higher risk compared to their white counterparts. Although, advancing in age is considered a contributing factor for BPH, androgen secretion, its receptors function, the presence of both testes, and the formation of the Dihydrotestosterone (DHT), and its maintenance level contributes to prostate enlargement, therefore monitoring the above is recommended. In addition, common characteristic signs and symptoms of BPH are urinary frequency, urgency, nocturia, urge or overflow incontinence, difficulty in starting or stopping urine stream, postvoid dribbling and reduction in the force of the stream (Buttaro, et al, 2013). However, the patient in the case scenario has experienced the urinary frequency for several months, and have increased over the past week. Considering, the urinary symptom presented, its progression, patient’s age, and the ethnic background BPH is my confirmatory