Case Study 25.4
History of present illness:
Patient is a 56 year old African American male presenting to hisprimary care physician of many years with complaints of frequenturination at night (with occasional burning sensation), troublestarting and maintaining a steady stream, urge to urinate, at timesleaking urine, fatigue, and weight loss for the past fewmonths.
Past medical history
High blood pressure.
Indirect inguinal hernia (right side).
Family history:
Father has history of BPH (benign prostatic hypertrophy).
Mother has Hyperthyroidism and history of anxiety.
Social History
Smoke half a pack a week for 2 years in his twenties.
Social use of alcohol twice per month when socializing withfriends.
Only illicit drug ever used was marihuana once or twice in hislife.
Allergies
Penicillin
Medications
Multivitamins
Baby aspirin 81 mg/day
Key Labs, images, or procedures performed in relation to currentdiagnosis.
- Urinalysis: Positive for blood
- Blood Chemistry:
- Blood Urea Nitrogen: Elevated
- Creatinine: Elevated
- Alkaline Phosphatase: Elevated
- Calcium: Elevated
- PSA: 11 ng/mL
- Transrectal Prostatic Ultrasound (TRUS)
- Biopsy: Gleason grade of 8/10
- Key Physical Examination findings:
- DRE: Nodular (lumpy), firm, and enlargeprostate
-
1. Provide the diagnosis
*
2. What is the Incidence and prevalence in United States forthis diagnosis
*
3. What are the risk factors for this diagnosis
*
4. Provide predominant age
*
5. Provide treatment
*
6. Provide the prognosis for the diagnosis at hand
*
