Neurological & Male Genitourinary Disorders
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Neurological & Male Genitourinary Disorders
Introduction
The Prostrate is located between the bladder and the Penis. It exists only in men as it secretes fluid that nourishes and protects sperms. Prostatitis (prostate infection) occurs when the prostate and its surrounding area become inflamed (Magri et al., 2018). Types of prostatitis include acute bacterial prostatitis, chronic bacterial prostatitis, and chronic prostatitis. The case study is about a patient who presents symptoms related to prostatitis. The purpose of this paper is to analyze the case study and answer the provided questions.
What other subjective data would you obtain?
The patients presented subjective data such as burning pain when urinating, fever, chills, and yellowish discharge. It is important to inquire about additional subjective data to ensure a more accurate diagnosis (Magri et al., 2018). Additional subjective data may include difficulty urinating (dribbling or hesitant urination) and frequent urination. The Patient can be asked whether he is experiencing these symptoms (Magri et al., 2018). The doctor may be asked about pain in the abdomen or lower back, pain in the perineum, and pain or discomfort of the testicles or penis.
What other objective findings would you look for?
Objective data is as important as subjective data. The case study presents some objective data including dysuria and nocturia (Magri et al., 2018). The patient’s blood pressure was recorded as 150/96, the pulse is 89, and the respiratory rate is 16. Furthermore, the temperature was 99.4°F. The doctor also observed a swollen prostate gland. Additional objective data may include enlarged or tender lymph nodes in the groin (Turek, 2019). These objective data can provide an accurate insight into the health condition.
What diagnostic exams do you want to order?
Quite a several diagnostic examinations can be performed to detect prostatitis. Digital rectal examination is a procedure whereby a healthcare provider inserts a lubricated gloved finger into the rectum to detect inflammation of the prostate (Turek, 2019). A urine test may also be performed to detect the presence and type of bacterial infection. A blood test may be performed for signs of infection. A prostate specimen test can help detect bacterial infection. Other tests include urodynamic tests, and imaging (Magri et al., 2018). These tests can help identify the patient’s problems.
Name 3 differential diagnoses based on this patient presenting symptoms?
- Prostatitis
- Acute cystitis
- Urinary tract stones
Give rationales for each differential diagnosis
Prostatitis is marked by the inflammation of the prostate and its surroundings. Symptoms include pain or burning sensation when urinating, dribbling or hesitant urination, urgent need to urinate, and others (Magri et al., 2018). The symptoms of acute cystitis are closely related to those experienced by the patient. Patients diagnosed with acute cystitis experience persistent urge to urinate, burning sensation when urinating, incontinence, blood in the urine, and pelvic discomfort (Turek, 2019). Urinary tract stones are a hard deposit of minerals or acid and salts in the urine. Symptoms include pain and burning sensation while urinating and cloudy or foul-smelling urine (Turek, 2019). All these differential diagnoses manifest symptoms similar to what the patient is experiencing.
What teachings will you provide?
Patient education is an important aspect of patient care. For this patient, education can focus on medication adherence. The patient should understand how to and the importance of practicing adherence (Magri et al., 2018). Also, the care provider should focus on preventive measures such as maintaining good hygiene, having regular exercise, and remaining hydrated.
Conclusion
The most likely diagnosis of the patient in the case study is prostatitis. Both subjective and objective data have been identified. Diagnostic exams include blood tests, digital rectal examinations, urodynamic tests, and others. Differential diagnoses include prostatitis, acute cystitis, and urinary tract stones. Proper education is necessary to enhance positive outcomes.
References
Magri, V., Boltri, M., Cai, T., Colombo, R., Cuzzocrea, S., De Visschere, P., … & Wagenlehner, F. M. (2018). Multidisciplinary approach to prostatitis. Archivio Italiano di Urologia e Andrologia, 90(4), 227-248. https://doi.org/10.4081/aiua.2018.4.227
Turek, P. (2019). Prostatitis Differential Diagnoses. https://emedicine.medscape.com/article/785418-differential