RT Book, Section
A1 Sharp, Victoria J. A.
A1 Wilbur, Jason K.
A2 Wilbur, Jason K.
A2 Graber, Mark A.
A2 Ray, Brigit E.
SR Print(0)
ID 1151872386
T1 Men's Health
T2 Graber and Wilbur's Family Medicine Examination & Board Review, 4e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259585333book
LK accessmedicine.mhmedical.com/content.aspx?aid=1151872386
RD 2024/04/18
AB A  58-year-old  black  male  presents  to  your  clinic  complaining  of  urinary  hesitancy,  frequency,  and  three  to  four  episodes  of  nocturia  per  night,  which  have  been  worsening  over  the  past  few  years.  His  urinary  stream  is  weaker  than  it  was  a  few  years  ago  and  he  feels  he  does  not  empty  his  bladder  completely.  He  denies  any  history  of  urinary  tract  infections  (UTIs)  or  painful  urination.  He  is  otherwise  well  with  no  significant  past  medical  or  surgical  history.  Currently,  he  takes  no  medications  and  has  no  allergies.  On  reviewing  his  family  history,  he  notes  his  father  and  older  brother  died  of  prostate  cancer  in  their  50s.  His  general  physical  examination  is  normal  and  a  genital  examination  is  unremarkable.  Digital  rectal  examination  reveals  a  smooth  prostate  with  no  nodules  or  tenderness.