A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week.

Urinary frequency is a genitourinary disorder that presents problems for adults across the lifespan. It can be the result of various systemic disorders such as diabetes urinary tract infections enlarged prostates kidney infections or prostate cancer. Many of these disorders have very serious implications requiring thorough patient evaluations. When evaluating patients it is essential to carefully assess the patients personal medical and family history prior to recommending certain physical exams and diagnostic testing as sometimes the benefits of these exams do not outweigh the risks. In this Discussion you examine a case study of a patient presenting with urinary frequency. Based on the provided patient information how would you diagnose and treat the patient?
Consider the following case study:
A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession divorced father of two grown children non-smoker and occasionally consumes alcohol on weekends only.
To prepare:
Review Part 13 of the Buttaro et al. text in this weeks Learning Resources.
Review the case study and reflect on the information provided about the patient.
Think about the personal medical and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.
Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.
Reflect on a possible diagnosis for the patient.
Review the Marroquin article in this weeks Learning Resources. If you suspect prostate cancer consider whether or not you would recommend a biopsy.
Think about potential treatment options for the patient.
Content of paper should have all of the following
1. a description of the history that you need to obtain from the patient in the case study.2. Include a list of questions that you might ask the patient.3. Then describe types of physical exams 4. diagnostics that might be appropriate for evaluation of the patient.5. Finally explain a possible diagnosis 6 potential treatment options for the patient based on this diagnosis and 7 conclusion and introduction
Resources
Readings
Buttaro T. M. Trybulski J. Polgar Bailey P. & Sandberg-Cook J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis MO: Mosby. ?Part 13 Evaluation and Management of Genitourinary Disorders (pp. 723793)
This part explores the pathophysiology clinical presentation and management of genitourinary disorders including incontinence and prostate disorders. It also provides a differential diagnosis for genitourinary disorders.
?Part 14 Evaluation and Management of Gynecologic Concerns (pp. 794886)
This part examines the pathophysiology and clinical presentation of health problems affecting women and explores intervention and prevention methods for these health concerns.
Marroquin J. (2011). To screen or not to screen: Ongoing debate in the early detection of prostate cancer. Clinical Journal of Oncology Nursing 15(1) 9798.
Retrieved from the Walden Library databases.
This article analyzes the controversy surrounding prostate cancer screening. The strengths and limitations of prostate cancer screenings are also examined.
Optional Resources
Drugs.com. (n.d.). Retrieved November 28 2012 from www.drugs.com
Institute for Safe Medication Practices. (n.d.). Retrieved November 28 2012 from http://www.ismp.org/
WebMD. (2012). Medscape. Retrieved from http://www.medscape.com/


 

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