dr_jojo
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A 32-year-old man comes to the physician because of a 3-day history of low back pain, urinary hesitancy, and pain with urination. He has had several similar episodes over the past 3 years. He has not had any urethral discharge or recent sexual contacts. His temperature is 37.2 C (98.9 F), and blood pressure is 126/76 mm Hg. The lungs are clear to auscultation; there is no costovertebral angle tenderness. Abdominal examination shows no tenderness or masses. There is no tenderness to palpation of the lower back. Straight-leg raising to 90 degrees is negative. There are no motor or sensory deficits in the lower extremities. Rectal examination shows a diffuse, minimally enlarged, tender prostate with no masses. Laboratory studies show:
Serum prostate-specific antigen 6 ng/mL (N<4)
Urine
Specific gravity 1.020
Blood negative
Glucose negative
Ketones negative
Leukocyte esterase negative
Nitrites negative
Which of the following is the most likely diagnosis?
A
) Benign prostatic hypertrophy
B
) Cystitis
C
) Epididymitis
D
) Prostate cancer
E
) Prostatitis
F
) Pyelonephritis
G
) Urolithiasis
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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E
) Prostatitis
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| Geroo
Forum Guru
Topics: 114
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E
) Prostatitis
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| dr in trouble
Forum Guru
Topics: 62
Posts: 610
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E--prostatis--what organisms causes prostatitis???/
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| huyniid
Forum Elite
Topics: 9
Posts: 195
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Chronic prostatitis. If urine culture (+) after prostate massage--> bacterial (Gram - rods). If not, nonbacterial (Chlamydia, Mycoplasma, Ureplasma, viral or else...) (CDMT 2007)
Edited by huyniid on 03/10/07 - 06:14 PM
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| eaguin
Forum Senior
Topics: 9
Posts: 162
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Why Benign prostatic hypertrophy is not a good answer?
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