ling
Forum Senior
Topics: 23
Posts: 46
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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: 5,125
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E--> Prostatitis
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The Key to Succeed is Patience.
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| ling
Forum Senior
Topics: 23
Posts: 46
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robin,can u explain plz
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| nadiabarati
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E
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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tender prostate, recurrent episode, normal urine-->chronic prostatitis
___________________
The Key to Succeed is Patience.
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| yasmeen
Forum Guru
Topics: 67
Posts: 936
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PROSTATITIS
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| ling
Forum Senior
Topics: 23
Posts: 46
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i think it is prostadynia.
any comments?
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| ling
Forum Senior
Topics: 23
Posts: 46
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sorry,i confused,prosatitis is correct
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| Justice
Forum Fanatic
Topics: 101
Posts: 1,988
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(E)
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Don't live in a town where there are no doctors
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| r_albayunen
Forum Senior
Topics: 0
Posts: 218
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its E
this is a Nonbacterial Prostatitis. clue-> tenderness!
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| ashfaque
Forum Newbie
Topics: 0
Posts: 142
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E as tender prostate, 32 yrs age,pluuuuus increased serum PSA
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