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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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99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| will try my best
Forum Guru
Topics: 48
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Is prostatitis the answer?
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| liliaeliz
Forum Elite
Topics: 47
Posts: 429
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ACUTE:febril,irritative voiding,
rectal exam severe pain,
U.A piuria bacte.and hematuria
,cbc leucocitosis
CHRONIC afebril,irritative voiding
rectal exam normal
U.A normal
prostatic secretion >10 WBC,pathogen
no bacteriana afebril ,irritative voiding
rectal exam normal
UA normal
prostatic secretion leucocites >10wbc ,no pathogen
prostodinia afebril ,irritative voiding and everthing normal
HBP irritative or obstructive voiding ,enlargement prostate
prostate Ca irritative voiding induration
THE PSA increase ,prostatitis ,HBP (50 year old, and , ca prostate
can be E
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Forum Guru
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Thanks Liliaeliz
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