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Mr. K. is a 70-year-old Native American male who presents with complaints of nocturia. He indicates that he has been waking up to urinate more than 3 times each night. In addition, he reports having urinary frequency during the day, starting and stopping a stream, and doesn’t feel like his bladder is completely empty after urination. He denies any pain on urination, fever or chills. His last PSA 2 years ago was negative.

PMH: arthritis in both knees; takes over the counter ibuprofen as needed for joint pain.

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Social history: non-smoker; drinks 2-3 beers on the weekend

Discussion Questions Part One

  • What additional assessments/diagnostic tests might be helpful in the work-up? (patient’s chief complaint)
  • Conduct a ROS on this patient.
  • List your differential diagnoses.
  • Share at least one tool that could be used to assess the severity of urinary symptoms in men.
  • What primary diagnosis are you choosing at this point?

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