RT Book, Section
A1 Hankin, Mark H.
A1 Morse, Dennis E.
A1 Bennett-Clarke, Carol A.
SR Print(0)
ID 1145871619
T1 Pelvis
T2 Clinical Anatomy: A Case Study Approach
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071628426
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1145871619
RD 2023/03/30
AB Patient  PresentationA  65-year-old  white  male  visits  the  family  medicine  clinic  complaining  of  progressive  difficulty  urinating  over  the  past  6  months.Relevant  Clinical  FindingsHistoryThe  patient  reports  the  frequent  need  to  urinate.  His  urine  stream  is  weak,  it  starts  and  stops,  and  it  "dribbles"  at  the  end.  At  times,  he  also  has  a  burning  sensation  when  he  urinates.Physical  ExaminationDigital  rectal  examination  (DRE)  (Fig.  4.1.1)  revealed  an  enlarged  prostate,  with  a  symmetrical,  smooth,  firm  posterior  surface  that  is  without  tenderness.Laboratory  TestsTable  Graphic  Jump  Location|Download  (.pdf)|PrintTestValueReference  valueErythrocytes  (count)4.54.3–5.6  ×  106/mm3Hematocrit4038.8–46.4%Leukocytes  (count)7.93.54–9.06  ×  103/mm3Prostate-specific  antigen  (PSA)70.0–4.0  ng/mLClinical  NotePSA  is  a  protein  produced  by  the  cells  of  the  prostate  gland.  PSA  levels  can  be  elevated  with  prostatitis,  benign  prostate  hyperplasia,  or  prostate  cancer.  However,  PSA  levels  are  not  diagnostic  between  hyperplasia  and  cancer.Clinical  Problems  to  ConsiderBenign  prostatic  hyperplasia  (BPH)Prostate  carcinoma