A&P Basics BIOL 2404 Case Study: Male Reproduction Dr. Weis
Doctor’s Hospital Summary Report
Admission Date:
Discharge Date:
History:
A 44 year old male presented with lower back pain, urinary urgency, nocturia, dysuria, and cloudy urine. Urinalysis and culture were performed. Prostatic palpation revealed a slightly enlarged, warm, painful gland. PSA results were normal. Prostatic fluid was obtained and submitted for analysis.
Assessment: Acute Prostatitis
Plan: Systemic antibiotics were prescribed
Follow up exam revealed an enlarged firm prostate that was nonpainful upon palpation. The patient is still experiencing some degree of urinary obstruction and a persistent urethral discharge. Culture results from the previous exam revealed a gram negative bacteria that was sensitive to the antibiotics previously prescribed.
PSA and the urinalysis were repeated and a prostatic massage was performed.
Assessment: Congestive Prostatitis
Plan: Regular Prostatic massage and a prescription for analgesics was recommended.
A TURP may be scheduled if medical management is unsuccessful.