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60 Yr Male with hesitancy, poor stream, straining, incomplete voiding…
60 Yr Male with hesitancy, poor stream, straining, incomplete voiding
Chronic
Neoplastic
Prostate Cancer
Hx: painless hematuria, loss of weight PE: DRE - hard, irregularly nodular prostate
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Neurologic [ weakness, history of trauma]
Peripheral
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Neurogenic Bladder
Hx: Neurological Disease, lax anal tone PE: Babinski
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Drug
Anti-cholinergic (antihistamine, antipsychotics, TCA)
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Infection (Dysuria)
Prostatis
Fever, dysuria, freqeuncy, urgency PE: Suprapubic tenderness
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Acute
Obstructive
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BPH (AUR/CLUTS)
S: nocturia, frequencyPE: DRE-smooth enlarged prostate
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Urethral Stricture (AUR)
Hx: urinary instrumentation, urologic surgery
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