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Case study-BPH-completed.docx - Case Study 70 Name:        ...

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Case Study 70Name:Date: 9/19/20► ScenarioS.M.is a 68-year-old man who Is being seen at your clinic for routine health maintenanceand health promotion. He reports that he has been feeling well and has no specificcomplaints, except for some trouble "emptying my bladder:' Vitalsigns at this visit are148/88, 82, 16, 96.9°F (36.1°C). He had a complete blood count and complete metabolicpanel completed1week before his visit, and the results are listed in the chart.Chart ViewLaboratory Test ResultsSodiumPotassiumChlorideBicarbonateBUNCreatinineGlucoseRBCWBCHgbHctPlateletsProstate-specific antigen(PSA) Urinalysis1.What can you tell S.M. about his lab work?140 mEq/L (140 mmol/L)4.2 mEq/L (4.2mmol/L) 100mEq/L (100mmol/L) 26 mEq/L(26 mmol/L) 19mg/dL (6.8mmol/L)0.8 mg/dL (72mcmol/L) 94mg/dL (5.2mmol/L)5.2 million/mm3(5.2 x 1012/L)7400/mm3(7.4 x 109/L)15.2 g/dL (152g/L)46%348,000/mm3(348 x 109/L)4.23 ng/mL (4.23mcg/L) Withinnormal limits
2.What is the significance of the PSA result?
3.What other specific examination will S.M. need to have along with the PSA test?
CASE STUDY PROGRESSWhile obtaining your nursing history, you record no family history of cancer or othergenitourinary problems. S.M. reports frequency, urgency, and nocturia x 4; he has a weakstream and has to sit to void. These symptoms have been progressive over the past 6months. He reports he was diagnosed with a "large prostate" a number of years ago. Last

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Term
Summer
Professor
N/A
Tags
Urology, S M

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