A male patient is seeing his primary care physician with complaints of dribbling after he urinates...
A male patient is seeing his primary care physician with complaints of dribbling after he urinates and having a hard time starting his stream of urine.
You are the nurse at the clinic. The patient has checked in and is waiting in the waiting room. Please get the patient from the waiting room and perform the necessary assessments so you can give the doctor the information he needs. Educate the patient about any diagnostics the doctor may perform or order.
Homework Answers
Urinary retention and incomplete bladder emptying are the common causes for urine dribbling. This is due to either urethral obstruction or inability of the bladder to contract or it may be due to benign prostatic hypertrophy or may be because of spinal cord injuries and also sexually transmitted diseases.
Physical examination includes palpating lower abdomen, Rectal examination, performing urine ultra sound, cystoscopy for checking the lining of the bladder and urethra, Electromyography in case if suspects that this can be due to nerves problem.Culture and sensitivity of urine to identify urinary tract infections.
Rectal Examination : Education can be given to the patient about the importance of rectal examination in identifying prostatic hypertrophy.Explain the patient that digital examination provides information on Fecal load and also anal tone which are one of the causes for BPH.
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