Question

You are a medical assistant (CCMA) working for urologist Phillip Johnson, MS, in the Urology Clinic at Fulwood Medical Center. You are communicating with Mr. Roald Detrick, a 60-year-old-man, who has been referred to the Urology Clinic.

Patient Interview: Mr. Detrick complains of having to get out of bed to urinate four or five times at night. He has difficulty starting urination, has a weak stream, and feels he is not emptying his bladder completely. He has lost interest in sex. His physical examination is unremarkable except that a digital rectal examination (DRE) reveals a diffusely enlarged prostate with no nodules.

Discussion Questions:

1. What are Mr. Detrick’s complaints?
2. What does the abbreviation ‘DRE’ mean?
3. What did Mr. Detrick’s DRE reveal?
4. What is a nodule?
5. Mr. Detrick presented to the Urology Clinic with nocturia, polyuria, and dysuria. Briefly define each term for your patient in a clear, easy-to-understand way.

1. Nocturia
2. Polyuria
3. Dysuria

6. Building on the suffix “uria”, what is “hematuria”?

Answer 1

1.Mr. Detrick whines of getting up to pee four or multiple times around evening time. He experiences issues beginning pee, has a feeble stream, and feels he isn't exhausting his bladder totally. He has lost enthusiasm for sex.

2.Digital Rectal Examination

3.diffussely Enlarged postate with no nodules

4.A knob is a development of anomalous tissue. Knobs can grow just beneath the skin. They can likewise create in more profound skin tissues or interior organs. Dermatologists use knobs as a general term to depict any protuberance underneath the skin that is at any rate 1 centimeter in size

5.Nocturia is a condition wherein you wake up during the night since you need to pee. Causes incorporate high liquid admission, rest issue, and bladder hindrance. Treatment incorporates certain exercises, for example, limiting liquids. There are likewise prescriptions that lessen side effects of overactive bladder

Specialists may likewise endorse drugs to treat nocturia. Antidiuretics, for example, desmopressin can be taken to diminish the measure of pee created.

Treatment for nocturia

darifenacin.

festerodine.

oxybutynin.

solifenacin.

tolterodine.

trospium.

The most well-known reason for polyuria in the two grown-ups and youngsters is uncontrolled diabetes mellitus, which causes osmotic diuresis, when glucose levels are high to such an extent that glucose is discharged in the pee. Water follows the glucose fixation inactively, prompting anomalous high pee yield.

The over the top entry of pee (in any event 2.5 liters every day for a grown-up) bringing about plentiful pee and urinary recurrence (the need to pee much of the time). Polyuria is a great indication of diabetes mellitus that is under poor control or isn't yet under treatment.

disease of the urinary tract (urethra, bladder, or kidneys) is the most widely recognized reason for dysuria. ... Explicitly transmitted illnesses can likewise create side effects of dysuria. Different reasons for dysuria include: Trauma: nearby injury or aggravation because of catheter arrangement or sexual contact.

Treatment of dysuria relies upon its motivation: Cystitis and pyelonephritis — These diseases, ordinarily brought about by microscopic organisms, can be relieved with anti-toxins taken by mouth. Anti-microbials might be surrendered to a vein (intravenously) for extreme pyelonephritis with high fever, shaking chills and retching

6.Hematuria is the nearness of blood in an individual's pee. The two kinds of hematuria are. net hematuria—when an individual can see the blood in their pee. minute hematuria—when an individual can't see the blood in their pee, yet it is seen under a magnifying lens.