An older male with an enlarged prostate complains of polyuria and flank pain. He is at risk for what type of acute renal failure?
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Scenario/SummaryHistory:Mr. P is 77 yrs old and is having urinary problems. He urinates more frequently than he did when he was younger, but he still can't seem to fully empty his bladder. He has to get up several times at night to use the bathroom and it is exhausting him!Physical exam: consider what exam would be helpful in determining his diagnosisLabs: urinalysis is normalAssessment: Urinary obstruction due to ______? Trace the flow of urine from the collecting duct to the urethral meatus.Based on your knowledge of the male urinary tract, what normal organ is most likely obstructing the urinary outflow?Based on the anatomic location of this structure, how can this structure be examined?Based on your knowledge of anatomical differences, why are women more likely than men to get urinary tract infections?Predict the consequences of the inability to empty the bladder. Please provide sources. Thank You
Adi S.
Scenario 2: An 82-year-old man suffers from hematuria, dysuria, chronic UTIs, and BPH. At the moment, he has nocturia three times each night with a slow urinary stream. A CT scan showed a distended bladder with a great amount of unvoided urine, post-urination. A biopsy was performed, and there was evidence of ulceration and chronic cystitis. 6. The patient has a history of: a) Bladder cancer b) Prostate cancer c) Painful urination d) Protein in his urine 7. What x-ray test showed an abnormality of the bladder? a) Cystoscopy b) Pelvic ultrasound c) Cystourethrogram d) Computed tomography 8. What did the biopsy show? a) Inflammation and defect in the bladder lining b) Carcinoma of the bladder c) Distended urinary bladder d) Hernia of the ureter 9. What is BPH? 10. What symptoms are associated with BPH?
A 50-year-old man comes to the physician because of increasingly severe abdominal pain and decreased urine output over the past 3 days. Examination shows tenderness of the suprapubic abdominal region. Ultrasonography of the kidneys shows marked dilation of both ureters and the renal calyces. Which of the following findings is most likely in this patient? A) Decreased glomerular filtration B] Decreased plasma renin activity C) Decreased serum angiotensin II concentration D) Increased erythropoietin production E) Increased renal blood flow F) Normal ability to concentrate urine
James K.
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