Please see attached document for assignment work. 

GU Case Study B

Mr. Frias is a 64-year-old Dominican businessman who comes into the office with complaints of difficulty urinating. He stated that he has excellent health except for a recent cold. Last night when he got up to go to the bathroom, he found that he had extreme difficulty starting his urine stream. Only a small amount of urine passed, and he felt the urge to urinate more. He has noticed some nocturia and slight hesitancy.

PMH: elevated lipids, chronic knee pain

Social: Married 40 years, two children, no smoking, two Etoh a week

Medications: ibuprofen PRN, Sudafed PRN

PE: Abdomen soft, non-tender without masses or organomegaly. No CVA tenderness. Genitalia with uncircumcised penis, testes descended without masses or tenderness. o hernia or lymphadenopathy. Rectal: good sphincter tone. Prostate slightly enlarged, palpably firm, and non-tender with no bogginess or masses. Hemoccult negative.

1. What additional history would you need to further explore the patient’s chief complaint? A bulleted list with referencing is sufficient.

2. Focused for this visit, what lab tests would be most helpful?

3. List three differentials, including your final diagnosis. What differentials would you discuss with Mr. Frias? What subjective information or physical presentation signs would lead you to consider the working diagnosis or rule it out?

4. Explain the etiology of his current complaint with respect to medications and prostate enlargement.

Important Instruction

Remember to include a cover page and use APA formatting for references.

Refer to the GRADING RUBRIC for details on how this assignment will be graded.

For this paper, you must provide 10-12 pages well written evidence-based research paper according to the rubric guidelines, follow the APA format formatting for references and support your paper with at least 5 to 7 nursing or medical evidence-based research articles not older than 7 yrs.

please take time to read and review it, if the paper is not up a master’s degree level standard, i will not accept the work. I just want to be clear about that before i assigned it to anyone. This is an advanced degree work that requires a write with the background and experience