Mr. K. is a 70-year-old Native American male who presents with complaints of nocturia. He indicates that he has been waking up to urinate more than 3 times each night. In addition, he reports having urinary frequency during the day, starting and stopping a stream, and doesn't feel like his bladder is completely empty after urination. He denies any pain on urination, fever or chills. His last PSA 2 years ago was negative.
PMH: arthritis in both knees; takes over the counter ibuprofen as needed for joint pain.
Social history: non-smoker; drinks 2-3 beers on the weekend
Discussion Questions Part One
What additional assessments/diagnostic tests might be helpful in the work-up? (patient's chief complaint)
Conduct a ROS on this patient.
List your differential diagnoses.
Share at least one tool that could be used to assess the severity of urinary symptoms in men.
What primary diagnosis are you choosing at this point?