Week 7 discussion
Urinary Frequency
Urinary frequency is a genitourinary disorder that presents
problems for adults across the lifespan. It can be the result of various
systemic disorders such as diabetes, urinary tract infections, enlarged
prostates, kidney infections, or prostate cancer. Many of these disorders have
very serious implications requiring thorough patient evaluations. When
evaluating patients, it is essential to carefully assess the patient’s
personal, medical, and family history prior to recommending certain physical
exams and diagnostic testing, as sometimes the benefits of these exams do not
outweigh the risks. In this Discussion, you examine a case study of a patient
presenting with urinary frequency. Based on the provided patient information,
how would you diagnose and treat the patient?
Consider the following case study:
A 52-year-old African American male presents to an urgent
care center complaining of urinary frequency and nocturia. The symptoms have
been present for several months and have increased in frequency over the past
week. He has been unable to sleep because of the need to urinate at least
hourly all day and night. He does not have a primary care provider and has not
seen a doctor in more than 10 years. His father died when he was a child in an
automobile accident, and his mother is 79 years old and has hypertension. The
patient has no siblings. His social history includes the following: banker by
profession, divorced father of two grown children, non-smoker, and occasionally
consumes alcohol on weekends only.
To prepare:
Review Part 13 of the Buttaro et al. text in this week’s
Learning Resources.
Review the case study and reflect on the information
provided about the patient.
Think about the personal, medical, and family history you
need to obtain from the patient in the case study. Reflect on what questions
you might ask during an evaluation.
Consider types of physical exams and diagnostics that might
be appropriate for evaluation of the patient in the study.
Reflect on a possible diagnosis for the patient.
Review the Marroquin article in this week’s Learning
Resources. If you suspect prostate cancer, consider whether or not you would
recommend a biopsy.
Think about potential treatment options for the patient.
Post on or before Day 3 a description of the history that
you need to obtain from the patient in the case study. Include a list of
questions that you might ask the patient. Then, describe types of physical
exams and diagnostics that might be appropriate for evaluation of the patient.
Finally, explain a possible diagnosis, as well as potential treatment options
for the patient based on this diagnosis.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your
colleagues on two different days who provided different patient diagnoses than
you, in one or more of the following ways:
Offer alternative treatment options.
Validate an idea with your own clinical experiences and
additional research.
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