Difficulty initiating a stream of urine

 

C​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ase Study # 1 Paul is 74 years old. He comes to see you with a chief complaint of difficulty initiating a stream of urine, urinating small amounts and dribbling. He has been able to put up with this for a year or two, but his symptoms are worsening quickly. He is beginning to decline social invitations because of the symptoms. He has no family history of prostate cancer, and his PSA was normal and not rising for the last few years. What will you evaluate right in your office? If you can only order one​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ test for Paul what would it be? What agents will you consider using in Paul and when will you expect a response? Case Study # 2 Sophia is 4 years old. Sophia attends daycare 3 days per week. She is usually a perky and pleasant child. Sophia has no underlying health problems. However, she has had fever, vomiting and diarrhea for 2 days. Her Mom brings her to see you stating that the fever and vomiting have subsided today, but that her diarrhea persists. What is your recommendation to Mom and Sophia​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​?

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Reference no: EM132069492

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