Neurological & Male Genitourinary Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.
| Case 1 | Case 2 | Case 3 | |
| Chief Complaint (CC) | “It burns when I urinate” | “I had a severe headache yesterday with difficulty to speak” | “I have been having frequents headaches lately” |
| History of Present Illness (HPI) | A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia. | A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise. | A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile. |
| PMH | Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment | Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin | Frequent headaches since I was 15, with menses. |
| Drug Hx | Rosuvastatin 20 mg Olmesartan 20 mg | Losartan 50 mg Xarelto 15 mg BID | Ibuprofen for Headaches |
| Subjective | Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria. Yellowish urethral secretion. | Feels Palpitations, joint pain with yesterday’s episode | Light makes headache worst Nausea associated with headaches. No vomiting, Headaches improve usually with rest, ibuprofen, and sleep, but it is annoying to have to sleep all-day |
| Objective Data | |||
|---|---|---|---|
| VS | B/P 150/96; Pulse 89; RR 16; Temp 99.4; Ht 6,1; wt 180; | B/P 131/80; temperature 98.2°F; (RR) 18; (HR) 84, irregular; oxygen saturation (PO2) 96%; | B/P 108/64; Pulse 86; RR 16; Temp 98.6; |
| General | well-developed male, no acute distress | well-developed female, no acute distress | 25-year-old f
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Answer preview
The case on “It burns when I urinate” involves a 68 years old Caucasian male who experiences an increase in urine frequency and burning urination. The patient presents a medical history, such as kidney stones, Urinary Tract Infection, dysuria, and enlarged prostate. However, additional subjective and objective data must be conducted to examine the situation. Based on the symptoms, three differential diagnoses include Urinary Tract Infection, kidney stones, and prostate cancer.
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