A 71-year-old male farmer presents because he is experiencing a gradual increase of frequency of urination over the previous 4-5 months. He has difficulties starting to urinate, the stream is slow, and he frequently has a sensation of incomplete emptying. He has not had a physical examination in several years. He has no history of sexually transmitted diseases (STDs) or urinary tract infections. Upon examination, his abdomen and his prostate are non-tender. His prostate seems moderately enlarged (estimated at 35 g) but smooth and symmetrical.

What diagnostic test do you recommend as the next step in this patient's management?

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01-05-2021
Health

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A 71-year-old male farmer presents because he is experiencing a gradual increase of frequency of urination over the previous 4-5 months. He has difficulties starting to urinate, the stream is slow, and he frequently has a sensation of incomplete emptying. He has not had a physical examination in several years. He has no history of sexually transmitted diseases (STDs) or urinary tract infections. Upon examination, his abdomen and his prostate are non-tender. His prostate seems moderately enlarged (estimated at 35 g) but smooth and symmetrical.

What diagnostic test do you recommend as the next step in this patient's management?

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francocanacari francocanacari · Answer 1 · 2021-05-03T06:03:28+02:00

Answer:

A urinalysis should be performed, to determine if it is a common urinary infection or if it is some type of more serious complication, of an oncological type.

Explanation:

Urinalysis makes it possible to screen for a number of conditions in a simple and non-invasive way. It can be performed in different ways, depending on the condition the doctor suspects the patient of. First of all, when looking at the aspect of the urine, a few things can stand out. Other research consists of the semi-quantitative measurement of different determinations with the aid of a urine strip. This type of test is often used to screen for urinary tract infections, blood in the urine or glucose and / or ketones in the urine. In addition, microscopic examination can be done in urine. This is usually done to see if someone has certain types of cells or cylinders in their urine, which could indicate kidney disease. A culture can also be performed in urine to find out which bacteria are responsible for a urinary tract infection. Finally, a urinalysis is also performed if a hereditary metabolic metabolic disease is suspected.