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 2
Case 1 Case 2 Case 3
Chief “I had a severe
Compl “It burns when I headache yesterday “I have been having aint urinate” with difficulty to frequents headaches
(CC) speak” lately”
A 64-year-old African American female who reports having a
A 68-year-old
severe pulsatile diffuse
Histor Caucasian male who headache yesterday A 25-year-old y of reports to have with sudden difficulty Hispanic female Prese increase on the to talk with last for presents to your clinic nt frequency of urination about two hours. She with a headache Illness with urgency for the did not seek medical located on right
(HPI) last 5 days. He also attention. This temporal area, present dysuria and pulsatile.
morning she woke up nocturia. with no problems but is here today due her husband advise.
Benning prostatic
Atrial Fibrillation, hyperplasia diagnosed
Hypertension. Is
3 years ago, UTI 6 Frequent headaches PMH months ago, allergic to Non- since I was 15, with
steroidal Anti-
Lithotripsy left kidney menses.
inflammatory drugs
10 years ago. No
Aspirin issues after treatment
Drug Rosuvastatin 20 mg Losartan 50 mg Ibuprofen for Hx Olmesartan 20 mg Xarelto 15 mg BID Headaches
Light makes headache
Fever and chills, no worst Nausea changes in vision or associated with hearing, no difficulty
headaches. No Subje chewing or Feels Palpitations, vomiting, Headaches ctive swallowing. No joint pain with improve usually with sexually active, yesterday’s episode rest, ibuprofen, and nocturia, dysuria. sleep, but it is
Yellowish urethral annoying to have to secretion.
sleep all-day
Objective Data
B/P 131/80;
B/P 150/96; Pulse 89; temperature 98.2°F;
VS RR 16; Temp 99.4; Ht (RR) 18; (HR) 84, B/P 108/64; Pulse 86;
RR 16; Temp 98.6; 6,1; wt 180; irregular; oxygen saturation (PO2) 96%;
25-year-old female appears well Gener well-developed male, well-developed developed and wellal no acute distress female, no acute nourished, healthy
distress appearing, wearing
dark glasses in a dim room
Atraumatic,
Atraumatic, normocephalic, normocephalic, no injection, anicteric, PERRLA, EOMI, arcus
HEEN senilus bilaterally, PERRLA, EOMI, PERRLA, EOMs intact, T conjunctiva and sclera conjunctiva and sclera without pain to
clear; nares patent, movement; normal clear, nares patent, nasopharynx clear, vision nasopharynx clear, good dentition. edentulous.
Lungs CTA AP&L CTA AP&L CTA AP&L
Card S1S2 without rub or Irregular heart beat gallop S4 present with normal rate
S1S2 without rub or gallop
No tenderness No tenderness
Abd normoactive bowel normoactive bowel sounds x 4; sounds x 4;
Rectal Warm, swollen and exam painful prostate gland Non contributory
Integu good skin turgor intact without lesions ment noted, moist mucous masses or rashes. membranes
No obvious No obvious deficits
Neuro deformities, CN and CN grossly intact grossly intact II-XII II-XII
benign, normoactive bowel sounds x 4; Non contributory
intact without lesions masses or rashes.
Cranial nerves II to XII intact; sensation intact, DTRs 2+ throughout. Functional neurological exam is
WNL
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.
6. What teachings will you provide?
Submission Instructions:
• Your instructor will assign you your case number and you will post on the case number you have been assigned.
• You will reply to the other two case studies (One of each).
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points