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Acute prostatitis and uretheral catheterization

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urology-
4K views 7 replies 6 participants last post by  slumdog 
#1 ·
A 46-year-old man comes to the physician because of a 2-day history of fever and chills. His fever was gradual in onset. He also complains of perineal and back pain, which is worse towards the sacral area. He has repeated urges to urinate, along with pain on micturition. Rectal examination shows a boggy, exquisitely tender prostate. Laboratory studies show:
Nitrite +++

WBC 50+

Protein +

Blood ++

Which of the following is the most appropriate next step in management?
A. Send culture of post-prostatic massage sample
B. Send culture of mid-stream urine sample
C. Administer alpha blocking agents
D. Start empirical treatment on an outpatient basis
E. Urethral catheterization

please support ur ans with expln
 
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#5 ·
but i jus read that u do some massage before collecting the urine sample in case of prostatitis ( kinda weird lol) plus this patients prostae is redboggy n stuff.
but ya then again wen we are sure of infection. y go thru hassle giv the treamtment stargihtway
 
#8 ·
Ac Prostatitis.

Correct answer must be

D. Start empirical treatment on an outpatient basis

I rule out B and C here for the following reasons.

C is also an optional but empirical Abc therapy can provide timely help.

Midstream urine could be an option, but not when patient has got hematuria, boggy and tender prostate.
 
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