A 70-year-old man comes to the physician because of nocturia. He states that over the past two years his urinary frequency has increased and he has to strain while passing urine. He also notes dribbling of a few drops of urine at the end of voiding. Sometimes he has to void again within two hours. He has no other symptoms. He has no history of diabetes mellitus, stroke or trauma. He does not take any medication. His father had surgery of the prostate for benign prostatic hyperplasia. He has a 15-pack-years history of cigarette smoking. Rectal examination shows smooth, firm enlargement of the prostate with no induration. Neurological examination shows no abnormalities. Laboratory study shows a serum creatinine at 7 mg/dl.
Which of the following studies is indicated at this time?
A. Blood urea nitrogen
B. Ultrasound of kidney, bladder and ureter
C. Intravenous pyelogram
D. Serum prostate specific antigen
E. Cystoscopy
F. Urinalysis
A 70-year-old man comes to the physician because of nocturia. He states that over the past two years his
urinary frequency has increased and he has to strain while passing urine. He also notes dribbling of a few
drops of urine at the end of voiding. Sometimes he has to void again within two hours. He has no other
symptoms. He has no history of diabetes mellitus, stroke or trauma. He does not take any medication. His
father had surgery of the prostate for benign prostatic hyperplasia. He has a 15-pack-years history of
cigarette smoking. Rectal examination shows smooth, firm enlargement of the prostate with no
induration. Neurological examination shows no abnormalities. Laboratory study shows a serum creatinine a·
0 7 mg/dl W hich of the following studies is indicated at this time?
A. Blood urea nitrogen
B. Ultrasound of kidney, bladder and ureter
C. Intravenous pyelogram
D. Serum prostate specific antigen
E. Cystoscopy
F. Urinalysis
That would be F. urinalysis.
B. Ultrasound of kidney, bladder and ureter - might be a secondary part
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