On physical exam of a 55-year-old male patient, you palpate the prostate gland and feel a mass. He denies nocturia and urinary hesitancy. Which of the following additional physical exam findings would suggest prostate cancer instead of a benign prostatic condition? Answers: A - D A Soft and Warm B Symmetrically enlarged C non-tender D Unilateral firmness

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**Clinical Question:**

During the physical examination of a 55-year-old male patient, you palpate the prostate gland and discover a mass. The patient denies experiencing nocturia and urinary hesitancy. Which of the following additional physical examination findings would suggest prostate cancer instead of a benign prostatic condition?

**Possible Answers:**

A. Soft and Warm

B. Symmetrically enlarged

C. Non-tender

D. Unilateral firmness

**Discussion:**

In the context of prostate examination, distinguishing features can help differentiate between benign prostatic conditions and potential prostate cancer. Consider the characteristics you palpate:

- **Unilateral Firmness (Option D):** Typically associated with prostate cancer, as it may indicate a localized, potentially cancerous lesion.
- **Symmetrical Enlargement (Option B):** More indicative of benign prostatic hyperplasia (BPH), a common non-cancerous enlargement of the prostate.
- **Soft and Warm (Option A):** Could suggest inflammation or infection, such as prostatitis.
- **Non-tender (Option C):** Common in both benign enlargement and cancer, not particularly indicative of cancer alone.

Key considerations in prostate examinations can help healthcare providers appropriately assess symptoms and determine further diagnostic steps.
Transcribed Image Text:**Clinical Question:** During the physical examination of a 55-year-old male patient, you palpate the prostate gland and discover a mass. The patient denies experiencing nocturia and urinary hesitancy. Which of the following additional physical examination findings would suggest prostate cancer instead of a benign prostatic condition? **Possible Answers:** A. Soft and Warm B. Symmetrically enlarged C. Non-tender D. Unilateral firmness **Discussion:** In the context of prostate examination, distinguishing features can help differentiate between benign prostatic conditions and potential prostate cancer. Consider the characteristics you palpate: - **Unilateral Firmness (Option D):** Typically associated with prostate cancer, as it may indicate a localized, potentially cancerous lesion. - **Symmetrical Enlargement (Option B):** More indicative of benign prostatic hyperplasia (BPH), a common non-cancerous enlargement of the prostate. - **Soft and Warm (Option A):** Could suggest inflammation or infection, such as prostatitis. - **Non-tender (Option C):** Common in both benign enlargement and cancer, not particularly indicative of cancer alone. Key considerations in prostate examinations can help healthcare providers appropriately assess symptoms and determine further diagnostic steps.
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