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The patient was said to have possible BPH.Describe this condition

The patient was said to have possible BPH.Describe this condition

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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The patient was said to have possible BPH.Describe this condition?
AutoSave HINM115CaseStudySU21 (2) - Compatibility Mode - Word 2Search File Home Torres, Amy R Insert Draw Design Layout References Mailings Review View Help Grammarly A Shar Verdana - A A" Aa - A - 11 PFind - AaBbCcl AABBCC AaBbCc[ Paste U - ab x A- 2. A- 三三、 、田、 Replace Emphasis T Heading 1 T Heading 2 Dictate Editor Reuse Creative A Select - Clipboard Font Files Cloud Gr Paragraph Styles wwwwwww w wwww Editing Voice Editor Reuse Files Adobe Gr Admitted: 11/1/19 Discharged: 11/12/19 Chief Complaint: This 66 y.o. male was admitted for nausea, vomiting and anorexia of three days duration. The patient also complained of recent RUQ pain and pyrosis after heavy meals. This is the second hospital admission for this 66 y.o. male patient with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophogeal reflux disease, PUD (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and he had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream. Physical Examination: The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Tem and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the exam was within normal limits. erature was slightly elevated at 100.6. Pulse was 72 Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. Impression: Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out tumor. Consider EGD due to history of GERD and PUD. Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. The patient underwent laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology revealed chronic cholecystitis and cholelithiasis. Page 1 of 7 D Focus 目 尾 909 words 80°F P Type here to search DELL
Transcribed Image Text:AutoSave HINM115CaseStudySU21 (2) - Compatibility Mode - Word 2Search File Home Torres, Amy R Insert Draw Design Layout References Mailings Review View Help Grammarly A Shar Verdana - A A" Aa - A - 11 PFind - AaBbCcl AABBCC AaBbCc[ Paste U - ab x A- 2. A- 三三、 、田、 Replace Emphasis T Heading 1 T Heading 2 Dictate Editor Reuse Creative A Select - Clipboard Font Files Cloud Gr Paragraph Styles wwwwwww w wwww Editing Voice Editor Reuse Files Adobe Gr Admitted: 11/1/19 Discharged: 11/12/19 Chief Complaint: This 66 y.o. male was admitted for nausea, vomiting and anorexia of three days duration. The patient also complained of recent RUQ pain and pyrosis after heavy meals. This is the second hospital admission for this 66 y.o. male patient with a known history of chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophogeal reflux disease, PUD (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient had been drinking heavily as he had in the past and he had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one flight of stairs. He denied recent colds, upper respiratory infections, hematemesis or diarrhea. The patient complained of some urinary frequency and urgency. There was a rash noted on the forearms, which the patient had been treating with Benadryl cream. Physical Examination: The patient was in some distress on examination. Examination of the head revealed pupils and eye movements to be within normal limits. The chest was clear and the heart rate was normal. The blood pressure was elevated at 200/120. Tem and respirations were 16. Examination of the abdomen revealed some distention with pain in the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal size. Occult blood was negative. The rest of the exam was within normal limits. erature was slightly elevated at 100.6. Pulse was 72 Laboratory Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. Impression: Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out tumor. Consider EGD due to history of GERD and PUD. Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. The patient underwent laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology revealed chronic cholecystitis and cholelithiasis. Page 1 of 7 D Focus 目 尾 909 words 80°F P Type here to search DELL
Torres, Amy R Insert Draw Design Home Layout References Mailings Review View Help Grammarly 台Shar Verdana 11 A A Aa- A E-E- PFind - AaBbCcl AaBbCc[ AaBbCcl Paste B U - ab x, x A D- A- 信、 -田。 Emphasis T Heading 1 T Heading 2 Replace Dictate Editor Reuse Creative > Select Files Cloud Gra Clipboard l Font Paragraph Styles Editing Voice Editor Reuse Files Adobe Gre The patient tolerated the procedure well. On postop day #2 the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to low concomitant suction. During the hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. Operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on another admission. The patient was treated with IV Levaquin for UTI. The patient's ileus resolved and he was discharged on postop day #5 with plans for outpatient follow-up. The patient's prognosis is favorable. Discharge Diagnoses: Cholelithiasis/Cholecystitis Paralytic Ileus Adenocarcinoma of the Prostate/Gleason's Grade 3 Chronic Kidney Disease Osteoarthritis GERD PUD Contact Dermatitis Status Post TKR UTI Discharge Medications: Zofran Zantac Levaquin Tylenol #3 Dulcolax Flomax D. Focus Page 1 of 7 909 words 80 F O Type here to search DELL <や
Transcribed Image Text:Torres, Amy R Insert Draw Design Home Layout References Mailings Review View Help Grammarly 台Shar Verdana 11 A A Aa- A E-E- PFind - AaBbCcl AaBbCc[ AaBbCcl Paste B U - ab x, x A D- A- 信、 -田。 Emphasis T Heading 1 T Heading 2 Replace Dictate Editor Reuse Creative > Select Files Cloud Gra Clipboard l Font Paragraph Styles Editing Voice Editor Reuse Files Adobe Gre The patient tolerated the procedure well. On postop day #2 the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The patient was treated conservatively with a nasogastric tube to low concomitant suction. During the hospitalization, the patient also underwent transrectal ultrasound of the prostate with biopsy. Operative report revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on another admission. The patient was treated with IV Levaquin for UTI. The patient's ileus resolved and he was discharged on postop day #5 with plans for outpatient follow-up. The patient's prognosis is favorable. Discharge Diagnoses: Cholelithiasis/Cholecystitis Paralytic Ileus Adenocarcinoma of the Prostate/Gleason's Grade 3 Chronic Kidney Disease Osteoarthritis GERD PUD Contact Dermatitis Status Post TKR UTI Discharge Medications: Zofran Zantac Levaquin Tylenol #3 Dulcolax Flomax D. Focus Page 1 of 7 909 words 80 F O Type here to search DELL <や
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