What is the medication Flomax used for?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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What is the medication Flomax used for?
**Patient Case Study Overview**

**Admitted:** 11/1/19
**Discharged:** 11/12/19

---

### Chief Complaint:
This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, who has a known history of:
- Chronic kidney disease
- Hypertension
- Osteoarthritis
- Asthma
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease (PUD) with prior hemorrhage
- Bilateral total knee replacement

Prior to admission, the patient had been drinking heavily as he had in the past and had tremors. He exhibits dyspnea after climbing one flight of stairs and reports some urinary frequency and urgency. He noted a rash on the forearms, treated with Benadryl cream.

### Physical Examination:
The patient was in some distress during the examination. Key findings include:
- Pupils and eye movements were within normal limits.
- Chest was clear, and heart rate was normal.
- Elevated blood pressure: 200/120
- Slightly elevated temperature: 100.6°F
- Pulse: 72 beats per minute
- Respirations: 16 breaths per minute
- Abdominal examination revealed distention with pain in the RUQ.
- Rectal examination revealed an enlarged prostate with the size of two to three times the normal. Occult blood was negative.
- Other examination results were within normal limits.

### Laboratory Studies:
- Elevated white blood cell count
- Elevated serum bilirubin
- Urinalysis showed:
  - Albuminuria
  - Presence of bacteria
  - Too numerous to count (TNTC) white cells and pus
- Sonography and HIDA scan indicated cholelithiasis.
- Prostate-Specific Antigen (PSA): 19.8

### Impression:
- Cholelithiasis/Cholecystitis
- Enlarged prostate with elevated PSA (consider BPH and rule out tumor)
- Consider Esophagogastroduodenoscopy (EGD) due to history of GERD and PUD.

### Hospital Course:
The patient was diagnosed with cholelithiasis/cholecystitis. After diagnosis, he underwent a laparoscopic cholecystectomy under general endotracheal
Transcribed Image Text:**Patient Case Study Overview** **Admitted:** 11/1/19 **Discharged:** 11/12/19 --- ### Chief Complaint: This 66-year-old male was admitted for nausea, vomiting, and anorexia of three days duration. The patient also complained of recent right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the second hospital admission for this patient, who has a known history of: - Chronic kidney disease - Hypertension - Osteoarthritis - Asthma - Gastroesophageal reflux disease (GERD) - Peptic ulcer disease (PUD) with prior hemorrhage - Bilateral total knee replacement Prior to admission, the patient had been drinking heavily as he had in the past and had tremors. He exhibits dyspnea after climbing one flight of stairs and reports some urinary frequency and urgency. He noted a rash on the forearms, treated with Benadryl cream. ### Physical Examination: The patient was in some distress during the examination. Key findings include: - Pupils and eye movements were within normal limits. - Chest was clear, and heart rate was normal. - Elevated blood pressure: 200/120 - Slightly elevated temperature: 100.6°F - Pulse: 72 beats per minute - Respirations: 16 breaths per minute - Abdominal examination revealed distention with pain in the RUQ. - Rectal examination revealed an enlarged prostate with the size of two to three times the normal. Occult blood was negative. - Other examination results were within normal limits. ### Laboratory Studies: - Elevated white blood cell count - Elevated serum bilirubin - Urinalysis showed: - Albuminuria - Presence of bacteria - Too numerous to count (TNTC) white cells and pus - Sonography and HIDA scan indicated cholelithiasis. - Prostate-Specific Antigen (PSA): 19.8 ### Impression: - Cholelithiasis/Cholecystitis - Enlarged prostate with elevated PSA (consider BPH and rule out tumor) - Consider Esophagogastroduodenoscopy (EGD) due to history of GERD and PUD. ### Hospital Course: The patient was diagnosed with cholelithiasis/cholecystitis. After diagnosis, he underwent a laparoscopic cholecystectomy under general endotracheal
### Patient Case Summary:

The patient tolerated the procedure well. On postoperative 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 reduce low concomitant suction. During the hospitalization, the patient also underwent a transrectal ultrasound of the prostate with a biopsy. The 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. The patient is 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 postoperative 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 (Gastroesophageal Reflux Disease)
- PUD (Peptic Ulcer Disease)
- Contact Dermatitis
- Status Post TKR (Total Knee Replacement)
- UTI (Urinary Tract Infection)

**Discharge Medications:**
- Zofran
- Zantac
- Levaquin
- Tylenol #3
- Dulcolax
- Flomax

---

This transcription has been created for educational purposes and contains clinical terminology and medical insights relevant to healthcare professionals and students. There are no graphs or diagrams available within the document to describe. Always consult a medical professional for detailed explanation and discussion about medical conditions and treatments.
Transcribed Image Text:### Patient Case Summary: The patient tolerated the procedure well. On postoperative 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 reduce low concomitant suction. During the hospitalization, the patient also underwent a transrectal ultrasound of the prostate with a biopsy. The 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. The patient is 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 postoperative 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 (Gastroesophageal Reflux Disease) - PUD (Peptic Ulcer Disease) - Contact Dermatitis - Status Post TKR (Total Knee Replacement) - UTI (Urinary Tract Infection) **Discharge Medications:** - Zofran - Zantac - Levaquin - Tylenol #3 - Dulcolax - Flomax --- This transcription has been created for educational purposes and contains clinical terminology and medical insights relevant to healthcare professionals and students. There are no graphs or diagrams available within the document to describe. Always consult a medical professional for detailed explanation and discussion about medical conditions and treatments.
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