Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. Urinary Obstruction Case Studies The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft. Studies Results Routine laboratory studies Within normal limits (WNL) Intravenous pyelogram (IVP) Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate Uroflowmetry with total voided flow of 225 mL 8 mL/sec (normal: >12 mL/sec) Cystometry Resting bladder pressure: 35 cm H2O (normal: <40 cm h2o) peak bladder pressure: 50 h2o (normal: 40-90 electromyography of the pelvic sphincter muscle normal resting with a positive tonus limb cystoscopy benign prostatic hypertrophy (bph) acid phosphatase (pap) 0.5 units l 0.11-0.60 l) prostate specificantigen (psa) 1.0 ngml <4 ml) ultrasound diffusely enlarged prostate;no localized tumor diagnosticanalysis because patients symptoms, outlet obstruction was highly suspected. physical examination indicated an prostate. ivp studies corroborated that finding. reduced urine flow rate distal to urinary bladder. patient found have total voided volume, one could not say result inadequately distended rather, appropriately distended, yet decreased. this obstruction. cystogram capable mounting effective pressure and atonic compatible neurologic disease. again able contract. normal, indicating appropriate muscular function based on these studies, diagnosed pap psa (bph). supported diagnosis. documented finding, treated by transurethral resection (turp). did well postoperatively had major problems. critical thinking questions does bph predispose cancer? why are patients at increased risk for tract infections? what would you expect level be after surgery? is recommended screening guidelines treatment bph? some alternative treatments >
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