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Benign Prostatic Hyperplasia Case Study 55

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Benign Prostatic Hyperplasia Case Study 55

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Case Study 55 I I


Benign Prostatic Hyperplasia I I




1. What can you tell S.M. about his lab work? I I I I I I I I




S.M lab results came back normal. However, his PSA level is slightly ele-
I I I I I I I I I I I I


vated.
I




2. What is the significance of the PSA result? I I I I I I I




A higher PSA result could indicate Benign Prostate Hyperplasia or Prostate
I I I I I I I I I I


Cancer. Although S.M’s PSA is slightly elevated, it should still be evaluated
I I I I I I I I I I I I


further.
I




3. What other specific examination will S.M. need to have along with
I I I I I I I I I I


the PSA test?
I I I




Along the PSA test, S.M. needs to have a history and physical examination
I I I I I I I I I I I I


given by the doctor, along with digital rectal exam, serum creatinine, post
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void residual, and trans rectal ultrasound.
I I I I I I




4. Why did S.M. try taking the saw palmetto, and why do you think he
I I I I I I I I I I I I I


stopped taking it?
I I I




Saw Palmetto is known for its effectiveness in decreasing symptoms of an
I I I I I I I I I I I


enlarged prostate, that’s why S.M. tried taking it. However, I think he
I I I I I I I I I I I I


stopped because this can lead to impotency.
I I I I I I I




5. S.M. is curious why his enlarged prostate would affect his urination.
I I I I I I I I I I


He is concerned that he has prostate cancer. What would you teach
I I I I I I I I I I I I


him?
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BPH is caused by nodular hyperplasia (increase in the number of cells) and
I I I I I I I I I I I I


hypertrophy (increase in size of the existing cells) of the prostate gland. As
I I I I I I I I I I I I I


the gland increases in size, the tissues that surround the prostatic urethra
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compress it, causing the symptoms of urethral obstruction and secondary
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irritative symptoms. I would tell S.M. that his blood test results indicate it is
I I I I I I I I I I I I I I




This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-03-2022 I03:06:29 IGMT I-
06:00

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Type
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A+

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