NR 603 Week 5 APEA Predictor Assignment Part 2: Advanced Clinical Diagnosis and Practice Across Life Span; Chamberlain

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TB is a 50-year-old Caucasian male that presents to the primary care office with the chief complaint of dysuria, urinary frequency, inability to completely empty his bladder, post void dribbling, peri... neal pain, and pain at the tip of the penis.” Subjective: Demographics: TB is a lifelong resident of the Greenville area. He is entrepreneur and owns several local businesses in the area. PMHx: (E29.1) Testicular hypofunction , (N52.9) Erectile dysfunction, Immunizations are up to date, No history of sexually transmitted diseases. Childhood diseases include chicken pox age 5. Medications: Testosterone cypionate 100mg IM Q 2 weeks, Viagra 50 mg 1 PO prn, Vitamin D, Omega 3, PSHx: None Allergies: NKDA FamilyHx: Father: T1DM, CAD, HTN Mother: Parkinson’s, HTN, Atrial fibrillation MGM: Breast Cancer deceased age 78 MGF: SCD at age 48 PGM: HTN, T2DM, CAD, CHF deceased age 79 PGF: HTN, CHF deceased age 89 Lifestyle: Married for 30 years in a monogamous relationship. Sexually active but states “it could be more often, sometimes it is only once in 2 weeks but then might be twice in one day.” Admits to rare but recent unprotected anal intercourse with spouse Three grown sons all out of the home. Exercises daily alternating strength training and aerobic exercise, Never smoked, Consumes 2 alcoholic beverages nightly 4 times a week, No illicit substance abuse, Diet consists of mostly a plant based diet with chicken 3 times a week and occasional red meat once a month. [Show More]

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