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Case history of prostate adenoma how to properly fill... Case history of prostate adenoma: how to properly fill out a document for cancer and benign hyperplasia
How to properly fill out the history bodybuilder matt mendenhall of the disease in adenoma, cancer and prostatic hyperplasia.

How to write a history of the disease with prostate adenoma

Filling out a patient card requires knowledge of the patient’s history and illness. The history of prostate adenoma has its clear structure. For students of medical universities in the preparation of the history of the disease in urology will be useful: the structure of writing, the required data about the patient, the features of entering information.

Consider the following examples:

  • chronic prostatitis – a history of the disease;
  • malignant prostate adenoma;
  • benign adenoma.

The content of the article

  • The structure of the abstract on the history of the disease
  • Prostate cancer
  • Useful video: symptoms and causes of prostate cancer
  • Chronic inflammation of the prostate
  • Useful video: how to quickly cure chronic prostatitis
  • Benign hyperplasia
  • Useful video: treatment of prostate adenoma

The structure of the abstract on the history of the disease

  1. The passport part, data about a man – name, age, place of residence, professional activity, preliminary diagnosis.
  2. Complaints.
  3. Information about the main pathology.
  4. Anamnesis of a man.
  5. Objective research.
  6. Preliminary diagnosis.
  7. Research plan
  8. Prescribed treatment.
  9. Differentiation of pathologies.
  10. Diagnosis.

The title page of the abstract is designed in such a way that it contains information about the patient, curator, student. Next is the medical history, starting with the passport part.

After that, there are several general paragraphs about the disease itself, what it is, for what reasons it occurs, how it is diagnosed, treated. The last page of the abstract is also standard, contains sources of information.

Prostate cancer

Here is an example of writing a history of prostate cancer.

Part one – general information about a man.

Important! The first part contains information about the man: full name, place of residence and work, time of admission to hospital, blood type.

The third is anamnesis. He believes that he has prostate adenoma since 2016, when his condition worsened significantly and there appeared such troubling manifestations as apathy, nervous irritability, and fast fatigue.

Within two years, experiencing problems with urination, lethargy jet, frequent urge, especially in the evening and at night. Appealed to a urologist in 2016 and 2017, but no treatment was available.

The last visit to the doctor was 01.06.2017, then a preliminary diagnosis was made – prostate cancer. To clarify the disease was sent to the department (the name of the medical institution) 12.06.2017.

The fourth is information about life. The patient lived in a family with unsatisfactory living conditions. Has a genetic predisposition to oncology. Father died of stomach cancer, refusing treatment.

He worked as a cook, driver, handyman in construction. Single, has no children. During his life he was prone to loneliness, most of the time spent at home.

The fifth is research. The general condition is unsatisfactory. Inactive, willing to constantly lie down, feeling tired, weak. Facial expression depressed, restless. The constitution is normostenic. Height – 164 cm, weight – 62 kg.

The mucous membranes are reddened in places, there are signs of inflammation. The skin is dry, elasticity is reduced, there are pathological elements in the form of acne. The nasal passages are clean, the organs of vision are fine.

From the lymphatic system there are deviations. When palpating, enlarged inguinal lymph nodes are detected, the rest are anabolic steroid side effects pictures not detectable.

Muscle weakness is observed, there are signs of atrophy on the background of weight loss. Tonus and strength are reduced. Soreness is observed in the back muscles and buttocks.

The sixth is preliminary conclusion. A preliminary diagnosis was made on the basis of complaints of difficulty urinating, deterioration of general well-being, pain in the lower abdomen. Data of external examination, interrogation of the patient are taken into account. It can be tentatively concluded that the patient has a prostate adenoma.

Seventh – examinations:

  1. Blood tests, urine.
  2. Biochemical analysis.
  3. Sugar Test
  4. Ultrasound examination of the pelvis.
  5. ECG.
  6. Biopsy of the gland material.

Case history of prostate adenoma how to properly fill...
  1. The patient is in the hospital.
  2. Therapeutic diet number 15.
  3. Installing a catheter.
  4. Surgical intervention — orchiectomy.
  5. Observation and treatment during rehabilitation – antibacterial drugs are prescribed.
  6. Conduct anesthesia.
  7. Assign measures for rapid rehabilitation without complications.

Ninth – the differentiation of pathology. Clinically, malignant adenoma of the prostate gland is similar to benign prostatic hyperplasia, since in each case problems with urination are observed.

However, cancer on the ultrasound revealed blurred outlines, heterogeneity of the structure of the tumor. At the same time the biopsy in this case excluded an adenoma.

Cancer is also similar to chronic prostatitis, in the case history of which there are many similar symptoms. Diseases can be distinguished by pain in the perineum, which is absent in cancer. Pain and discomfort in the colon, characteristic of diseases of the gland of inflammatory origin, are also not observed.

In this part all diseases are considered, which coincide with any signs with a preliminary diagnosis.

Tenth – the final diagnosis. When setting complaints are taken is terry crews on steroids into account:

  • difficulty urinating;
  • pain in the urethra;
  • loss of appetite;
  • irritability, fatigue.

Based on the information received from the patient, research, examination of the man, ultrasound and differential diagnosis can be diagnosed – prostate cancer.

Useful video: symptoms and causes of prostate cancer

Chronic inflammation of the prostate

Part one – general information. The first part includes the following information:

  2. Age.
  3. Professional activity.
  4. Date of referral to a specialist.
  5. Preliminary diagnosis.
  6. Clinical diagnosis.
  7. The consequences of the disease (if any).

The second is complaints. Pulling pain in the perineum, discomfort in the intestine, aggravated during bowel movements. The patient notes discomfort when urinating. Weak pains periodically appear along the urethra.

Also complains of excessive sweating, loss of appetite, fatigue, insomnia, irritability, apathy. There are problems with digestion, periodically the patient has diarrhea.

The third is a history of pathology. Considers himself ill for 3 years, when the above complaints appeared. He first applied to a specialist in 2015, then he was prescribed a course of therapy with one tablet medicine.

The fourth is the history of life. This part can be presented both as a list with short biographical facts and as a more detailed description of life (as in the history of cancer). The second option is more suitable when there is information useful for determining pathology and clarifying details.

Anamnesis of life:

  1. He is married, has 1 child.
  2. Hepatitis, sexually transmitted diseases, HIV, tuberculosis denies.
  3. Lived in satisfactory conditions.
  4. Food is normal throughout life.
  5. No bad habits.
  6. No allergic reactions.
  7. Hereditary pathology denies.

The fifth is research. General condition is normal. Consciousness is clear, behaves actively. Addition of the body is normostenichesky, height – 172 cm, weight – 71 kg. The skin is clean, normal color, moderate humidity. Mucous pink, on the tongue there is a white patina.

The sixth is a preliminary diagnosis. Installed on the basis of complaints of pain in the perineum, discomfort during bowel movements, frequent urination, intermittent jet, increased irritability, fatigue, insomnia, increased sweating. Anamnesis is taken into account: he considers himself to be sick for 3 years, there were relapses of the disease.

Based on these data, as well as objective research, it is possible to make a preliminary diagnosis – chronic prostatitis in the acute stage with a complication in the form of copulative dysfunction.

Seventh – diagnostic plan:

  1. General blood and urine tests.
  2. Wasserman reaction.
  3. Biochemical research.
  4. Ultrasound.
  5. The study material from the urethra.
  6. Additional procedures for appointment.

Eighth – treatment plan:

  1. Non-drug therapy – a diet aimed at reducing the consumption of fat and salt, massage the prostate gland, an active lifestyle, with oral stanozolol for sale the exception of hypothermia, hardening, refusal of alcoholic beverages.
  2. Drug therapy – antibacterial drugs, alpha-blockers.
  3. Physiotherapy – electrophoresis, phonophoresis.
  4. Control of the psychological state, consultation with a psychotherapist.
  5. Regular sex life with contraceptives.
  6. Reception of immunostimulating drugs.
  7. Spa treatment: semi-annually.

Differentiation is performed with prostate adenoma. In contrast, with prostatitis, the gland is not enlarged or slightly re-sized, retains clear contours, and is smooth on palpation. It is taken into account that with adenoma the symptoms increase gradually, slowly, the sluggish course of the disease will be similar.

Tenth – the final diagnosis. Based on the complaints, research, examination, collection of information about life and pathology, differentiation, we can conclude that the man has chronic prostatitis in the acute stage and copulatory dysfunction.

Useful video: how to quickly cure chronic prostatitis

Benign hyperplasia

A case history of benign prostatic hyperplasia is written according to a standard pattern. The abstract may contain additional information about the disease itself, the features of its treatment. The result of the story can be a section on the doctor’s observations, appointments during the hospital stay.

Note! The abstract is complemented by information about the operations, postoperative management.

Useful video: treatment of prostate adenoma

In the event that prescription drugs are prescribed to the patient, examples of prescriptions for review are also included in the history.

The history may contain other items, depending on the duration of the patient’s treatment, the therapeutic measures taken, the frequency of treatment to the urologist, and the features of patient management.

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