Scenario: 42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.
The diagnosis is prostatitis – please be sure to describe in detail the pathological reasoning for the diagnosis and symptoms.
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Prostatitis is a clinical condition that results in the inflammation of excretory ducts of the prostate glands. Four variants of the prostatitis syndrome exist, i.e. chronic pelvic pain syndrome, asymptomatic inflammatory prostatitis, acute bacterial prostatitis, and chronic bacterial prostatitis. Chronic bacterial prostatitis and acute bacterial prostatitis are caused by enterococci species and gram-negative | GET AN EXPERT FOR YOUR ASSIGNMENT | (2018), in certain instances, E.coli is usually the major causative agent for the infections working with gram-negative cultured microorganisms such as Klebsiella aeogenes species, Pseudomonas aeruginosa, and Serratia | GET AN EXPERT FOR YOUR ASSIGNMENT |symptom of bacterial prostatitis is the infection in the urinary tract system. The emergence of this symptom is closely linked to low back pain in the perineum, high fever, and shivering. The majority of patients with the condition develop dysuria, which refers to pain or difficulty during urination, resulting in the retention of urine, and nocturia. Every now and then, symptoms of a patient with this condition include obstruction of the lower…
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