Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
a. 22-year-old who has noticed a firm, nontender lump on his scrotum
b. 35-year-old who is concerned that his scrotum "feels like a bag of worms"
c. 40-year-old who has pelvic pain while being treated for chronic prostatitis
d. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy
ANS: A
The patient's age and symptoms suggest possible testicular cancer. Some forms of testicular cancer can be very aggressive, so the patient should be evaluated by the health care provider as soon as possible. Varicoceles do require treatment, but not emergently. Ongoing pelvic pain is common with chronic prostatitis. Urinary dribbling is a common problem after prostatectomy.
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