A nurse practitioner has a 30-year-old male patient presenting with fever and chills, urinary frequency and urgency, and pain with urination. A urine sample displays cloudy and foul-smelling urine
During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely diagnosis would be
A)
urinary tract infection requiring a prescription of sulfur drugs.
B)
acute bacterial prostatitis requiring antimicrobial therapy.
C)
testicular cancer requiring appointment with an urologist.
D)
inflammation of the epididymis requiring scrotal elevation.
Ans:
B
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Manifestations of acute bacterial prostatitis include fever and chills, malaise, frequent and urgent urination, and dysuria. The urine may be cloudy and malodorous because of urinary tract infection. Rectal examination reveals a swollen, tender prostate. During exam, prostatic massage produces a thick discharge with WBCs that grow a large numbers of pathogens on culture.
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