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Case #1

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Expand Physical Exam

08/06/XX

60-year-old male with difficulty urinating. Nocturia 3 - 4 times, frequency, urgency, hesitancy, intermittence, and a feeling of incomplete bladder emptying.

Expand Genitourinary Exam

08/06/XX

Digital rectal exam: enlarged prostate.

Expand X-Rays & Scans

08/15/XX

Chest: Unremarkable. CT abdomen: No significant findings.

Expand Scopes

08/19/XX

Cystoscopy: Significant obstruction by enlarged prostate.

Expand Laboratory

08/15/XX

PSA normal, Alk phos: 123 (normal 69 - 241).

Expand Surgical Findings

08/19/XX

TURP: Bladder outlet significantly obstructed by an enlarged prostate.

Expand Pathological Reports

08/19/XX

Micro: Prostate: Adenocarcinoma, Gleason grade 2 + 3 = 5, in 3 of 24 total chips.

Expand Treatment

08/19/XX

Surgery: TURP.

10/01/XX

Radiation: 10MV Photons 6 field pelvic technique, total 7380 rads to prostate.

09/15/XX

Hormone: Lupron injection.