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Discussion

Diagnostic Values

We have to create a fictional patient and create the lab values and diagnostic test results.

Here's the scenario:

An older man complains to the nurse that he has difficulty starting to urinate and then once he starts, he says he has had severe pain in the lower abdomen, left mid-back region, and left flank. Upon admission to the floor, he is started on Flomax 0.4mg po Q day, IVF of NS @125ml/hr, VS Q 4hr, and I&Os Q 4hr.

My question is, what kind of lab values wold you see in a pt with an enlarged prostate that lead to a UTI?

So far we have:

WBC - increased (15k)

PSA - increased (5.2)

Albumin - decreased (2.8)

BUN - increasd (24)

Creat - increased (1.8)

So far are these lab values ok? Do they eem about right? What other abnormal lab values would you see? We haven't had much clinical experience yet and haven't studied labs. Basically this unit is look everything up!

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    What about your urine UA/CS? The CS part does take a little time but the UA part can show a problem brewing.

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    UA= urine analysis right?

    What's cs?

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    Culture & Sensitivity.

    - culture shows what bacteria it is & the sensitivity will show what antibiotics will work on that particular bacteria, ie: what it is sensitive to.

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    Prostatitis would make the PSA go up, (as does prostate cancer)-- but the flank pain...are there any radiology studies? KUB or CT? To r/o kidney stones?

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    His symptoms point to kidney infection...

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    Sounds like a prostate issue and/or kidney stones. Ultrasound to see exactly what is happening. A urinalysis with a culture, Increase in Flomax if not providing relief. Flomax is also used to help passing of kidney stones.

    As far as lab values....PSA increase points to a prostate issue, when that may or may not be the case. BUN and Creatinine may or may not show anything as they point to the function of the kidney as opposed to a stone.

    Labs mean urine as well. Test for blood with urinalysis, and need for radiology to follow up.

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