Concluded Case

Prostatism signs

82 yr old male having history of DCM since 9 years Taking telmisartan 80 OD Tide plus 10 Od Qumoxtum - Od Now developing urinanry incontinence more over frequency increased Suspecting UTI NIFTAS 100- BD FLAVOAXTe given No improvement Next management ?

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Concluded answer

82/M..K/C/O: dilated cardiomyopathy with prostatism signs. chronic alcoholic cases r seen in dcm. lvf failure status need to be controlled. abt these urinary complaints.. remove this flavoxate..hold niftas. presently go for urinalysis..USG abdomen. sos serum PSA. sos start on 5alpha reductase inhibitors drugs or alpha blockers drugs[but need to keep above dcm history]. then u can manage the case according to reports.

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Please do Sonography and check for prostate enlargement and post void residue He may need prostate specific medicines such as Tamsulosin, Finasteride, Bethanechol Please do per rectal examination to look for carcinoma of prostate

82/M..K/C/O: dilated cardiomyopathy with prostatism signs. chronic alcoholic cases r seen in dcm. lvf failure status need to be controlled. abt these urinary complaints.. remove this flavoxate..hold niftas. presently go for urinalysis..USG abdomen. sos serum PSA. sos start on 5alpha reductase inhibitors drugs or alpha blockers drugs[but need to keep above dcm history]. then u can manage the case according to reports.

Thanks for ur appreciation Dr Sanjaya Panigrahi..
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NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. BLOOD CBC.. URINE ROUTINE AND..C &S EXAMINATION.. PSA .. PVR .. USG..STUDY..

BHP Malignancy prostate Ad prostatectomy send for HPE

Thank you doctor
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What are the clinical findings. He may be in retention with overflow. Before prescribing at the age of 85 on presumed diagnosis, it is safer and wiser to have a diagnosis and then prescribe.

He will need cbc,rt.urine,urine c/s, USG ,psa and Uroflowmetry

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