06-07-2008, 03:59 PM
28.
A 32-year-old man comes to the physician because of a 3-day history of low back pain, urinary hesitancy, and pain with urination. He has had several similar episodes over the past 3 years. He has not had any urethral discharge or recent sexual contacts. His temperature is 37.2 C (98.9 F), and blood pressure is 126/76 mm Hg. The lungs are clear to auscultation; there is no costovertebral angle tenderness. Abdominal examination shows no tenderness or masses. There is no tenderness to palpation of the lower back. Straight-leg raising to 90 degrees is negative. There are no motor or sensory deficits in the lower extremities. Rectal examination shows a diffuse, minimally enlarged, tender prostate with no masses. Laboratory studies show:
Serum prostate-specific antigen 6 ng/mL (N
A 32-year-old man comes to the physician because of a 3-day history of low back pain, urinary hesitancy, and pain with urination. He has had several similar episodes over the past 3 years. He has not had any urethral discharge or recent sexual contacts. His temperature is 37.2 C (98.9 F), and blood pressure is 126/76 mm Hg. The lungs are clear to auscultation; there is no costovertebral angle tenderness. Abdominal examination shows no tenderness or masses. There is no tenderness to palpation of the lower back. Straight-leg raising to 90 degrees is negative. There are no motor or sensory deficits in the lower extremities. Rectal examination shows a diffuse, minimally enlarged, tender prostate with no masses. Laboratory studies show:
Serum prostate-specific antigen 6 ng/mL (N