TOPIC: NURSING 530 CASE STUDY NO 3

Topic: Nursing 530 Case Study No 3

What is the likely cause of D.Ps' urinary problem?

D.P's urinary system was affected because of the presence of benign prostatic hyperplasia, recent history of lower urinary tract instrumentation or acute infectious episodes that involve the Prostate, have been included in protocols and benchmarks, such as figures normal PSA according to age, density and speed of the antigen, the ratio of unbound / total or simple abstinence for sampling.

A clinical situation in patients with lower urinary tract obstruction by benign prostatic hyperplasia, which contributes to the elevation of PSA, is acute urinary retention. It is known the effect of increased permeability of the basement membrane antigen acinus during this event, probably due to overlapping parenchyma infarcts and the surrounding circumstances, such as DRE initial assessment and urethral catheterization. (Cox, H. Ed. 2006)



What is the danger of leaving this untreated?

It is very dangerous because in the starting it does not feel much but leaving this untreated may cause a huge damage to the urinary system. Delaying it also make the case difficult for the doctor to understand what actually cause the problem to start in the beginning.

What further testing would be helpful in evaluating the degree of urinary obstruction?

There is a model designed to evaluate the degree of urinary obstruction there is a prospective cohort study which quantified the increase in PSA in patients with benign prostatic hyperplasia and candidates for transurethral or open Prostatectomy, who studied with or without acute urinary retention.

DPSA where the difference in Prostate specific antigen measurement between the figure obtained on admission (PSApre) and the corresponding value that would produce the gland with adenocarcinoma intact, without surgical trauma or exposure to acute urinary retention.

The constant production of PSA in the adenoma was ...