[Verified Answer]: Date: 12/14/xx Patient Name: Mason, Mike…

Date: 12/14/xx Patient Name: Mason, Mike Referring Physician: Liam Halm, MD, NC Emergency Room REASON FOR CONSULTATION: Mike Mason is a 60-year-old Caucasian male who had increasing difficulty in voiding the last several days. Finally he came to the emergency room on 11/27/xx. A Foley catheter was inserted and 1,600 cubic centimeters of residual urine was obtained. Our office was contacted and he was given an appointment on 12/17/xx. Over the weekend he removed the catheter and again was unable to void. He was seen in our office on an emergency basis this morning, and a catheter was reinserted because of acute retention and 1,500 cubic centimeters was recorded. Patient does have some symptoms of prostatism and recent nocturia X4. He has some hesitancy and slowing of the stream. He has no hematuria or dysuria. No urinary tract infections. PAST MEDICAL HISTORY: Occupation: He is a retired office worker and security guard. Habits: Alcohol: Socially. Nothing heavy. None significantly recently. Smoking: None Surgeries: None Medications: Triaminic, which has been intermittent and has been discontinued; aspirin as required. Family History: No heart disease or diabetes PHYSICAL EXAMINATION: Height: 6’0, Weight: 183 pounds Vital Signs: Blood pressure 140/70, pulse 88, respirations 18, temperature 98 degrees. HEENT: Unremarkable, Neck was supple. Chest: Clear Heart: Irregular sinus rhythm. No murmurs Abdomen: Benign and obese. No CVA tenderness. Genitalia: Penis and testicles are normal Prostate: 2–3+ enlarged, smooth, symmetric and benign in quality. Urine: Clear. Culture obtained: Foley was draining clear amber urine. IMPRESSION: 1. Benign prostatic hypertrophy with bladder outlet obstruction and recurrent urinary retention with a large residual urine volume. ADVISED: 1. IVP 2. Septra, 1 DS tablet every 12 hours for 14 days 3. Probable transurethral resection of the prostate. He has a very high residual. Probably represents a decompensated bladder. 4. Prostate obstruction surgery Liam Halm, MD Liam Halm, MD PGA:urs D: 12-14xx; T: 12-14-20xx. Questions: 1. What brought Mr. Mason to the emergency room? 2. Place a “+” in the space provided for positive findings and “neg” for negative findings. This information is documented in the consultation report. A positive finding indicates the patient had a history (Hx) of this condition; a negative finding indicates the patient did not have a history of this condition. Hematuria ___ normal urinary flow ___ hesitancy ___ enlarged prostate ___ nocturia ___ dysuria ___ urinary tract infections ___ 3. What is the purpose of a urinary catheter for this patient? 4. Why was the patient put on the antibiotic Septra? 5. What type of surgery was advised?