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Block 8 A2 Facts -60yr old -Male -A school bus driver -Intermittent hematuria (for one month) with blood clot -Progressive difficulty of urination in the last 3 yrs -pain, -denied history of diabetes, hypertension or any systemic disease - nocturia - fever was not detected - from PE: Overweight High BP Prostate enlargement Hypothesis -urinary tract obstruction: Urinary tract tumor Kidney stone prostate hyperplasia -prostate cancer - Glomerulonephritis Need to know -Medical history (esp. CVD) -Hypertension -Drug history -Family history -Occupation -History of prostate hyperplasia -GFR -screen for RBC in the urine (Microscopic examination) -exercise history -urinalysis - where and when does he experience pain? duration and scale of pain. -progression of the symptoms -medical imaging examinations -medication treatments done in his visit to the outpatient clinic -PE -blood test Learning issues 1. description on urinary symptoms (hesitancy, interruption of urination) (ting) 2. malignancy causing of hematuria and interruption of urination (john) 3. causes for nocturia (JUNE) 4. PE done in Urology(brief introduction on digital rectal examination) (ROGER) 5. neuromuscular involvement urination( including the anatomical and physiological ) (J) 6. Occupational hazards concerning urination(eric) 7. imaging studies commonly used in urinary system (david) 8. types of kidney stones and how they are formed (mego) 9. symptoms corresponding to the location urinary stones were found (kat h) 10. symptoms associated with prostate

enlargement (tammo)_ 11. hematuria related to Urological causes (Kat c.) 12. hematuria related to medical causes (judy)

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Block Facts Hypothesis Need to know Learning issues

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Block Facts Hypothesis Need to know Learning issues

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