Acute Bacterial Prostatitis.
Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned
APA style 4 citations – HINTS below
Scenario:
Question
42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch. What is wrong with this patient? Thank you!
he patient in the given case is most likely having Acute Bacterial Prostatitis.
Explanation
The diagnosis of Acute Bacterial Prostatitis is most likely due to the following findings:
· Dysuria,
· Low back pain,
· Inability to empty the bladder
· Severe perineal pain
· Fevers (104 0F)
· Worsening of pain while standing up and relief from pain while lying down.
· Findings from Digital rectal exam (DRE) such as enlarged prostate gland, tenderness, swelling, and warm to touch
All the above findings are consistent with the clinical features of Acute bacterial Prostatitis (ABP).
ABP occurs due to ascending urinary tract infection (Most common organism is Escherichia coli. Other likely organisms are Klebsiella, Pseudomonas aeuroginosa, Serratia) which is more common in men within the age group of 30 to 50 years.
Inflammatory reaction due to microbial infection explains the tenderness, enlargement of prostate gland.
Worsening of pain while standing in upright position is a characteristic of prostatitis (and rules out Benign prostate hypertrophy) which occurs due to compression of prostate gland as pelvic muscles are stiffened while standing.
Urine culture and ultrasound helps in confirming the diagnosis.
Management of ABP:
· Antibiotic therapy
· Analgesics, Sitz baths to provide symptomatic relief
· Adequate hydration and bed rest until the symptoms resolve.
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