Prostatitis

HISTORY:

‍Pelvic painUrinary symptomsFever and chills for ‍ ‍hoursdays

‍pelvic pain

‍perineal pain

‍urinary frequency

‍dysuria

‍urgency

‍nocturia

‍decreased urine stream

‍hematuria

‍painful ejaculation

‍lower back pain

‍abdominal pain

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

Worsening factors: ‍none

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Breasts: -R: ‍normal, -L: ‍normal

Abdomen: ‍softsemi-softtense, ‍non-tender ‍, ‍non-distended, ‍

CVA tenderness: ‍negativepositive on Rpositive on L

Anorectal: DRE ‍normal, prostate ‍normal, anus ‍normal

Genital: ‍normal, testicles ‍normal, penis ‍normal



ASSESSMENT:

‍Prostatitis ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Urinalysis

- Urine culture

- Blood work: ‍CBC, ‍creatinine, ‍CRP, ‍PSA

- ‍Antibiotics

- ‍Analgesics

- Increase fluid intake

- Referral to urologist

- Follow-up in ‍ ‍daysweeks

- Return if symptoms worsen or if fever develops