Neurological & Male Genitourinary Disorders For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Case 2 Case 3 Chief Complaint (CC) It burns when I urinate I had a severe headache yesterday with difficulty to speak I have been having frequents headaches lately History of Present Illness (HPI) A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia. A 64-year-old African American female who reports having a severe pulsatile diffuse headache yesterday with sudden difficulty to talk with last for about two hours. She did not seek medical attention. This morning she woke up with no problems but is here today due her husband advise. A 25-year-old Hispanic female presents to your clinic with a headache located on right temporal area, pulsatile. PMH Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney 10 years ago. No issues after treatment Atrial Fibrillation, Hypertension. Is allergic to Non-steroidal Anti-inflammatory drugs Aspirin Frequent headaches since I was 15, with menses. Drug Hx Rosuvastatin 20 mg Olmesartan 20 mg Losartan 50 mg Xarelto 15 mg BID Ibuprofen for Headaches Subjective Fever and chills, no changes in vision or hearing, no difficulty chewing or swallowing. No sexually active, nocturia, dysuria. Yellowish urethral secretion. Feels Palpitations, joint pain with yesterdays episode Light makes heglasses in a dim room HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. no injection, anicteric, PERRLA, EOMs intact, without pain to movement; normal vision Lungs CTA AP&L CTA AP&L CTA AP&L Card S1S2 without rub or gallop S4 present Irregular heart beat with normal rate S1S2 without rub or gallop Abd No tenderness normoactive bowel sounds x 4; No tenderness normoactive bowel sounds x 4; benign, normoactive bowel sounds x 4; Rectal exam Warm, swollen and painful prostate gland Non contributory Non contributory Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. What teachings will you provide? Submission Instructions: Your instructor will assign you your case number and you will post on the case number you have been assigned. You will reply to the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. I AM ASSIGNED TO CASE NUMBER 2 (TWO), APA FORMAT REQUESTED, CITATIONS INSIDE TEXT, AND AT LEAST 2 ACADEMIC SOURCES, I AM ASSIGNED TO CASE NUMBER TWO (2)

