Page 287 - 2021 IDMT Digital
P. 287

PROSTATITIS
          Introduction:
            •  $FXWH EDFWHULDO SURVWDWLWLV LV XVXDOO\ FDXVHG E\ E  colL
            •  /LNHO\ URXWHV RI LQIHFWLRQ LQFOXGH DVFHQW XS WKH XUHWKUD DQG UHIOX[ RI LQIHFWHG XULQH LQWR
               WKH SURVWDWLF GXFWV
            •  8ULQDO\VLV LV VXJJHVWLYH EXW QRW LQFOXVLYH

          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3HULQHDO  VDFUDO RU VXSUDSXELF SDLQ
                 o  )HYHU DQG LUULWDWLYH YRLGLQJ FRPSODLQWV DUH FRPPRQ
                 o  9DU\LQJ GHJUHHV RI REVWUXFWLYH V\PSWRPV PD\ RFFXU DV WKH DFXWHO\ LQIODPHG
                    SURVWDWH VZHOOV
          Objective:
            •  3K\VLFDO ([DP
                 o  )HYHU
                 o  ([TXLVLWHO\ ZDUP DQG WHQGHU SURVWDWH RQ H[DP ± WDNH FDUH RU PDQLSXODWLRQ FDQ
                    UHVXOW LQ VHSWLFHPLD
            •  )RFXVHG +LVWRU\
                 o  +LVWRU\ RI V\PSWRPV DQG GHJUHH RI GLIILFXOW\ XULQDWLQJ
          Assessment:
            •  'LIIHUHQWLDO
                 o  $FXWH S\HORQHSKULWLV  while PRUH FRPPRQ LQ ZRPHQ, it can occur in
                    men  SRVLWLYH &9$ WHQGHUQHVV
                 o  $FXWH HSLGLG\PLWLV  WHVWLFXODU SDLQ  HSLGLG\PLV
                 o  $FXWH GLYHUWLFXOLWLV  DEGRPLQDO SDLQ  EORRG\ GLDUUKHD
          Plan:
            •  0HGLFDWLRQV
                 o  3DWLHQWV ZLWK QR RU ORZ JUDGH IHYHU FDQ EHJLQ WUHDWPHQW ZLWK IOXRURTXLQRORQHV WR
                    VWDUW
                       ƒ  2UDO OHYRIOR[DFLQ, FLSURIOR[DFLQ or trimethoprim/sulfamethoxazole
            •  ,I VHYHUH VLJQV DQG V\PSWRPV  HYDFXDWLRQ  KRVSLWDOL]DWLRQ DQG ,9 DQWLELRWLFV PD\ EH
               QHFHVVDU\
          Patient Education:
            •  )ROORZ XS $FWLRQV
                 o  5HWXUQ LI V\PSWRPV GR QRW VWDUW WR UHVROYH ZLWKLQ    KRXUV RI VWDUWLQJ PHGLFDWLRQ
                 o  5HWXUQ LI GLIILFXOW\ XULQDWLQJ
                 o  5HWXUQ LI XQDEOH WR WROHUDWH 32 PHGLFDWLRQV
                 o  5HWXUQ LI IHYHU !     ž )
          Preceptor Directive:
            •  Blue Directive: Contact Preceptor Immediately













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