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. the prostate is enlarged, extremely tender, swollen, and warm to touch. What is the diagnosis?

Answer 1

The above senario showing all the symtoms of acute bacterial prostitis.

Prostatitis is swelling and inflammation of the prostate gland, Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms.Prostatitis affects men of all ages but tends to be more common in men 50 or younger. Usually it is caused by a bacterial infection.

Prostatitis signs and symptoms depend on the cause. They can include:

The important signs and symtoms are

Pain or burning sensation when urinating (dysuria)

Difficulty urinating, such as dribbling or hesitant urination

Frequent urination, particularly at night (nocturia)

Urgent need to urinate

Pain in the abdomen, groin or lower back

Pain in the area between thescrotum andrectum

Pain or discomfort of thepenis or testicles

Painful ejaculation

Flu-like signs and symptoms like fever ,chills, nausea and vomitting.

Based on all the symptoms the final.diagnosis is Acute bacterial prostatitis because this type of prostatitis generally starts suddenly and causes flu-like signs and symptoms, such as fever, chills, nausea and vomiting..

Treatment

Prostatitis treatments depend on the underlying cause. They can include:

Antibiotics. Taking antibiotics is the most commonly prescribed treatment for prostatitis based on  type of bacteria that might be causing your infection.

Alpha blockers. These medications help relax the bladder neck and the muscle fibers where your prostate joins your bladder. This treatment might ease symptoms, such as painful urination.

Anti-inflammatory agents. Nonsteroidal anti-inflammatory drugs (NSAIDs) might make you more comfortable.