Patient With Benign Prostatic Hyperplasia

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JK is a 63-year-old male who presents with complaints of difficulty starting his urine stream and that he has to get up to urinate at night at least three times. He states there are times when he does not think he will be able to go.
Past Medical History
• Controlled hypertension
• Hypercholesteremia
• Type 2 diabetes controlled by diet
Medications
• Zestril, 5 mg once daily
• Simvastatin, 40 mg
• Niacin, 1,000 mg
• Baby aspirin, daily
Social History
• A six-pack of beer on weekends
• Nonsmoker
• Active in Lions club
Physical Examination
• Well-developed male
• Chest: clear to auscultation
• Heart: regular rhythm; no gallops, thrills, or murmurs
• Digital rectal exam: enlarged prostate
Labs and Imaging
• Liver enzymes: normal
• Prostate specific antigen (PSA): 2.5 ng/mL
• Hemoglobin A1C: 6.9
• Office-based ultrasound: prostate enlargement approximately 41 cm3 • Postvoid residual urine volume: 300 mL
Discussion Questions
1. The clinician prescribes dutasteride. What patient teaching should be included?
2. In addition to taking the prescribed medication, the clinician suggests JK keep a voiding diary. What information should JK track in this diary, and what value does this information provide?
3. JK fails to respond to the initial therapy. What second drug should the clinician add? What is the method of action of this drug and what advantage does this drug provide? What patient teaching should be included?
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The many vaccines that his newborn son is scheduled to receive

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Vaccines: Your friend is worried about the many vaccines that his newborn son is scheduled to receive and asks you for advice since you are taking a biology course. Start with an explanation of how vaccines work. Briefly contrast the traditional methods used to create vaccines with more recently used biotechnology techniques, including the COVID 19 mRNA vaccines. Explain how the mRNA vaccines work based on your knowledge of the Central Dogma of Molecular Biology. What are some of the diseases that infants and children in the US are routinely vaccinated against? How have vaccinations impacted the frequency of these diseases over the past 100 years? Why are some people worried about giving their children vaccines? Why do some people believe that the MRR vaccine can cause autism? Is there scientific evidence to support these concerns?
1. Be able to recognize and explain how the scientific method is used to solve problems (for chosen topic).
2. Make observations and discriminate between scientific and pseudoscientific explanations.
3. Weigh evidence and make decisions based on strengths and limitations of scientific knowledge and the scientific method
4. Use knowledge of biological principles, the scientific method, and appropriate technologies to ask relevant questions, develop hypotheses, design and conduct experiments, interpret results, and draw conclusions
 
 
 
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New Student Accepted Day

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Carefully view the “New Student Accepted Day PowerPoint Presentation-SP ’23
Respond to each of the three questions below.
Place your saved responses as a Word .doc and attach the File within “Upload a File”
Three items to consider for your Assignment Response:
1. Identify the new information you have learned since viewing the PowerPoint Presentation?
2. How does the PowerPoint present to you a different understanding than what you previously understood prior to viewing the PowerPoint
3. Identity items in the PowerPoint that you have not yet engaged with but will soon do so.
https://laboure.brightspace.com/content/enforced/10332-MAP0101AOSpring2023/Spring%202023%20ASD%20Presentation%209.9.22%20.pptx?_&d2lSessionVal=CmmzHZbwjvzDLDRrAsiG2Lory
 
 
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Importance of fully engaging the clinician

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Discuss the importance of fully engaging the clinician in education through simulated activity with electronic health records (EHRs) and telehealth and telemedicine technology.
 
 
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