A 59-year-old male presents to the clinic with progressive difficulty urinating, hesitancy, and a weak stream. He also complains about waking up multiple times at night to urinate. He denies hematuria, abdominal pain, or flank tenderness. Digital rectal examination reveals a smooth, symmetrically enlarged prostate. Urinalysis is unremarkable, and serum PSA is 3.9 ng/mLWhat is the most appropriate next step in management?
More from Year 4
See allA a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…
A 54-year-old man with no family history of prostate cancer attends his GP for a routine check-up. He is asymptomatic and has no significant past medical histor…
A 58-year-old man with no symptoms attends your clinic for a general health check. He is concerned because his uncle and cousin both died of pancreatic cancer.…
A 60-year-old man with a history of chronic diarrhea presents with muscle weakness and lethargy. Laboratory tests show: potassium 3.1 mmol/L (3.5-5.0 mmol/L), b…
A 50-year-old man presents to the emergency department with confusion, rapid breathing, and general weakness. He has a history of chronic kidney disease. On exa…