Digital Rectal Exam

800 Words  A 42-year-old man presents to ED with a 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along 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.

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The digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.In your Case Study Analysis related to the scenario provided, explain the following: The factors that affect fertility (STDs). Why inflammatory markers rise in STD/PID.Why prostatitis and infection happen.    

  Also, explain the causes of a systemic reaction. Why a patient would need a splenectomy after a diagnosis of ITP.Anemia and the different kinds of anemia (i.e., micro, and macrocytic). For more information read this:https://en.wikipedia.org/?title=Digital_rectal_exam&redirect=no

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