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i-Human Case Study: Evaluating and Managing Genitourinary or Gastrointestinal Conditions

Urinary frequency is an example of a genitourinary condition that presents problems for adults across the lifespan. It can be the result of various systemic conditions such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these conditions have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks. 

For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.

Resourses

Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). 
Primary care: Interprofessional collaborative practice (6th ed.). Elsevier. 

· Part 13, “Evaluation and Management of Genitourinary Disorders” (pp. 765–830) 

· Chapter 127, “Incontinence”

· Chapter 128, “Prostate Cancer”

· Chapter 129, “Prostatic Hyperplasia (Benign)”

· Chapter 130, “Proteinura and Hematuria”

· Chapter 131, “Renal Failure”

· Chapter 132, “Sexual Dysfunction (Male)”

· Chapter 133, “Testicular Disorders”

· Chapter 134, “Urinary Calculi”

· Chapter 135, “Urinary Tract Infections and Sexually Transmitted Infections”

· Part 17, “Evaluation and Management of Endocrine and Metabolic Disorders” 

· Chapter 188, “Hypercalcemia and Hypocalcemia” (pp. 1149–1153) 

· Chapter 190, “Hypernatremia and Hyponatremia” (pp. 1158–1165) 

· Cucchiara, V., Cooperberg, M. R., Dall’Era, M., Lin, D. W., Montorsi, F., Schalken, J. A., & Evans, C. P. (2018). 

Genomic markers in prostate cancer decision makingLinks to an external site.
. 
European Urology, 
73(4), 572–582.

· Alford, A. V., Brito, J. M., Yadav, K. K., Yadav, S. S., Tewari, A. K., & Renzulli, J. (2017). 

The use of biomarkers in prostate cancer screening and treatmentLinks to an external site.
. 
Reviews in Urology, 
19(4), 221–234.

· Burton, M. (2018). 


Prostate cancer screening guidelines: Providing patient education



 Download Prostate cancer screening guidelines: Providing patient education
. Family Medicine Clerkship Student Projects.

· Fletcher, R. H. (2019). 

Guideline: Experts recommend against prostate cancer screening with prostate-specific antigen testLinks to an external site.
. 
Annals of Internal Medicine, 
170(2), JC2. 

· Lee, D. J., Mallin, K., Graves, A. J., Chang, S. S., Penson, D. F., Resnick, M. J., & Barocas, D. A. (2017). Recent changes in prostate cancer screening practices and epidemiology. 

The Journal of Urology,


 Download The Journal of Urology,

198(6), 1230–1240.
Credit Line: Recent changes in prostate cancer screening practices and epidemiology by Lee, D. J., Mallin, K., Graves, A. J., Chang, S. S., Penson, D. F., Resnick, M. J., & Barocas, D. A., in The Journal of Urology, Vol. 198/ Issue 6. Copyright 2017 by Elsevier Inc. Reprinted by permission of Elsevier Inc. via the Copyright Clearance Center.

· Mendez, R. (2018). 


Prostate cancer: Patient education for changing guidelines



 Download Prostate cancer: Patient education for changing guidelines
. Family Medicine Clerkship Student Projects.

· Vane, S. (2019). 

Prostate cancer screening: A review of current recommendationsLinks to an external site.
. 
Urologic Nursing,
 39(3), 133–138.

·
Document: 
i-Human Template

 Download i-Human Template
(Word document)

To prepare:

· Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with GI or GU conditions. 

· Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient. 

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. 

· Identify three to five possible conditions that may be considered in a differential diagnosis for the patient. 

· Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis. 

· Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with GI or GU conditions. 

Interview

Questions

Answers

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