A 72-year-old male is seen in the

A 72-year-old male is seen in the office with a complaint of difficulty urinating and starting urinary stream. The patient states he has had problems starting urinary stream for about 10 years, but over the past 2 months, he has noticed that not only is this difficult, but at times, it is very difficult to empty his bladder. He reluctantly states that he has had a few episodes of incontinence. What questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care. SCIENCE HEALTH SCIENCE NURSING NURSING 663

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