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Original Question

Fred M, is a 68-year old male who presents with urinary frequency and urgency for 1 month. HPI: Presents to the primary care clinic with complaints of frequent urination, urgency, and nocturia for the past two weeks. He also reports a burning sensation during urination and lower abdominal discomfort. Additionally, he has noticed a weak urine stream and difficulty starting urination. He has had recurrent episodes UTIs, with the most recent episode occurring six months ago. Medical History: Hypertension, Type 2 diabetes mellitus, BPH Medications: Metformin 500 mg po bid, Lisinopril 10 mg po daily, Aspirin 81 mg po daily Allergies: NKDA Social History: Retired Engineer, lives with his wife of 45 years in a single-family home. Drinks 2-3 beers daily. Does not use tobacco products. What other components of the H&P are needed to provide additional information? What are some of the differentials (list 2-3) based on the HPI? Explain the differentials and what diagnostics may be needed to identify each of the differentials?

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