Question

Name: Brian Evans        Date of Birth: 01/12/52    Gender: Male                       Allergies: NKDA

Primary Provider: Dr. James     Ht: 5’ 10”                     Wt: 172

Primary Medical Diagnosis: urinary retention    Secondary Diagnosis: bladder stones

History of Present Problem: Brian Evans is a 67 year old male discharged yesterday after having a transurethral cystolitholapaxy to remove bladder stones. He presented to the ER early this morning after being unable to urinate and pelvic discomfort. A urinary catheter was inserted in the ER. He arrived on the unit 2 hours ago. Personal/Social History: Brain lives with his wife at home in a suburban area. He has two sons who live in California, and he only sees once a year. He is the sole primary caregiver for his wife who has new onset of Alzheimer’s.

What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds?

    (Which medications treat which conditions? Draw lines to connect)

PMH:	Home Meds:	Pharm. Classification:	Expected Outcome:
Urinary Retention bd S	1.Ciproflaxacin 500mg bid	1.	1.
	prn
Bladder Stones Transurethral Cystolitholapaxy
	2. Acetaminophen 325 mg, 2tables 2 ta	2.	2.

Answer 1

Relation between past medical history and present diagnosis

Dur to past history of bladder stones a Cystolitholapaxy procedure was performed transurethrally,

Presently the patient has urinary retention it may be the complication of the procedure or due to obstruction of urethra by the fragments of bladder stones.

Medications and conditions

Ciprofloxacin is an antibiotic is given to prevent infection due to the procedure of Cystolitholapaxy.

Acetaminophen is a pain killer used to relieve pain due to bladder stones.

answered by: anonymous