70-yr-old male with nocturia

Physical Examination

  • General appearance: Appears young for stated age and is in no acute distress.

  • Vital signs:
  • Temperature 37° C
  • Pulse: 80/min
  • BP: 125/62 mm Hg
  • Respirations: 16/min
  • Height:5'11" (1.8 m)
  • Weight: 160 lb (72.5 kg)
  • BMI: 22.3

  • Skin: Pink, warm, and dry to the touch. No rash.

  • HEENT: Normocephalic with no evidence of trauma.

  • Pulmonary: Breath sounds present and equal bilaterally. No stridor, rales, or wheezing.

  • Cardiovascular: Heart rate is irregularly irregular. Radial pulses are present and equal bilaterally. No murmurs, rubs, or gallops.

  • Gastrointestinal: Abdomen overall is soft, nontender to light and deep palpation. No guarding. No palpable bladder or suprapubic tenderness.

  • Genitourinary: Circumcised phallus, bilateral descended testes which are normal in texture and without pain on palpation. Digital rectal exam shows approximately 70-g prostate gland that is smooth and with no identifiable central sulcus. No nodules or tenderness.

  • Musculoskeletal: No costovertebral angle tenderness.

  • Neurologic: Unremarkable

  • Mental status: Alert and oriented to person, place, and time.