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  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    Problems with nature

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    A 32 year old male patient comes to the office complaining of erectile dysfunction, he states that he does not take any medications and those not suffer from any disease.
    The patient is 59 and weights 230 pounds (Obese) , his blood pressure is ok, the lab work finds:
    Hematocrit 48
    Hemoglobin 16
    Glucose 340
    WBC 6,000

    What is the most likely Dx?
    1-Hypertension
    2-Kidney Failure
    3-Testicular torsion
    4-Diabetes Mellitus
    5-Type A personality
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    FUTR_DR is offline Junior Member 510 points
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    Quote Originally Posted by IMG SURVIVOR View Post
    A 32 year old male patient comes to the office complaining of erectile dysfunction, he states that he does not take any medications and those not suffer from any disease.
    The patient is 59 and weights 230 pounds (Obese) , his blood pressure is ok, the lab work finds:
    Hematocrit 48
    Hemoglobin 16
    Glucose 340
    WBC 6,000

    What is the most likely Dx?
    1-Hypertension
    2-Kidney Failure
    3-Testicular torsion
    4-Diabetes Mellitus
    5-Type A personality

    The only lab value out of whack is the glucose. So...that would lead it be 4-diabetes. I believe you would need a bun and/or creat to detect possible kidney failure.

  3. #3
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    You are correct, I have seen several cases of ED and the patient was either hypertensive or diabetic and they did not knew.
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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