Reference no: EM133754924

Question

A 32-year-old man experiences a brief period of dysuria accompanied by some frequency and urgency. These symptoms subside after a couple of days, so he does not seek medical treatment. Three days later, however, he suddenly develops fever, chills, and worsening, irritating dysuria. This time the dysuria is not accompanied by noticeable urgency and frequency. Because the fever persists, he goes to see his nurse practitioner. Except for the fever, his vital signs are normal. Upon physical examination, he is found to have extreme tenderness in his prostate by digital rectal examination. The prostate is palpable and tense. He does not have any noticeable costovertebral angle tenderness, nor are there any other notable physical abnormalities. He says that he has not had any previous incidents that produced symptoms like the ones he has been experiencing over the past few days.