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These symptoms along with increased urgency to urinate, e.g. cannot wait until he can get to a restroom, and decreased stream are classic symptoms of benign prostatic hyperplasia (BPH). It is probably good to rule out a urinary tract infection, however if no burning sensation on urination and no posterial flank pain, it is probably unlikely. A urinalysis with negative bacteria and leukocyte esterase would rule this out pretty easily.
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Yes I know...........
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Not sure why you are shocked, you should hear some of the things patients tell me. This pt simply needs an alpha blocker (most cost effective tx) or tamsulosin trial and will probably find improvement in a relatively short period of time.
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You are not sure why I am shocked that a RECEPTIONIST took this upon herself, "diagnosed" his problem, did her own urine test on him, and sent him away telling him he was alright.
If this is common practice then maybe you should give some of your examples of what patients tell you. Or do receptionists now have the power to do this now?