David Prendergast
85 yo male
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PC ‘Trouble with the waterworks’
HPC
urine slow to come
when he’s finished it dribbles a bit afterwards
needs to get up 5 times a night to pass water, although not much comes
sometimes sudden urge to urinate
Started about 6 months ago but getting worse
No burning or stinging when passing urine, no incontinence
No previous history of these problems, has never been to urologist before
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PMH
Knee replacements both sides, 2015 and 2017, due to arthritis
Left sided shoulder arthritis, but does not want an operation
Appendix and tonsils removed as a child
Gallbladder removed at age 30
Colon cancer with a right hemicolectomy, no chemo, no stoma, 2010. Hasn’t had colonoscopy in past 5 years
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DH
Paracetamol 1 g every 6 hours
Versatis (Lidocaine) patch for his shoulder
Ibuprofen sometimes when the pain in the shoulder is really bad
Allergic to penicillin (rash)
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Family Hx
Mother RIP aged 65, breast cancer
Father RIP aged 79, stroke
Brother 80 yo, blood pressure, diabetes, prostate problems
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Social Hx
Lives alone, home help comes once a day to help prepare breakfast and his tablets, once a week his daughter helps him shower, walks with a walking stick, doesn’t go out much
Used to smoke until he was 65 years old, 20 a day
Occasional alcohol