Question

question 41
moussa is a 75 y/o african american male who presents to the clinic with the following symptoms: perianal pain, low back pain, night time urination, and weak urinary stream. labs taken one week ago show a psa of 6.0 ng/ml. the most likely diagnosis is:
prostate cancer
testicular torsion
prostatitis
epididymitis

Explanation:

Prostate cancer is more common in older men (Moussa is 75 years old) and African - American men. Symptoms like perianal pain, low back pain, nocturia (night - time urination), and a weak urinary stream are associated with prostate cancer. Also, an elevated PSA (prostate - specific antigen) level (6.0 ng/ml, though PSA can be elevated in other conditions too, but in the context of age, race, and symptoms, prostate cancer is a strong consideration). Testicular torsion usually presents with acute testicular pain rather than the described symptoms. Prostatitis may have similar lower urinary tract symptoms but is more likely to have fever, chills, and acute onset of perineal pain (more inflammatory symptoms). Epididymitis typically presents with scrotal pain, swelling, and redness.

Answer:

Prostate Cancer