Patient Details
|
Name |
Henry Fitzpatrick |
|
Age |
80 |
|
Sex |
M |
|
Medications |
Metformin SR 1000mg PO mane Lantus 10units nocte Atorvostatin 20mg PO mane Ramipril 10mg PO mane Aspirin 100mg PO mane Metoprolol 12.5mg bd PO mane Spironolactone 50mg PO mane Furosemide 20mg mane |
|
HPC |
Patient has been increasingly unable to void properly. GP referred to urology clinic. The decision was made to admit patient for a biopsy. Prior to that the patient had a 12-month history of lower urinary tract symptoms (predominately voiding symptoms), including hesitancy, weak stream, post void dribbling and feeling of incomplete emptying. Sometimes he had urinary incontinence, especially at night. |
|
PSxHx |
Drug eluting stent in LAD, 2007 Prosthetic Aortic valve in 2004 Laser treatment for proliferative diabetic retinopathy, 2014 |
|
PMHx |
Type 2 diabetes mellitus- diagnosed in 1998 Myocardial infarction in 2007 Heart failure with reduced ejection fraction |
|
Allergies |
NKDA |
|
FHx |
Mother died from a post partum haemorrhage with the younger brother. Father died of a massive heart attack at age 72. Both younger brothers also have type 2 diabetes mellitus. The youngest recently had a stroke and ended up in a nursing home. |
|
SHx |
Patient lives with his wife in Tamworth. He is a retired bus driver. He acts as the carer for his wife who has Alzheimer’s disease. He has two children who live locally and are very supportive. He is a non-smoker and drinks three to four glasses of red wine each night, and catches up with some friends on the weekend for bowls and then up to six beers. |