A 65 year old male with bph symptoms since 3 months and diabetes since 10years

 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.


Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.


This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Sri Chandana 

Roll no.98

8th semester


A 65 year old male resident of chandur came with chief complaints of decreased urine volume, increased frequency of urination and poor stream since 3 months  .


History of Presenting illness -

Patient was apparently asymptomatic 3 months back he then noticed decreased urine volume, poor stream which is not associated with pain, burning micturition, blood in urine, fever. Frequency of urination is increased. 



Past history-

No similar complaints in the past.                              

He is a known case of diabetes since 20years. Since then he is on medication: 

Sitagliptin 100mg 

Metformin 500m

Dapagliflozin 10 mg 

Inj insulin isophane 48u—46u

Inj insulin glargline 0U—16U


He is a known case of hypertension since 20years, since then he is on medication: 

Olmesartan 20 mg 

Amlodipine 5mg 

Hydrochlorthiazide 12.5mg 


Not a known case of asthma, Tuberculosis, epilepsy, CAD, CVD



Family history- 

Irrelevant 



Personal history- 

Diet- mixed 

Appetite- normal 

Bowel and bladder movements- normal 

Sleep- inadequate 

No addictions 



Vitals - 

Temperature- afebrile

Pulse rate- 80 beats/min 

Respiratory rate-17 cycles/min

Blood pressure- 124/82 mmhg



General examination

Patient’s consent was taken 

Patient was examined In a well lit room. 

He was conscious, coherent , cooperative 

No pallor 

No icterus 

No cyanosis 

No clubbing 

No lymphadenopathy 

Pitting type of pedal edema is present.






Mid arm circumference 28cm 

Triceps skinfold thickness 18 mm

Abdominal girth 96 cm

Fvf 3.26

Mamc: 25.4






Investigations 













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