Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Coronary atherosclerosis with
• CHF
• Myocardial ischemia
• Atrial flutter
• Prostatic adenocarcinoma
• Bone scan evidence of metastasis
• Severe bone pain
• Lower urinary tract obstruction and bilateral hydronephrosis
• Renal failure
• Bilateral hydronephrosis
• Extensive chronic pyelonephritis
• Normocytic anemia secondary to decreased erythropoietin.