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65-year-old male presents to your clinic with frequent urination. He complains of painless, frequent urination approximately every 45 minutes to an hour for the past 5 months. He denies any pain on urination or any blood in the urine. He also denies any difficult voiding. No foul odor is in the urine or discharge from the penis. He has tried to reduce his liquid consumption, but it has not made much of a difference. He denies any pelvic pain or rectal pain. He has not had any labs done in the past 5 years. Also, he has not had a physical done in 10 years. Physical exam reveals an African American male in no apparent distress. Abdomen is soft, nontender, no masses or distensions on palp. No hepatosplenomegaly. DRE reveals an enlarged, firm, smooth, symmetrical prostate.
Differential diagnosis (provide rationales with references) for the 3 of them
1- Benign Prostatic Hyperplasia:
2- Urinary Tract Infection:
3- Diabetes mellitus
Develop Diagnostic Plan and Treatment Plan options based on quality, evidence-based clinical guidelines.
