Case Study No 3.
Mr Jones is a 59-year-old male who has recently completed a cycle ride for charity. He presents to his GP with complaints of dysuria and foul-smelling urine, as well as frequent urination but is only able to expel a small amount of urine at a time. Furthermore, he also reports lower back pain however, has not experienced any haematuria with urination, nausea/vomiting or a fever. The GP notes down Mr Jone’s symptoms and takes a full medical history, which is presented below:

Past Medical History

• Type I diabetic Past Surgical History
• No surgical history Family History
• Mother alive at 90 years old
• Father deceased
• One sister alive and healthy

• No children Social History

• Divorced, no long term partner
• Sexually active
• Cycles and runs frequently
• Visited Belgium for work 3 months previously