Physical examination

1. A digital rectal examination should search for nodules and induration or irregularities. A focused neurologic examination should rule out a neurologic cause of symptoms.

2. Prostate cancer is suggested by a prostate nodule or a hardened area of the prostate on the digital rectal examination.

D. Laboratory assessment. Urinalysis and a serum creatinine assay are useful to ascertain there is no infection, hematuria, or decreased renal function. Measurement of PSA to detect prostate cancer is optional.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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