Q:

A 75-year-old man comes in complaining of difficulty in passing urine, poor stream and dribbling at the end of voiding and anorexia. US shows bilateral hydronephrosis. What is the cause of these findings?

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A 75-year-old man comes in complaining of difficulty in passing urine, poor stream and dribbling at the end of voiding and anorexia. US shows bilateral hydronephrosis. What is the cause of these findings?


  1. BPH
  2. Renal stones
  3. Bladder stones
  4. Prostatic ca
  5. UTI

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The key is D. Prostatic ca. [Elderly patient of 75yrs with obstructive symptoms of lower urinary tract, bilateral hydronephrosis all can occur in BPH or ca prostate. Anorexia is clincher here. It is a feature of carcinoma rather than BPH].

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