Two bacteria, are the two most common causes of acute prostatitis in older adults.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 55-year-old man comes to the office because he has been feeling "terrible" for the past two days. He has been feverish with worsening chills, pain and hesitancy with urination, and muscle aches. He has a history of bipolar disorder treated with lithium and benign prostate hyperplasia for which he takes terazosin. Physical examination shows a pale and diaphoretic man. His lower abdomen is tender to palpation without rebound or guarding. His temperature is 38.1°C (100.6°F), pulse is 80/min, respirations are 16/min, and blood pressure is 135/80 mm Hg. Which of the following is the most appropriate next step in management?