Erectile Dysfunction: T.R. is a 51-year-old male

Erectile Dysfunction

Erectile Dysfunction: T.R. is a 51-year-old male

T.R. is a 51-year-old male who presents to his PCP with the complaint of having some problems in the bedroom. He states that for the past 7 months he has only been able to achieve temporary, partial erections that are insufficient for intercourse. This issue has caused T.R. and his wife to have some marital issues. He was diagnosed with hypertension. He is currently taking Hydrochlorothiazide 25 mg daily.

• What are some appropriate questions to ask the patient?
• What are three differential diagnoses for the patient?
• What physical examination would you perform?
• What diagnostics would you include?
• Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

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Renal Disease and Men’s Health Issues
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As the patient reports feelings of restlessness while he is in the bedroom, we can ask him a number of questions.
1 When were you diagnosed with hypertension?
2 When did you start taking Hydrochlorothiazide 25 mg?
3 Do you feel that you have gained weight?
4 Do you observe some physical changes since the time you have come to know about partial erections?
ECG, Chest X-Ray and Electrocardiogram are three differential diagnoses for this patient (Davenport, 2016).
The physical examination will include checking the patient’s heart rate, monitoring his blood glucose and cholesterol levels, seeing whether he is obese or not, observing whether he has metabolic syndrome, multiple sclerosis or Parkinson’s disease or not and determining if