Step II Frustrating Step 2 CS Case

[Xbocker]

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Ok so a patient comes in complaining with 4 month history of erectile dysfunction. He has no morning erection. He has had increased stress in the past 6 months and mild fatigue. He has very poor diabetes control. He has poorly controlled hypertension treated with atenolol. His blood pressure is 150/90

PE shows 2+ in bilateral lower extremeties, intact sensation to soft touch, and vibration.

Give me 3 differential Diagnosis. I want to see what you guys say and compare to what I thought were 3 relevant diagnoses

 

[CD125]

I think its a pretty straight forward case. I would put:

1) Neurovascular ED (poorly controlled diabetes/HTN, lack of morning erections)
2) Psychogenic ED (stress/fatigue)
3) Testosterone deficiency (lack of morning erections, fatigue)

 

[Xbocker]

I think its a pretty straight forward case. I would put:

1) Neurovascular ED (poorly controlled diabetes/HTN, lack of morning erections)
2) Psychogenic ED (stress/fatigue)
3) Testosterone deficiency (lack of morning erections, fatigue)

That's exactly what I had but except I made your first differential into two separate and took out psychogenic. according to uworld the dd are
1. Medication induced (atenolol)
2. Anxiety
3. Testosterone deficiency