Originally posted by BellKicker
No, I think in that setting BPH is more likely. The low PSA doesn't exactly rule out cancer but since mild back pain is extremely prevalent in the elderly, our most likely diagnosis is BPH.
Next step would be rectal exploration. In a younger person we would go straight to trans-rectal ultrasound and/or biopsi but probably not in a person of this age. Bone scan is a possibility too.
New case:
57-year old female presents with jaundice. She has been an alchoholic for many years. She has diffuse abdominal pain with some radiation to her back. There is palpable, painless distension of the gallbladder.
If she has lost 11 punds over the last 6 months it could be?
If she has had similar episodes int he past it could be?