A 58-year-old man comes to the office due to urinary symptoms. Over the past year, he has had difficulty initiating urination and a weakened urine stream. He also has frequent nocturnal voiding. The patient has not passed any visible blood clots and has had no dysuria, fever, recent illnesses, or urinary trauma. He has no other medical conditions and takes no medications. Vital signs are within normal limits. He is a business management consultant and motivational speaker. Vital signs are normal. BMI is 27 kg/m². The patient's kidneys are most likely to demonstrate which of the following findings?

Question

Quizplus · Accepted Answer

Eductional Objective: Benign prostatic hyperplasia leads to progressive bladder outlet obstruction.  Over time, increased urinary pressures can cause hydronephrosis and renal parenchymal atrophy with scarring.  This can progress to chronic kidney disease.

A 58-Year-Old Man Comes to the Office Due to Urinary