Master the board step 3

Master the Boards: USMLE Step 3
Prostatitis
This is indicated by frequency, urgency, and dysuria and perineal or sacral
pain. There is tenderness of the prostate, and it may be described as “boggy”
on examination.
Diagnostic Testing
··
Best initial test: Urinalysis
··
Most accurate test: Urine WBCs after prostate massage
Treatment
Treat with ciprofloxacin or TMP/SMX for an extended period of time (2 weeks
for acute; 6 weeks for chronic). Prostatitis is like an abscess. Use the same drugs
as for cystitis and pyelonephritis but extend the length of therapy.
Infective Endocarditis
Clinically, endocarditis is diagnosed by meeting Duke’s criteria (2 major and
5 minor criteria). The diagnosis of endocarditis is made by the presence of 2
major, 1 major and 3 minor, or 5 minor criteria.
26