This patient who presented with AUR, I would approach in the following way: 1.

Focused urological history, h/o LUTs,sy pto s of !"",co# or$idity, edication history,weight loss, appetite %. &hysical e'a ination: (eneral e'a ination, signs of anae ia, uscle wasting,)R*:already perfor ed# alignant feeling, I would note the si+e of &rostate, anal tone, spinal tender point, neurological e'a ination. ,. Insert a long ter Folys catheter, record the residual -olu e. .. Initial la$s: F!/, U 0 *s,Alp,&/A is erroneous, $ut has already $een perfor ed, -ery high. 1. Ad it the patient in 2)U. 3lose onitoring re4uired, as will ha-e post#o$structi-e diuresis, which I would anage appropriately $y:# ### daily weighing of the patient, ### erect and supine !&, ### 56& and other 33F signs: pitting oede a,#sacral and legs. ### ay re4uire central line for fluid anage ent, ### daily U0*s7especially as distal tu$ule ay $e unresponsi-e to aldosterone, therefore 8 ay rise, on the other hand, hyponatre ia is a fre4uent finding9. :. ;ith the a$o-e anage ent, 3reatinine will i pro-e within a wee<.U/ of renal tract. =. 3ounsel the patient with regard to the further anage ent. /tart hi on Androgen )epri-ation therapy with L2R2 agonist, with LFT prior to it and repeating it at two wee<s, >. Arrange a !one /can and ?RI of &el-is7plus &rostate9 and /pine, to loo< for ets as well as staging the &rostatic cancer. @. Arrange discussion at ?)T.