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65 year old male with bph symptoms since 3 months and diabetes since 10years

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THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT’S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. A 65 year old male resident of chandur came with chief complaints of decreased urine volume, increased frequency of urination and poor stream since 3 months    . History of Presenting illness - Patient was apparently asymptomatic 3 months back he then noticed decreased urine volume, poor stream which is not associated with pain, burning micturition, blood in urine, fever. Frequency of urination is increased.  Past history- No similar complaints in the past.                               He is a known case of diabetes since 20years. Since then he is on medication:  Sitagliptin 100mg  Metformin 500m Dapagliflozin 10 mg