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Emergency Medicine Journal 2008;25:522-523; doi:10.1136/emj.2008.063446
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 1: IS THERE A ROLE FOR SERUM PROSTATE-SPECIFIC ANTIGEN LEVEL IN THE DIAGNOSIS OF ACUTE PROSTATITIS?

Ming-Ju Hsieh, Zui-Shen Yen, Assistant Professor

National Taiwan University Hospital, Taipei, Taiwan

Accepted 13 June 2008

The first 150 words of the full text of this article appear below.

Report by Ming-Ju Hsieh

Search checked by Zui-Shen Yen, Assistant Professor

Institution: National Taiwan University Hospital, Taipei, Taiwan

THREE-PART QUESTION

In [a male adult with fever] does [serum prostate specific antigen level] assist in [the diagnosis of acute prostatitis]?

CLINICAL SCENARIO

A 60-year-old man with fever for 5 days is brought to the emergency department by his family. He has no other somatic symptoms except for fever. The results of the physical examination are within normal limits except for a moderately enlarged prostate. Laboratory studies including chest film and urine analysis show no specific findings. You wonder whether serum prostate-specific antigen (PSA) level would assist in the diagnosis of acute prostatitis.

SEARCH STRATEGY

Medline, OVID interface on the world wide web, 1966 to February 2008. Cochrane Library on the world wide web. Medline: {(exp prostate specific antigen OR PSA.mp) AND (exp prostatitis OR prostatitis.mp) AND (acute.mp)} LIMIT to human AND English. Cochrane Library: [prostate].

SEARCH OUTCOME

Medline: . . . [Full text of this article]


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