Hi Angela,
A couple of years ago a 76 yr old man acutely hospitalised with pneumonia
followed by an AMI had a PSA done (requested by a junior doc for unknown
reason)during the admission. The PSA was 207 ng/ml (Abbott Axsym). Repeat
the next day was 144. These high levels did not really fit with further
clinical urological investigation. Six weeks later the PSA was 1.9 and 2.0
on separate days. The consultant urologist interpreted the high PSA as due
to an asymptomatic segmental infarction in the prostate, which he said
sometimes happens in sick elderly men with altered blood pressure. He also
clearly indicated his view on requesting PSA without good clinical reasons!
regards,
Graham White
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