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Asked by SabineMane001

KS is a 29 year old female who presents to your office with complaints of pain with urination.  She says she has never had this before and “can’t stand it a minute longer.”  She says she sometimes feels like she has to urinate, but nothing comes out.

 

Her social history includes being a graduate student, working part time as a waitress.  She does not smoke, denied recreational drug use.  Considers herself a social drinker.  Is sexually active and states, “I date a lot.”

 

Meds: Birth control pills

 

Her PE findings:

Temp: 98.4F  AP: 70  BP: 100/60   BMI: 27  Resp: 16

General: Appears healthy, no acute distress

Lungs: Clear anterior/posterior.  No wheezing or SOB.

Cardiac: RRR, S1, S2, no S3 no S4.  No murmur.

Abdomen: Slightly tender to suprapubic palpation; no palpable masses; no CVA tenderness.

 

In terms of her subjective review of systems, what are five questions you would ask to get more information on her presentation.  Why would you ask those questions and what is the rule in/rule out for each?

 

  

Your differential, at this point, should include UTI.  What other diagnosis are on your differential?  What questions would you ask/labs ordered to rule each in or out.  List a total of 5, including UTI, and explain each.

 

 

 

 

Whether this patient has a UTI or STD, the provider should have concerns for this patient in terms of sexual health.  Also, what are 3 major points you would include for p
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