Case Study Analysis Genitourinary Assessment CC: Increased frequency and pain with urination HPI: T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.

Case Study Analysis

Genitourinary Assessment

CC: Increased frequency and pain with urination

HPI:

T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.

Medical History:

None

Surgical History:

Tonsillectomy in 2001

Appendectomy in 2020

Review of Systems:

General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.

Abdominal: Denies nausea and vomiting. No appetite

Objective

VSS T = 37.3°C, P = 102/min, RR = 16/min, and BP = 116/74 mm Hg.

Pelvic Exam:

mild tenderness to palpation in the suprapubic area

bimanual pelvic examination reveals a normal-sized uterus and adnexa

no adnexal tenderness.

No vaginal discharge is noted.

The cervix appears normal.

Diagnostics: Urinalysis, STI testing, Pap smear

Assessment:

UTI

STI

Instructions for the above Case study Analysis

Week 10 assignment is a Case Study Analysis:

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Analyze the objective portion of the note. List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

John Hopkins and Mayo Clinic are not Scholarly Resources. Use more than one reference source to support your differential diagnosis.

Do not submit more than 5 pages for case study analysis, you do not need to repeat the case study.