Health Care > iHuman Case Studies > NR 602 IHUMAN JULIANA MIRABELLES 25Y/O FEMALE, CC. PAIN WITH URINATION (All)

NR 602 IHUMAN JULIANA MIRABELLES 25Y/O FEMALE, CC. PAIN WITH URINATION

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Juliana Mirabelles 25 y/o CC: Pain with urination HPI: 25 year old female p/w 3 day history of dysuria, urinary frequency as well as mucopurulent vaginal discharge. She denies fever, chills, myalg... ia. She has a previous hx of UTI, smoking, and multiple sex partners with some unprotected sex.The pain is alleviated by a warm bath and increased with standing. Physical exam shows cervical friability. PMHX Allergies: NKDA Other active problems: None Medical, surgical, obstetric: None just dental fillings Preventative health: Last Pap smear negative a few years ago: no Hx of abnormal results Previous screening for STDs Immunizations: No previous HPV vaccination General immunization status: the patient thinks she is up to date. Rx: Oral contraceptive pills (OCP): ethinyl estradiol/drospirenone Ibuprofen for menstrual cramps FHx: Mother: diabetes mellitus (DM) Father: hypertension (HTN), coronary artery disease (CAD), hyperlipidemia Older sister: Alive and well SHx: Works as a consultant; travels frequently Alcohol: 1 to 2 times per week; 4 to 5 drinks per occasion No other substance use Previous-smoker status; approximate 2-pack-year Hx ROS: General- Tired due to lack of sleep related to increased urination Skin/hair/nails- Negative HEENT- Negative Breast- Negative Cardiovascular- Negative Respiratory- Negative Gastrointestinal- Negative Genitourinary- Describes pain with urination and urinary urgency MSK- Negative Hematologic- Negative Endocrine- Negative Neurological- Negative [Show More]

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