Mrs. Orndorf is a 28-year-old woman married for 3 years who has just returned from an outdoor camping trip with her husband, with symptoms of dysuria with a burning sensation, urgency to urinate, and frequent urination.
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Mrs. Orndorf is a 28-year-old woman married for 3 years who has just returned from an outdoor camping trip with her husband, with symptoms of dysuria with a burning sensation, urgency to urinate, and frequent urination. She said, “I have had similar symptoms three times over the last 2 years. Pubic and low back discomfort awoke me two nights ago and that is why I am here.” On physical examination, her temperature was 98.6° F, blood pressure was 114/64 mm Hg, pulse was 68 beats per minute, and the respiratory rate was 12 breaths per minute. Other than a tender abdominal pelvic area, the examination was unremarkable.
• What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least four (4) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why.
• According to the first item in your differential, what are the risk factors for this disorder?
• What are some treatments for this disorder?
Subjective: Mrs. Orndorf is a 28-year-old woman with symptoms of dysuria with a burning sensation, urgency to urinate, frequent urination, pubic and low back discomfort.
Objective:
T: 98.6° F
BP: 114/64 mm Hg
P: 68 beats per minute
R: 12 breaths per minute
Urinary tract infection (primary): is characterized as an infection in any part of your urinary system such as kidneys, ureters, bladder and urethra. The urinary tract is the pathway from the kidneys to the urethral meatus. Normally the urinary tract is sterile and resistant of bacterial colonization due to the urine acidity, vesicoureteral valve and various immunologic and mucosal barriers. The major defense against a urinary tract infection is to completely empty the bladder during urination. Affect females more frequently than
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