A patient who experiences Pain with urination
Student’s Name Institution Course Name
Instructor’s Name Date
A patient who experiences Pain
... [Show More] with urination
Hello everyone, Specifics for the Patient:
Age: A 38-year-old woman
CC: “I experience much pain during my urinating exercise.”
Pain with urination
HPI: Urinary discomfort brings a woman 38 years old to the emergency room, where she seeks treatment. She claims that the suffering began around two days ago and has steadily worsened ever since it began. Her urethra is the source of the intense pain that she is experiencing (Pintos- Díaz et al., 2019). She has also seen a rise in the number of times per day that she has to urinate, in addition to weakening the force of the urine stream that comes out of her body. There is no indication of blood in her urine, and she has recently consumed many fluids (Clemens et al., 2019).
Onset: 2 days ago.
Location: Urethra.
Characteristic: Severe pain when urinating.
Associated symptoms: Increased number of urination in a day.
Relieve measures: The section titled "Medications" noted that the patient does not currently take any medications.
Past Medical History: She does not have any additional medical history that is pertinent, nor is she taking any medications at this time. The patient's previous medical records do not contain any vital background information on the individual.
Family History: She reports that the patient comes from a family with multiple relatives with either hypertension or diabetes.
Social History: The Culture and Society of those People At this point, the patient is a woman who is 38 years old, is happily married, and is the mother of two small children. She holds a degree in education and works as a teacher. In addition, her history in society does not include anything else that is particularly significant.
There is currently no evidence that the patient suffers from any allergies that have been documented. She claims that she never smokes and that she only consumes alcohol on rare occasions.
Review of Systems (ROS)
General: She exhibits pee symptoms, including frequency, urgency, nocturia, hesitation, weak stream, and dysuria. Dysuria is a condition in which the stream of urine is abnormally weak.
Skin: she does not experience any skin problems.
HEENT: She is experiencing difficulty in the genitourinary system with her urine. She suffers from fatigue and malaise when she is constitutionally restrained.
Neck: She does not complain about neck problems.
CV: She states that she is not suffering from palpitations or cardiac problems.
Lung: The patient has not accepted breath shortness or coughing.
MSK: There is no pain or weakness in the muscle.
Neuro: She experiences severe headaches with no numbness, tingling, or weakness.
Explanatory Model: "From what you have said and what I can observe, it seems like you have a UTI. Although painful, this condition is amenable to antibiotic treatment. A course of antibiotics will be initiated, and you should increase your hydration intake. I also want you to check in with your primary care doctor in a few days. While we wait, please do not be shy about asking any questions that may arise."
Background: A healthy 38-year-old woman presents as the patient. She does not suffer from any illnesses or takes any prescription drugs.
Effect: The patient seems frightened and in discomfort. She is cooperative and gives a clear history.
Troubles: The pain the patient is experiencing seems to be causing her some mild discomfort. However, she is not in any severe pain.
Handling: The patient has a UTI. She has been given antibiotics and told to drink fluids. She is told to see her PCP in a few days. [Show Less]