HISTORY:
Dysuria for
, up to °, over
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
CVA tenderness:
Anorectal: DRE , prostate , anus
Genital: , testicles , penis
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
ASSESSMENT:
DDx:
PLAN:
- Urinalysis
- Urine culture
- STI testing for chlamydia and gonorrhea
- Blood work: , ,
- Pelvic ultrasound
- CT scan of the abdomen and pelvis
- Cystoscopy
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-
-
-
-
- Increase fluid intake
- Avoid caffeine, alcohol, and spicy foods
- Referral to urologist
- Referral to gynecologist
- Follow-up in
- Return if symptoms worsen or if fever develops