HISTORY:
for
, up to °, over
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Breasts: -R: , -L:
Abdomen: , , ,
CVA tenderness:
Anorectal: DRE , prostate , anus
Genital: , testicles , penis
ASSESSMENT:
DDx:
PLAN:
- Urinalysis
- Urine culture
- Blood work: , , ,
-
-
- Increase fluid intake
- Referral to urologist
- Follow-up in
- Return if symptoms worsen or if fever develops