Week 4: Genitourinary Clinical Case
This week’s case involves a patient presenting with symptoms of potential urinary tract infection (UTI) and is experiencing a burning sensation upon urination. The patient is a 32 year old female who has had no prior history of UTIs. Upon further questioning, the patient noted that she recently had unprotected sexual intercourse for the first time in the past four months.
The patient was taken to the lab for diagnostic tests and urinalysis results showed increased concentrations of leukocytes and nitrites, suggesting a UTI. A urine culture was also taken as well as testing for other sexually transmitted diseases, such as chlamydia or gonorrhea. As part of her physical examination, her abdomen was palpitated and she was asked to provide a urine sample to check for any signs of lesions or inflammation.
The patient’s blood pressure reading at the time of assessment was 120/80 mmHg, which is within normal range. Upon further investigation and questioning, it was determined that she had been drinking alcohol earlier in the day prior to attending her appointment and she reported that it had been an exceptionally stressful week at work. It should be noted that stress is known to be one of the risk factors associated with developing UTIs in women.
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It was recommended to the patient that she take antibiotics to treat her current UTI before any further testing could be conducted on her urine sample for chlamydia or gonorrhea since this would confirm if our diagnosis was correct initially or not, based upon laboratory test results. The physician prescribed an antibiotic medication regimen which required taking two pills twice daily over a period of seven days in total. Any potentially related sexually transmitted diseases were monitored closely over a longer period of time with repeat visits scheduled over subsequent months if needed.
The importance here lies in ensuring that appropriate treatments are prescribed early on, so as to prevent any potential complications from arising due to delayed treatment or erroneous diagnoses from occurring down the track due to inaccurate interpretations of initial laboratory test results. In addition, it is important for all individuals who present with similar symptoms during their clinical encounters with healthcare professionals to ensure they provide full disclosure about their lifestyle habits including sexual activity and alcohol consumption as these could all contribute towards accurate assessments during clinical evaluations henceforth leading to more effective treatments being provided ultimately leading towards better health outcomes overall for individuals affected by genitourinary conditions
