NR 602 Week 7 iHuman Juliana Mirabelles: Gonorrhea & Dysuria | Complete Case Study with Answers

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i-Human Case Study – 1 1 1



Juliana Mirabelles (GU): Pain with Urination | NR 602 Week 7 Co
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mplete Case Solution with 1 1 1 1



Verified Answers & Clinical Reasoning | Updated Version, Expert
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Reason for Encounter: 1 1 1


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Pain with urination
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Good Questions - 98%
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1. How can I help you today? I have been burning when I pee. I was worried
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I had another bladder infection, but these symptoms are a little different than the
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symptoms I had with my last UTI.
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2. Do you have any other symptoms or concerns we should discuss? Yes. I als
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o have vaginal discharge.
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3. When did your pain/discomfort with urination start? About 3 daysago.
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4. Does anything make your pain/discomfort with urination better or worse? Soakin
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g in a warm bath helps.
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5. How severe is your pain/discomfort with urination? Makes me not want to go, ev
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en though I have to!
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6. Have youhadproblems withpain/discomfort with urination like thisbefore?
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Yes, with my bladder infection last year. But this seems different.
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,7. Is your pain/discomfort worse with thestart or end of urination? Worse when star
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ting, but it doesn’t really let up
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8. Do you feel when you need to urinate that you need to urgently? Urgent. Oh, I kn
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ow what that’s like.I remember I had that bladder infection, when I had to go I lit
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erally had to RUN to the bathroom. I haven't noticed that so much with this.
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9. Has there been a change in your urination frequency? Well, yeah. Seems like I
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feel I have to go every 10 to 15 or 20 minutes, but I resist due to the pain.
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10. Is your urine pink or red in color (blood in urine)? Haven’t seen any.
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I HUMAN JULIANA MIRABELLES (GU) PAIN WITH URINATION 1 1 1 1 1 1 1




NR16021WEEK171I1HUMAN1JULIANA1MIRABELLES1(GU)1PAIN1WITH1URINATION1
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11. What is the appearance, smell, texture, and quantity of the vaginaldischarge? O
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h boy. ..................................................................... I hate having to
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answer these questions. Yellow, kind of mucousy, kind of creamy. Not really too s
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melly. 1



12. Do you have vaginal discomfort or itching? No
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13. Have youhad vaginal discharge/discomfort like thisbefore? I’ve had yeast infecti
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ons before, but this is different.
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14. Have you been having fevers? No, not really.
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15. Are you sexually active? Yes, I am
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16. Do you have pain with intercourse? No, but I haven’t had sex since this all started
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.
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17. Are you having or have you had unprotected sex? I’m on the pill, so I guess I’m pro
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tected that way. For STD’s not so much.
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18. Have you had any sexually transmitted infections? Not that I know of.
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19. Do you have more than one sexual partner? Yes
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20. Do you have new or multiple sexual partners with similar symptoms? Well, no on
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e has told me he has any problems.
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21. Do you use precautions to prevent the transmission of sexual infections? Nothing
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other than the pill 1 1 1 1



22. Do you have genital sores or discharge? No sores, but we were talking about the o
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ther. 1



23. When did your last period begin? About two-and-a-half weeks ago.
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24. Do you have bleeding between your menstrual cycles? No
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25. Are you taking any OTC or herbal medications? Yeah, sometimes take ibuprofen
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with my period. You know, like for cramps and headaches.
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