CHAMBERLAIN UNIVERSITY
NR 602
Primary Care of the Childbearing & Childrearing Family
Week 7 Human Case Study Kristina Hart 28yrs Encountering Pain when I Pee 2026
Page 1 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
,1. Patient Overview & Case Introduction
Case Summary (≤55 words):
Kristina Hart is a 28-year-old female with a PMH of UTIs who presents to the office with
complaints of dysuria x3 days. Associated symptoms include urinary urgency and yellow,
creamy, non-odorous vaginal discharge. She reports more than one sexual partner and denies
STI protection. Mucopurulent discharge from the cervical os and cervix friability noted on PE.
Patient Demographics
Field Information
Patient Name Kristina Hart
Age 28 years old
Sex Female
Race/Ethnicity Not specified
Marital Status Not specified
Insurance Not specified
Provider Setting Outpatient Primary Care / Women's Health Clinic
Case Week Week 7 — NR 602, Chamberlain University
Chief Complaint "Pain when I pee" — Dysuria × 3 days
This iHuman case challenges the advanced practice nursing student to integrate clinical reasoning,
differential diagnosis, and evidence-based management for a young woman presenting with
genitourinary complaints in the primary care setting. The case requires careful history-taking, a focused
physical examination, appropriate diagnostic ordering, and construction of a safe, patient-centered
treatment plan.
Page 2 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
, 2. Chief Complaint & History of Present Illness (HPI)
Chief Complaint
Patient's Own Words:
"It hurts when I pee. I've also noticed a discharge that is yellowish and kind of thick. It's been
going on for about three days now."
History of Present Illness (HPI) — OLDCARTS Format
Element Details
Onset 3 days ago; gradual onset
Location Urethral/pelvic region; vaginal discharge also noted
Duration Continuous over the past 3 days
Character Burning, painful urination (dysuria); urgency; creamy, yellow,
non-odorous vaginal discharge
Aggravating Factors Urination; sexual intercourse
Relieving Factors Soaking in a warm bath provides some temporary relief
Timing Persistent; present throughout the day
Severity Moderate; interfering with daily activities
Associated Symptoms Urinary urgency, vaginal discharge (yellow, creamy, non-
odorous); denies fever, hematuria, genital sores, abdominal
pain
Denied Symptoms Fever, chills, flank pain, hematuria, genital ulcers, abdominal
pain
History of Present Illness — Narrative
Kristina Hart is a 28-year-old female who presents to the outpatient clinic with a 3-day history of painful
urination (dysuria) accompanied by urinary urgency and frequency. She describes the pain as a
burning sensation occurring with every void. She notes a yellow, creamy, non-odorous vaginal
discharge that she first noticed approximately 3 days ago. She reports that soaking in a warm bath
provides some temporary relief.
She is sexually active with multiple partners and reports she does not consistently use barrier
protection (condoms or other STI prevention). She is currently on oral contraceptive pills (OCPs) for
birth control but denies awareness of any sexually transmitted infections in herself or her partners.
She denies fever, chills, nausea, vomiting, flank or lower back pain, hematuria, genital sores or lesions,
pelvic pain, or abdominal pain. Her last menstrual period (LMP) was approximately two and a half
weeks ago, with normal bleeding between cycles. She denies intermenstrual bleeding or post-coital
bleeding at this time.
Page 3 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
NR 602
Primary Care of the Childbearing & Childrearing Family
Week 7 Human Case Study Kristina Hart 28yrs Encountering Pain when I Pee 2026
Page 1 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
,1. Patient Overview & Case Introduction
Case Summary (≤55 words):
Kristina Hart is a 28-year-old female with a PMH of UTIs who presents to the office with
complaints of dysuria x3 days. Associated symptoms include urinary urgency and yellow,
creamy, non-odorous vaginal discharge. She reports more than one sexual partner and denies
STI protection. Mucopurulent discharge from the cervical os and cervix friability noted on PE.
Patient Demographics
Field Information
Patient Name Kristina Hart
Age 28 years old
Sex Female
Race/Ethnicity Not specified
Marital Status Not specified
Insurance Not specified
Provider Setting Outpatient Primary Care / Women's Health Clinic
Case Week Week 7 — NR 602, Chamberlain University
Chief Complaint "Pain when I pee" — Dysuria × 3 days
This iHuman case challenges the advanced practice nursing student to integrate clinical reasoning,
differential diagnosis, and evidence-based management for a young woman presenting with
genitourinary complaints in the primary care setting. The case requires careful history-taking, a focused
physical examination, appropriate diagnostic ordering, and construction of a safe, patient-centered
treatment plan.
Page 2 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
, 2. Chief Complaint & History of Present Illness (HPI)
Chief Complaint
Patient's Own Words:
"It hurts when I pee. I've also noticed a discharge that is yellowish and kind of thick. It's been
going on for about three days now."
History of Present Illness (HPI) — OLDCARTS Format
Element Details
Onset 3 days ago; gradual onset
Location Urethral/pelvic region; vaginal discharge also noted
Duration Continuous over the past 3 days
Character Burning, painful urination (dysuria); urgency; creamy, yellow,
non-odorous vaginal discharge
Aggravating Factors Urination; sexual intercourse
Relieving Factors Soaking in a warm bath provides some temporary relief
Timing Persistent; present throughout the day
Severity Moderate; interfering with daily activities
Associated Symptoms Urinary urgency, vaginal discharge (yellow, creamy, non-
odorous); denies fever, hematuria, genital sores, abdominal
pain
Denied Symptoms Fever, chills, flank pain, hematuria, genital ulcers, abdominal
pain
History of Present Illness — Narrative
Kristina Hart is a 28-year-old female who presents to the outpatient clinic with a 3-day history of painful
urination (dysuria) accompanied by urinary urgency and frequency. She describes the pain as a
burning sensation occurring with every void. She notes a yellow, creamy, non-odorous vaginal
discharge that she first noticed approximately 3 days ago. She reports that soaking in a warm bath
provides some temporary relief.
She is sexually active with multiple partners and reports she does not consistently use barrier
protection (condoms or other STI prevention). She is currently on oral contraceptive pills (OCPs) for
birth control but denies awareness of any sexually transmitted infections in herself or her partners.
She denies fever, chills, nausea, vomiting, flank or lower back pain, hematuria, genital sores or lesions,
pelvic pain, or abdominal pain. Her last menstrual period (LMP) was approximately two and a half
weeks ago, with normal bleeding between cycles. She denies intermenstrual bleeding or post-coital
bleeding at this time.
Page 3 | NR 602 — Primary Care of the Childbearing Family | Chamberlain University
