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NR602 PRIMARY CARE OF THE CHILDBEARING
AND CHILDREARING FAMILY I-HUMAN CASE
STUDY: BRIANNA GILL – DYSURIA (PAIN WHEN
I PEE) JUNE 2026 | CHAMBERLAIN UNIVERSITY
1. PATIENT IDENTIFICATION & DEMOGRAPHICS
Characteristic Detail
Name Brianna Gill
Age 28 years old
Sex Female
Race/Ethnicity Caucasian
Occupation Elementary school teacher
Living Situation Lives with husband in suburban home
Insurance Private insurance through employer
Course NR602 – Primary Care of the Childbearing and Childrearing Family
Date of Encounter June 2026
2. CHIEF COMPLAINT (CC)
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"I've been having some pain and burning when I urinate."
3. HISTORY OF PRESENTING ILLNESS (HPI)
Using the OLDCARTS Framework
Component Findings
Symptoms began approximately 3 days ago. Acute onset with no prodrome. Timing correlates w
Onset
sexual intercourse 4 days prior (post-coital onset classic for cystitis).
Burning pain localized to the urethra during voiding. Suprapubic pressure and discomfort betwe
Location voiding episodes. Critical negative: No flank pain, back pain, or costovertebral angle tenderne
(rules out pyelonephritis).
Duration 3 days of persistent symptoms without treatment. Symptoms not improving spontaneously.
Burning/stinging pain during urination. Urinary urgency (sudden strong urge to void). Increased
Character frequency (voiding every 1–2 hours). Sensation of incomplete bladder emptying. Suprapubic
pressure.
Aggravating Voiding itself triggers the burning. Sexual intercourse 4 days ago is the likely precipitant.
Increasing fluid intake provides mild relief by diluting urine. Rest and heat pack to suprapubic a
Relieving
OTC phenazopyridine (Pyridium) partially relieved symptoms but did not resolve them.
Symptoms are constant but worsen with voiding. Frequency worse during daytime (minimal
Timing
nocturia, 1–2 episodes).
Rates pain as 5/10 – uncomfortable and disruptive but not debilitating. Able to attend work but
Severity
distracted by symptoms.
Additional symptoms: Mild suprapubic discomfort. No fever, chills, nausea, vomiting, or malai
Symptoms
No visible hematuria. No vaginal discharge, odor, or itching. No dyspareunia.
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NR602 PRIMARY CARE OF THE CHILDBEARING
AND CHILDREARING FAMILY I-HUMAN CASE
STUDY: BRIANNA GILL – DYSURIA (PAIN WHEN
I PEE) JUNE 2026 | CHAMBERLAIN UNIVERSITY
1. PATIENT IDENTIFICATION & DEMOGRAPHICS
Characteristic Detail
Name Brianna Gill
Age 28 years old
Sex Female
Race/Ethnicity Caucasian
Occupation Elementary school teacher
Living Situation Lives with husband in suburban home
Insurance Private insurance through employer
Course NR602 – Primary Care of the Childbearing and Childrearing Family
Date of Encounter June 2026
2. CHIEF COMPLAINT (CC)
, 3|Page
"I've been having some pain and burning when I urinate."
3. HISTORY OF PRESENTING ILLNESS (HPI)
Using the OLDCARTS Framework
Component Findings
Symptoms began approximately 3 days ago. Acute onset with no prodrome. Timing correlates w
Onset
sexual intercourse 4 days prior (post-coital onset classic for cystitis).
Burning pain localized to the urethra during voiding. Suprapubic pressure and discomfort betwe
Location voiding episodes. Critical negative: No flank pain, back pain, or costovertebral angle tenderne
(rules out pyelonephritis).
Duration 3 days of persistent symptoms without treatment. Symptoms not improving spontaneously.
Burning/stinging pain during urination. Urinary urgency (sudden strong urge to void). Increased
Character frequency (voiding every 1–2 hours). Sensation of incomplete bladder emptying. Suprapubic
pressure.
Aggravating Voiding itself triggers the burning. Sexual intercourse 4 days ago is the likely precipitant.
Increasing fluid intake provides mild relief by diluting urine. Rest and heat pack to suprapubic a
Relieving
OTC phenazopyridine (Pyridium) partially relieved symptoms but did not resolve them.
Symptoms are constant but worsen with voiding. Frequency worse during daytime (minimal
Timing
nocturia, 1–2 episodes).
Rates pain as 5/10 – uncomfortable and disruptive but not debilitating. Able to attend work but
Severity
distracted by symptoms.
Additional symptoms: Mild suprapubic discomfort. No fever, chills, nausea, vomiting, or malai
Symptoms
No visible hematuria. No vaginal discharge, odor, or itching. No dyspareunia.
