Assignment 5.2: Shadow health focused exam:
UTI with antibiotic sensitivity
Maryville University
Synopsis
Patient: Makayla Henderson
DOB: 06/20/1998
Allergy: Penicillin (Red, itchy rash, nausea and vomiting)
Scenario: Ms. Henderson is a 21-year-old biracial woman who has come to the
university health clinic complaining about urination issues.
Diagnosis: Uncomplicated UTI
Urinalysis: Urine dipstick positive for nitrites/leukocyte esterase
Pregnancy test: Negative
Home medications: -Norgestimate/ethynyl/estradiol combo PO once daily
Loratadine 10 mg once daily
Cranberry pills 2 tabs daily
Vitals: Temp 37F (Temporal), Blood pressure 117/78 (Automatic), Heart rate 80
(NSR) , O2 sat: 99% (room air).
Local microbial resistance: Sulfamethoxazole/trimethoprim at 35%
Assessment: Ms. Henderson states she has been having frequent urination
causing burning and pain. The describes the urine as dark/brown and cloudy and
, Assignment 5.2: Shadow health focused exam: UTI with antibiotic sensitivity
states her symptoms started about 3 days ago. Patient has been avoiding drinking
water in order to minimize going to the bathroom due to pain and burning during
urination. There is stinging and burning pain 7 out 10 at the