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Week 7 Case Study 2
Rhonda Hawley
South University
NSG5003-Advanced Pathophysiology
Dr. Bostick
September 30, 2024
PROF SHAWN
, 2
Week 7 Case Study 2
Part of this week’s learning objectives are urinary disorders. For this paper I plan to discuss different
renal and urinary disorders in multiple different scenarios. Urinary disorders can range from the common UTI
to hematuria to even a severe disorder relating to the renal system. A lot could go wrong with the renal
system and there is a lot to cover. So, let’s get started!
Part One Case One Scenario
A 50-year-old woman presented complaining of burning sensation when urinating and feeling like
she must go every hour for the last day. She denies fever and suprapubic or back pain.
• Past medical history: dyslipidemia and hypertension. Medications: atorvastatin.
• Allergies: sulfa.
• Physical examination: temperature 98.5°F; pulse 80 beats per minute; respirations 18 per
minute; blood pressure 110/66 mmHg; examination unremarkable; no suprapubic or
costovertebral angle tenderness; urine dipstick reveals moderate leukocytes and positive
nitrites, with all other values within normal limits.
Related Questions and Answers
Given the scenario I would have to say the most likely diagnosis would be a urinary tract infection
(UTI). UTIs are very common among females and given the prevalence of such infections the most common
bacteria that causes UTIs is E.Coli. E.Coli is often spread through inappropriate wiping of female anatomy,
often times females wipe back to front instead of front to back introducing bad bacteria from the anal area
into the highly sensitive vaginal and urethra area (Mayo Clinic, 2022). Given that this patient has burning with
urination as well as urinary frequency are classic signs and symptoms of a UTI followed by a urine dipstick
positive for leukocytes and nitrates to further back up this assessment. To confirm the diagnosis and to find
out what type of bacteria is growing I would order a urine culture and sensitivity and possibly a CBC to further
confirm infection and isolate the bacteria to see what antibiotics work against the causing bacteria. This
patient will need to be started on broad spectrum antibiotics until susceptibility is confirmed to get the right
antibiotics (Mayo Clinic, 2022). I would also encourage fluids, proper hygiene techniques, and a probiotic to
help maintain the good bacteria.
Part Two Scenario
A 46-year-old woman is asymptomatic and has a routine urinalysis as part of her annual physical. The urinalysis with
microscopy report is as follows:
Week 7 Case Study 2
Rhonda Hawley
South University
NSG5003-Advanced Pathophysiology
Dr. Bostick
September 30, 2024
PROF SHAWN
, 2
Week 7 Case Study 2
Part of this week’s learning objectives are urinary disorders. For this paper I plan to discuss different
renal and urinary disorders in multiple different scenarios. Urinary disorders can range from the common UTI
to hematuria to even a severe disorder relating to the renal system. A lot could go wrong with the renal
system and there is a lot to cover. So, let’s get started!
Part One Case One Scenario
A 50-year-old woman presented complaining of burning sensation when urinating and feeling like
she must go every hour for the last day. She denies fever and suprapubic or back pain.
• Past medical history: dyslipidemia and hypertension. Medications: atorvastatin.
• Allergies: sulfa.
• Physical examination: temperature 98.5°F; pulse 80 beats per minute; respirations 18 per
minute; blood pressure 110/66 mmHg; examination unremarkable; no suprapubic or
costovertebral angle tenderness; urine dipstick reveals moderate leukocytes and positive
nitrites, with all other values within normal limits.
Related Questions and Answers
Given the scenario I would have to say the most likely diagnosis would be a urinary tract infection
(UTI). UTIs are very common among females and given the prevalence of such infections the most common
bacteria that causes UTIs is E.Coli. E.Coli is often spread through inappropriate wiping of female anatomy,
often times females wipe back to front instead of front to back introducing bad bacteria from the anal area
into the highly sensitive vaginal and urethra area (Mayo Clinic, 2022). Given that this patient has burning with
urination as well as urinary frequency are classic signs and symptoms of a UTI followed by a urine dipstick
positive for leukocytes and nitrates to further back up this assessment. To confirm the diagnosis and to find
out what type of bacteria is growing I would order a urine culture and sensitivity and possibly a CBC to further
confirm infection and isolate the bacteria to see what antibiotics work against the causing bacteria. This
patient will need to be started on broad spectrum antibiotics until susceptibility is confirmed to get the right
antibiotics (Mayo Clinic, 2022). I would also encourage fluids, proper hygiene techniques, and a probiotic to
help maintain the good bacteria.
Part Two Scenario
A 46-year-old woman is asymptomatic and has a routine urinalysis as part of her annual physical. The urinalysis with
microscopy report is as follows:
