S: The patient is a 57-year-old WDWN female patient tired o…
S: The patient is a 57-year-old WDWN female patient tired of dealing with frequent urination, including at night. She was treated last week with an antibiotic for a bladder infection. Urinalysis at that time was over a 100,000 E. coli. Five days later, the patient began ciprofloxacin 250 mg b.i.d. x7 days. Her last dose was today. Then the patient saw another provider and urinalysis was collected showing 50 to 100,000 of mixed bacteria, likely contamination. The patient denies any discrete burning with the urine. No fevers, no chills. No back pain. O: T 98.4; P 78; R 18; BP 124/82; wt 178. She appears comfortable, nonseptic, in no acute distress. Lung sounds are clear. Heart has regular rate and rhythm. Urinalysis shows trace blood, moderate protein, and small leukocytes. There are no nitrites. A: Status post UTI with urinary frequency. P: Recommend sending today’s urinalysis for culture. She can try Pyridium, which may help with her symptoms now. It is most important that she get back on her diuretic, which she has stopped, and a consideration to take this in the very early morning hours if she gets up to void would be appropriate so she can go back to sleep. Discuss in two days’ time to see if the urine has completely cleared. At that time, if this is a negative urinalysis, C&S, then we would increase the Detrol LA to 4 mg per day. What is the patient’s chief complaint?
Read Details