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Assignment 5.2- Shadow health focused exam- UTI with antibiotic sensitivity
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Assignment 5.2- Shadow health focused exam- UTI with antibiotic sensitivity
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lOMoARcPSD|16248954Assignment 5.2- Shadow health focused exam- UTI with
antibiotic sensitivity
nursing (Chamberlain University)
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, lOMoARcPSD|16248954
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 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
Downloaded by bakr amar (bakramar94@gmail.com)
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