Soaring

Renal & Urinary System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young woman has presented with a three-day history of lower urinary tract symptoms, along with suprapubic discomfort and lower back pain. Her physical exam is unremarkable.\n\nThe probable diagnosis is an uncomplicated lower urinary tract infection (UTI). As she is generally well, without flank pain, costovertebral angle tenderness, or features of systemic involvement (e.g., fever, chills, rigors, unusual fatigue, or tachycardia), an upper UTI (i.e. pyelonephritis) is unlikely.\n\nIn women, lower UTIs include cystitis, urethritis, and vaginitis. However, the last of these is unlikely given the absence of dyspareunia, pruritus, or vaginal discharge. Furthermore, the presence of suprapubic pain (i.e. overlying the anatomical location of the "}]}

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