Directions
Students should complete one (1) case (your choice) from Part 1, complete all of Part 2, complete one (1) case (your choice) from Part 3 and complete Part 4. Note: All case studies are provided as a learning tool for students who wish to have them.
Part 1: Pick one of the three (3) casesReview the urinary infectious cases and determine the most likely cause, including pathogen and mode of transmission. Discuss data that supports your decision and treatment strategies.
Case 1
A 50-year-old woman presented complaining of burning sensation when urinating and feeling like she has to 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.
What is the most likely diagnosis and pathogen causing this disorder and mode of transmission? Discuss data that support your decision.
What diagnostic test, if any, should be done?
What are diagnostic test findings would support your diagnosis?
Develop a treatment plan for this patient.
Case 2A 65-year-old woman with no urinary system complaints had a routine urinalysis with the following results:
What is the most likely diagnosis and pathogen causing this disorder and mode of transmission? Discuss data that support your decision.
What diagnostic test, if any, should be done? Develop a treatment plan for this patient.
Case 3A 45-year-old woman is complaining of urgency and dysuria for the past 2 days. Yesterday, she started getting chills, feels she is getting a fever, and her back hurts.
Past medical history: UTI 1 year ago.
Medications: none.
Allergies: no known drug allergy (NKDA).
Physical examination: temperature 100°F, pulse 86 beats per minute; respirations 18 per minute; blood pressure 110/70 mmHg; positive costovertebral angle and suprapubic tenderness, otherwise unremarkable; urine dipstick reveals positive leukocytes but negative for nitrites and blood.
What is the most likely diagnosis and pathogen causing this disorder and mode of transmission?
Discuss data that support your decision.
What diagnostic test, if any, should be done? What diagnostic test findings would support your diagnosis?
Develop a treatment plan for this patient.
Part 2: Complete all
Review the following case and urinalysis report.
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:
