Review 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.
PART 2
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:
SEE FILE ATTACHMENT
Describe the urinalysis findings and determine possible reasons for the findings and follow-up, if necessary.
USE TEXTBOOK FOR REFERENCE Dlugasch, L. & Story, L. (2019). Applied pathophysiology for the advanced practice nurse (1st ed.). Jones & Bartlett. ISBN: 9781284150452
DO NOT REPEAT CASE STUDY IN RESPONSE
