Assignment Task:
Below is your patient visit: A pleasant, 17 year old female Source: Self, reliable source Subjective: Chief complaint: "It hurts when I urinate." HPI: The patient states she has been experiencing dysuria for the past three days. She has been experiencing increased frequency and hesitancy. She denies any hematuria, fever, chills, nausea, vomiting or flank pain. Allergies: Sulfa (hives) Current Medications: Oral contraception Pertinent History: No history of urinary tract infections or urinary issues Health Maintenance/Immunizations: Current on immunizations Family History: No cancer, cardiac, pulmonary or autoimmune disease in immediate family members Social History: Patient lives with father, mother and brother; she denies any drug, alcohol or nicotine use ROS: Incorporated into HPI Objective: VS - BP: 130/84 mmHg, HR: 79, RR: 16, temp 98.4, oxygenation 99%, weight: 145 lbs, height: 62 inches. The patient is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age. Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop Respiratory: Clear GI: No costovertebral angle tenderness Diagnosis: Uncomplicated cystitis Is ciprofloxacin appropriate for this patient? Is doxycycline appropriate for this patient? Is nitrofurantoin appropriate for this patient? Is trimethoprim/sulfamethoxazole appropriate for this patient? Need Assignment Help?