The main textbook for this course is:

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. 

• Please make sure to write this assignment up in narrative form. 

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Address all of the following questions in great detail. Analyze all the information that you have been provided with.

• Analyze the subjective portion of the note. List additional information that should be included in the documentation. 
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• Analyze the objective portion of the note. List additional information that should be included in the documentation.
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• Is the assessment supported by the subjective and objective information? Why or why not?
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• Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
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• Would you reject/accept the current diagnosis? Why or why not? Identify FIVE possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
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By Day 7 of Week 10

GENITALIA ASSESSMENT

Genitourinary Assessment

CC: Increased frequency and pain with urination

HPI:

T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.

Medical History:

None

Surgical History:

• Tonsillectomy in 2001
• Appendectomy in 2020
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Review of Systems:

• General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.
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• Abdominal: Denies nausea and vomiting. No appetite
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Objective 

VSS T = 37.3°C, P = 102/min, RR = 16/min, and BP = 116/74 mm Hg.

Pelvic Exam:

• mild tenderness to palpation in the suprapubic area
• bimanual pelvic examination reveals a normal-sized uterus and adnexae
• no adnexal tenderness.
• No vaginal discharge is noted.
• The cervix appears normal.
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Diagnostics: Urinalysis, STI testing, Papsmear

Assessment:

• UTI
• STI