Ms. Smith is a 27-year-old woman who presents to her PCP after just finishing a course of antibiotics for an upper respiratory infection with complaints of dysuria and foul-smelling urine. She also complains of frequency to void, but only able to get out a few drops at a time. She has had 4/10 abdominal discomfort for the past 5 days, endorses lower back pain, and denies any hematuria with urination. She denies nausea/vomiting and denies having a fever.
Past Medical History
- Type I diabetic
- Recent use of antibiotics for URI
- History of chlamydia at age 19
Pertinent Surgical History
- No surgical history
Pertinent Family History
- Mother healthy and alive at 56 years
- Father healthy and alive at 59 years
- Sister alive and type I diabetic at age 24 years old
- Healthy 3 year old son
Pertinent Social History
- Married to husband for 5 years
- Sexually active
- Spermicide as a contraceptive method
- Physically active and attends spinning class 5 times a week