IHUMAN FAITH WARD CASE STUDY | PAIN
WHEN I PEE | CLINICAL STUDY GUIDE,
H&P, SOAP NOTE & DIFFERENTIAL
DIAGNOSIS
MOST AUTHENTIC IN THE MARKET
CASE ABSTRACT
Patient: Faith Ward[cite: 2]
Chief Complaint: Pain when urinating[cite: 2]
Primary Clinical Concern: Dysuria[cite: 2]
Clinical Focus: Evaluation of painful urination and differentiation among lower
urinary tract infection, urethritis/STI, vaginitis, pyelonephritis, nephrolithiasis,
irritant causes, and other genitourinary conditions[cite: 2].
Faith Ward presents with dysuria, a symptom rather than a diagnosis[cite: 2]. A proper
clinical evaluation must determine whether the pain originates from the bladder/urinary
tract, urethra, vulvovaginal tissues, or another source[cite: 2].
The clinician should establish the onset and duration of symptoms, urinary frequency
and urgency, hematuria, suprapubic discomfort, fever, flank pain, vaginal discharge,
vaginal irritation, pelvic pain, sexual history, pregnancy possibility, previous UTIs,
antibiotic exposure, medication allergies, and relevant risk factors[cite: 2].
The most common consideration in an otherwise healthy adult with dysuria and urinary
frequency/urgency is acute uncomplicated cystitis, but clinicians should not assume this
diagnosis before screening for pyelonephritis, pregnancy, STI/urethritis, vaginitis, and
other causes[cite: 2].
The appropriate workflow is:
CC HPI urinary characterization associated symptoms red flags
reproductive/sexual history PMH/medications/allergies ROS vital signs
abdominal/CVA/pelvic examination when indicated UA urine culture/STI testing
, when indicated differential working diagnosis treatment education
follow-up [cite: 2].
PATIENT PROFILE
CATEGORY INFORMATION
Patient Faith Ward[cite: 2]
Sex Female[cite: 2]
Age Adult[cite: 2]
Encounter Type Outpatient / Urgent Evaluation[cite: 2]
Chief Concern Painful urination[cite: 2]
Primary Symptom Dysuria[cite: 2]
Clinical Priority Determine urinary vs genital cause[cite: 2]
Historian Patient[cite: 2]
Reliability Assess during encounter[cite: 2]
CASE INSTRUCTIONS & CLINICAL ORIENTATION
BASIC DDX CASE PLAY SETUP AND INSTRUCTIONS
Mode: Test Mode (Feedback after submitting each section)[cite: 2]
Attempts Available: 1 attempt for this assignment[cite: 2]
CLINICAL ORIENTATION DIRECTIVE:
Evaluate a 28-year-old female presenting with dysuria, urinary frequency, and lower
abdominal discomfort[cite: 2]. Differentiate between acute uncomplicated lower urinary
tract infection (UTI), acute pyelonephritis, sexually transmitted infection (Chlamydia, N.
gonorrhoeae), Trichomonas vaginalis, Candida, Bacterial Vaginosis, Trichomoniasis,
nephrolithiasis, and pelvic inflammatory disease (PID)[cite: 2].
PRIMARY SCORING SECRET:
To achieve 100% on the history section, you MUST ask questions addressing pelvic
discomfort/pain, symptoms with sexual intercourse, dyspareunia, itchiness, discharge,
pelvic pain, frequency, strain, and movement, all prior to UTI vs. STI confirmation[cite: 2].
WHEN I PEE | CLINICAL STUDY GUIDE,
H&P, SOAP NOTE & DIFFERENTIAL
DIAGNOSIS
MOST AUTHENTIC IN THE MARKET
CASE ABSTRACT
Patient: Faith Ward[cite: 2]
Chief Complaint: Pain when urinating[cite: 2]
Primary Clinical Concern: Dysuria[cite: 2]
Clinical Focus: Evaluation of painful urination and differentiation among lower
urinary tract infection, urethritis/STI, vaginitis, pyelonephritis, nephrolithiasis,
irritant causes, and other genitourinary conditions[cite: 2].
Faith Ward presents with dysuria, a symptom rather than a diagnosis[cite: 2]. A proper
clinical evaluation must determine whether the pain originates from the bladder/urinary
tract, urethra, vulvovaginal tissues, or another source[cite: 2].
The clinician should establish the onset and duration of symptoms, urinary frequency
and urgency, hematuria, suprapubic discomfort, fever, flank pain, vaginal discharge,
vaginal irritation, pelvic pain, sexual history, pregnancy possibility, previous UTIs,
antibiotic exposure, medication allergies, and relevant risk factors[cite: 2].
The most common consideration in an otherwise healthy adult with dysuria and urinary
frequency/urgency is acute uncomplicated cystitis, but clinicians should not assume this
diagnosis before screening for pyelonephritis, pregnancy, STI/urethritis, vaginitis, and
other causes[cite: 2].
The appropriate workflow is:
CC HPI urinary characterization associated symptoms red flags
reproductive/sexual history PMH/medications/allergies ROS vital signs
abdominal/CVA/pelvic examination when indicated UA urine culture/STI testing
, when indicated differential working diagnosis treatment education
follow-up [cite: 2].
PATIENT PROFILE
CATEGORY INFORMATION
Patient Faith Ward[cite: 2]
Sex Female[cite: 2]
Age Adult[cite: 2]
Encounter Type Outpatient / Urgent Evaluation[cite: 2]
Chief Concern Painful urination[cite: 2]
Primary Symptom Dysuria[cite: 2]
Clinical Priority Determine urinary vs genital cause[cite: 2]
Historian Patient[cite: 2]
Reliability Assess during encounter[cite: 2]
CASE INSTRUCTIONS & CLINICAL ORIENTATION
BASIC DDX CASE PLAY SETUP AND INSTRUCTIONS
Mode: Test Mode (Feedback after submitting each section)[cite: 2]
Attempts Available: 1 attempt for this assignment[cite: 2]
CLINICAL ORIENTATION DIRECTIVE:
Evaluate a 28-year-old female presenting with dysuria, urinary frequency, and lower
abdominal discomfort[cite: 2]. Differentiate between acute uncomplicated lower urinary
tract infection (UTI), acute pyelonephritis, sexually transmitted infection (Chlamydia, N.
gonorrhoeae), Trichomonas vaginalis, Candida, Bacterial Vaginosis, Trichomoniasis,
nephrolithiasis, and pelvic inflammatory disease (PID)[cite: 2].
PRIMARY SCORING SECRET:
To achieve 100% on the history section, you MUST ask questions addressing pelvic
discomfort/pain, symptoms with sexual intercourse, dyspareunia, itchiness, discharge,
pelvic pain, frequency, strain, and movement, all prior to UTI vs. STI confirmation[cite: 2].
