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SOAP NOTE: Male UTI

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SOAP NOTE: male UTI. includes CC, with dx, 3 differential dx, plan, and references. includes ICD codes

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SOAP: Male UTI



***

William Paterson University

NUR 7011-812: Advanced Nursing Practicum II

***

November 15th, 2025




Log ID: 251113014455

, 2


SUBJECTIVE

CC: “I’m peeing all the time, and it burns. Google says I should see my doctor.”


HPI: 46-year-old male with PMHx of obesity, who presents with increased urinary

frequency, dysuria, and suprapubic discomfort that began a week and a half ago.

Accompanied by right flank pain that started yesterday. Rates the right flank pain as 4/10

in intensity, described as a dull ache, without radiation. He has not taken any medications

for symptom relief. Denies hematuria, penile discharge, fever, chills, nausea, vomiting,

testicular pain, or concern for sexually transmitted infections. No prior history of UTIs or

kidney stones.


PMH: Obesity

PSH: None

Family History: Father: HTN and ERSD on HD, alive, age 71

Social History:

The patient is married. Sexually active with 1 female partner (wife), no new partners.

Denies condom use. Works from home and reports adequate hydration and bathroom

breaks. Reports occasional alcohol use but denies tobacco use and illicit drugs. No recent

traveling.


Medications:

None


Allergies:

No known drug allergies.


ROS:

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