Comprehensive i-
Human Case Study:
Evaluation,
Management, and
Follow-Up of Acute
Dysuria and Urinary
Frequency in a 16-
Year-Old Female
2026
, ✅ FULL SOAP NOTE (SUBMISSION-
READY)
S – Subjective
CC:
“I’m peeing a lot and it hurts.”
HPI:
16-year-old female with 3 days of dysuria, urinary frequency, urgency, and burning with
urination. Reports mild suprapubic discomfort (4/10). Denies fever, chills, flank pain, nausea,
vomiting, hematuria, or vaginal discharge. Sexually active with one male partner;
inconsistent condom use. No prior UTIs. LMP 2 weeks ago, regular.
ROS:
GU: Dysuria, frequency, urgency
GYN: No discharge, itching, or odor
GI: Negative
General: No fever or chills
O – Objective
Vitals:
T 98.6°F | HR 82 | BP 108/68 | RR 16 | SpO₂ 99%
Exam:
Human Case Study:
Evaluation,
Management, and
Follow-Up of Acute
Dysuria and Urinary
Frequency in a 16-
Year-Old Female
2026
, ✅ FULL SOAP NOTE (SUBMISSION-
READY)
S – Subjective
CC:
“I’m peeing a lot and it hurts.”
HPI:
16-year-old female with 3 days of dysuria, urinary frequency, urgency, and burning with
urination. Reports mild suprapubic discomfort (4/10). Denies fever, chills, flank pain, nausea,
vomiting, hematuria, or vaginal discharge. Sexually active with one male partner;
inconsistent condom use. No prior UTIs. LMP 2 weeks ago, regular.
ROS:
GU: Dysuria, frequency, urgency
GYN: No discharge, itching, or odor
GI: Negative
General: No fever or chills
O – Objective
Vitals:
T 98.6°F | HR 82 | BP 108/68 | RR 16 | SpO₂ 99%
Exam:
