Brianna Gill iHuman Case Study Solution for NR 602
2026 Dysuria and Suspected UTI: Complete SOAP
Note, Clinical Reasoning & Differential Diagnosis
LATEST VERSION (GUARANTEED PASS)- Chamberlain
,
,
, 1. PATIENT BIODATA & REASON FOR ENCOUNTER
Field Value
Patient Name Brianna Gill
Age 28 years
Sex Female
Date of Birth 04/15/1998
Ethnicity Caucasian
Height 5'2" (157.5 cm)
Weight 132 lb (60 kg)
BMI 24.1 (Normal range: 18.5-24.9)
Blood Pressure 118/76 mmHg
Heart Rate 72 bpm
Respiratory Rate 16 breaths/min
Temperature 98.6°F (37.0°C) oral
O2 Saturation 99% on room air
Setting Outpatient Primary Care Clinic
Date of Encounter June 20, 2026
Source of Information Patient (reliable historian)
Reliability Good, patient is alert and cooperative
Reason for Encounter Chief complaint of painful urination with associated urinary frequency and
suprapubic pain
2. CASE INTRODUCTION
Brianna Gill is a 28-year-old Caucasian female who presents to an outpatient primary care clinic with a 2-
3 day history of painful urination, urinary frequency, urgency, and suprapubic discomfort. She describes
the pain as a burning, sharp sensation "like glass" that occurs with urination and lingers for
approximately 5-10 minutes after voiding. The pain is rated 6/10 on a 0-10 pain scale and is associated
with urinary frequency every 10-15 minutes, urgency, and a sensation of incomplete bladder emptying.
She reports cloudy urine with a stronger odor and noticed pink-tinged urine this morning. She denies
fever, chills, flank pain, nausea, or vomiting. She has no significant past medical history and is not
currently taking any prescription medications aside from oral contraceptives. She is sexually active with
a new partner (approximately 3 weeks) and reports inconsistent condom use. She has a history of one
prior UTI approximately two years ago. She has a documented penicillin allergy (rash). The patient is
afebrile and appears well but in mild discomfort. Initial urinalysis reveals positive leukocyte esterase,
2026 Dysuria and Suspected UTI: Complete SOAP
Note, Clinical Reasoning & Differential Diagnosis
LATEST VERSION (GUARANTEED PASS)- Chamberlain
,
,
, 1. PATIENT BIODATA & REASON FOR ENCOUNTER
Field Value
Patient Name Brianna Gill
Age 28 years
Sex Female
Date of Birth 04/15/1998
Ethnicity Caucasian
Height 5'2" (157.5 cm)
Weight 132 lb (60 kg)
BMI 24.1 (Normal range: 18.5-24.9)
Blood Pressure 118/76 mmHg
Heart Rate 72 bpm
Respiratory Rate 16 breaths/min
Temperature 98.6°F (37.0°C) oral
O2 Saturation 99% on room air
Setting Outpatient Primary Care Clinic
Date of Encounter June 20, 2026
Source of Information Patient (reliable historian)
Reliability Good, patient is alert and cooperative
Reason for Encounter Chief complaint of painful urination with associated urinary frequency and
suprapubic pain
2. CASE INTRODUCTION
Brianna Gill is a 28-year-old Caucasian female who presents to an outpatient primary care clinic with a 2-
3 day history of painful urination, urinary frequency, urgency, and suprapubic discomfort. She describes
the pain as a burning, sharp sensation "like glass" that occurs with urination and lingers for
approximately 5-10 minutes after voiding. The pain is rated 6/10 on a 0-10 pain scale and is associated
with urinary frequency every 10-15 minutes, urgency, and a sensation of incomplete bladder emptying.
She reports cloudy urine with a stronger odor and noticed pink-tinged urine this morning. She denies
fever, chills, flank pain, nausea, or vomiting. She has no significant past medical history and is not
currently taking any prescription medications aside from oral contraceptives. She is sexually active with
a new partner (approximately 3 weeks) and reports inconsistent condom use. She has a history of one
prior UTI approximately two years ago. She has a documented penicillin allergy (rash). The patient is
afebrile and appears well but in mild discomfort. Initial urinalysis reveals positive leukocyte esterase,
