BRIANNA GILL PRESENTS; PAIN WHEN I PEE I HUMAN CASE For
Chamberlain-Nr602 JUNE 2026 PRIMARY CARE OF THE
CHILDBEARING AND CHILDBEARING FAMILY Actual screenshot
,1. PATIENT BIODATA, REASON FOR ENCOUNTER
Field Value
Patient Name Brianna Gill
Age 28 years
Sex Female
Ethnicity Caucasian
Height 5'2" (157 cm)
Weight 132.0 lb (60.0 kg)
BMI 24.1 (Normal range)
Setting Outpatient primary care clinic
Source of Information Patient (reliable historian)
Reason for Encounter Chief complaint of dysuria; Associated urinary frequency and suprapubic pain;
Presence of gross hematuria; Absence of systemic symptoms; Rule out vaginitis/STI
2. CASE INTRODUCTION
Brianna Gill is a 28-year-old Caucasian female presenting 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. She reports cloudy urine with a stronger odor and noticed
pink-tinged urine. She denies fever, chills, flank pain, nausea, or vomiting. She has no significant past
medical history aside from one prior UTI two years ago and is taking oral contraceptives. She is sexually
active with a new partner (approximately 3 weeks) and reports inconsistent condom use. She has a
penicillin allergy (rash). Initial urinalysis reveals positive leukocyte esterase, positive nitrites, WBCs 25-
50/hpf, and moderate bacteria, consistent with acute uncomplicated cystitis. Pregnancy test is negative.
Urine culture and STI screening are pending.
3. CHIEF COMPLAINT (CC)
"It really hurts when I pee and I feel like I have to go every five minutes."
4. QUESTIONS AND ANSWERS DURING FULL HISTORY
Question Patient Response
How can I help you today? "I've been having a lot of pain when I pee for the last two days."
Are you having any other symptoms? "I feel like I have to go all the time, and my lower belly hurts a
bit."
, Have you noticed any blood in your urine? "Yes, it looked a little pink this morning."
Do you have a fever or chills? "No, I don't think so. I haven't felt hot."
Have you had any vaginal discharge? "No, nothing unusual there."
Are you experiencing any flank or back pain? "No, my back feels fine."
Are you having any unusual vaginal itching or discharge? "No, I haven't noticed anything like
that."
Have you had any nausea or vomiting? "No, I feel fine otherwise."
Are you sexually active? "Yes, I have a steady boyfriend."
Do you use any new soaps or bubble baths? "No, I haven't changed anything."
Have you had any recent procedures like a catheter? "No, nothing like that."
Do you have any chronic medical conditions? "No, I'm usually very healthy."
Have you ever had a urinary tract infection before? "Yes, I had one about two years ago."
Have you ever had any surgeries? "Only my wisdom teeth, if that counts."
Are you taking any daily medications? "Just my birth control pill and a multivitamin."
Do you have any allergies to medications? "I'm allergic to Penicillin; it gives me a rash."
Have you had any weight changes or fatigue? "No, I feel normal besides the bladder pain."
Have you noticed any rashes or skin changes? "No, my skin is clear."
Any pain during sexual intercourse? "It's been a little uncomfortable lately because of the bladder
pressure."
Any headaches or dizziness? "No."
Are you excessively thirsty or hungry? "No, not more than usual."
5. HISTORY
PATIENT BACKGROUND
Brianna Gill is a 28-year-old Caucasian female, single, living alone with her cat, working as a teacher. She
has no significant past medical history and is generally healthy. She is a nonsmoker, drinks 1-2 alcoholic
beverages per week socially, and denies illicit drug use. She is sexually active with one male partner of 6
months (new partner of approximately 3 weeks), with inconsistent condom use. She reports one prior
UTI approximately two years ago. She has a penicillin allergy manifesting as a rash. She currently takes
an oral contraceptive pill and a multivitamin daily.
6. HISTORY OF PRESENT ILLNESS (HPI)
Chamberlain-Nr602 JUNE 2026 PRIMARY CARE OF THE
CHILDBEARING AND CHILDBEARING FAMILY Actual screenshot
,1. PATIENT BIODATA, REASON FOR ENCOUNTER
Field Value
Patient Name Brianna Gill
Age 28 years
Sex Female
Ethnicity Caucasian
Height 5'2" (157 cm)
Weight 132.0 lb (60.0 kg)
BMI 24.1 (Normal range)
Setting Outpatient primary care clinic
Source of Information Patient (reliable historian)
Reason for Encounter Chief complaint of dysuria; Associated urinary frequency and suprapubic pain;
Presence of gross hematuria; Absence of systemic symptoms; Rule out vaginitis/STI
2. CASE INTRODUCTION
Brianna Gill is a 28-year-old Caucasian female presenting 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. She reports cloudy urine with a stronger odor and noticed
pink-tinged urine. She denies fever, chills, flank pain, nausea, or vomiting. She has no significant past
medical history aside from one prior UTI two years ago and is taking oral contraceptives. She is sexually
active with a new partner (approximately 3 weeks) and reports inconsistent condom use. She has a
penicillin allergy (rash). Initial urinalysis reveals positive leukocyte esterase, positive nitrites, WBCs 25-
50/hpf, and moderate bacteria, consistent with acute uncomplicated cystitis. Pregnancy test is negative.
Urine culture and STI screening are pending.
3. CHIEF COMPLAINT (CC)
"It really hurts when I pee and I feel like I have to go every five minutes."
4. QUESTIONS AND ANSWERS DURING FULL HISTORY
Question Patient Response
How can I help you today? "I've been having a lot of pain when I pee for the last two days."
Are you having any other symptoms? "I feel like I have to go all the time, and my lower belly hurts a
bit."
, Have you noticed any blood in your urine? "Yes, it looked a little pink this morning."
Do you have a fever or chills? "No, I don't think so. I haven't felt hot."
Have you had any vaginal discharge? "No, nothing unusual there."
Are you experiencing any flank or back pain? "No, my back feels fine."
Are you having any unusual vaginal itching or discharge? "No, I haven't noticed anything like
that."
Have you had any nausea or vomiting? "No, I feel fine otherwise."
Are you sexually active? "Yes, I have a steady boyfriend."
Do you use any new soaps or bubble baths? "No, I haven't changed anything."
Have you had any recent procedures like a catheter? "No, nothing like that."
Do you have any chronic medical conditions? "No, I'm usually very healthy."
Have you ever had a urinary tract infection before? "Yes, I had one about two years ago."
Have you ever had any surgeries? "Only my wisdom teeth, if that counts."
Are you taking any daily medications? "Just my birth control pill and a multivitamin."
Do you have any allergies to medications? "I'm allergic to Penicillin; it gives me a rash."
Have you had any weight changes or fatigue? "No, I feel normal besides the bladder pain."
Have you noticed any rashes or skin changes? "No, my skin is clear."
Any pain during sexual intercourse? "It's been a little uncomfortable lately because of the bladder
pressure."
Any headaches or dizziness? "No."
Are you excessively thirsty or hungry? "No, not more than usual."
5. HISTORY
PATIENT BACKGROUND
Brianna Gill is a 28-year-old Caucasian female, single, living alone with her cat, working as a teacher. She
has no significant past medical history and is generally healthy. She is a nonsmoker, drinks 1-2 alcoholic
beverages per week socially, and denies illicit drug use. She is sexually active with one male partner of 6
months (new partner of approximately 3 weeks), with inconsistent condom use. She reports one prior
UTI approximately two years ago. She has a penicillin allergy manifesting as a rash. She currently takes
an oral contraceptive pill and a multivitamin daily.
6. HISTORY OF PRESENT ILLNESS (HPI)
