NR 511 Week 3 SNAPPS Presentation
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Summarize • 50 y/o AA F, CC dysuria, polyuria, moderate lower abdominal pain x4 days • Hx: HLD Objective Positive Negative Positive Negative • Subjective Foul smelling Irregular Tenderness to lower abd CVA tenderness urine discharge Labia erythematous Vaginal No lesions or itchiness masses( vaginal) Pain Thick white with discharge(vaginal) urination Patient UTI Vaginitis Yeast Positives/ Negatives Analyze Dysuria likely likely Non likely Polyuria likely Rare Rare White thick Rare likely likely discharge • Based on the patient Lower Probable likely Rare symptoms, most likely a UTI is abdominal the cause pain o However, rule out of vaginitis and Erythemato Not Possible Likely yeast infection is us labia probable required majora o Due to patient symptoms Strong Possible Not Not fitting some amber probable probable • Oderp roefs dexntations of all urine o dUiTsIease processes Vaginal Not Possible Likely o Vaginal candidiasis itching probable o Vaginitis No vaginal Urine Possible Likely odor strong- no vag odor Plan • UA with UC • Vaginal swab (Wet Mount, PH test, Whiff test) • Macrobid 100mg twice a day( every 12 hours) x 7 days • OTC Monistat apply as directed x 7 days • Follow up 4 weeks or sooner if symptoms worsen or no improvement in 3 days • ER precaution: increased(serve)ABD pain, CP, fever • Wear breathable cotton underwear, avoid irritatiants on vagina, empty bladder frequently, drink 8-10 glassed of water daily(Lelie-van der Zande, et al, 2021) Citations • Lelie-van der Zande, R., Koster, E. S., Teichert, M., & Bouvy, M. L. (2021). Womens’ self-management skills for prevention and treatment of recurring urinary tract infection. International Journal of Clinical Practice (Esher), 75(8), e14289-n/a. https://doi.org/10.1111/ijcp.14289
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