Final Answer:
The patient's clinical presentation suggests a urinary tract infection (UTI). Given her symptoms of dysuria, urgency, and burning, along with suprapubic tenderness, a UTI is highly probable. The absence of fever and hemodynamic stability indicates a mild infection. Further diagnostic tests, such as urinalysis and urine culture, are recommended for confirmation and to guide appropriate antibiotic therapy.
Step-by-step explanation:
The patient's symptoms align with those commonly associated with a urinary tract infection (UTI), such as dysuria, urgency, and burning sensation during urination. The presence of suprapubic tenderness further supports this clinical suspicion. Given her age, sexually active status, and absence of vaginal discharge, the likelihood of a UTI is increased. However, other potential causes should also be considered.
The absence of fever and hemodynamic stability suggests that the infection is currently mild and has not progressed to a more severe state. Nevertheless, prompt diagnosis and treatment are essential to prevent the potential spread of the infection to the kidneys. Urinalysis, including microscopic examination, and urine culture should be conducted to confirm the diagnosis and identify the causative organism. These results will guide the selection of appropriate antibiotics for effective treatment.
The patient's smoking history may also contribute to her susceptibility to UTIs. Smoking can impair the immune response and increase the risk of infections. Therefore, advising the patient on smoking cessation could be incorporated into the overall management plan. Additionally, given her sexual activity, discussing safe sex practices and contraceptive options may be relevant for holistic care.