Question

A 22-year old woman presents at the walk-in health clinic with slight fever (38.5°C), a complaint of frequent urination, burning on urination, vaginal discharge and a small lesion on the labia. The woman reported that she was moderately sexually active and had three sexual partners in the past six months. Her last sexual contacts were about 7 days earlier. She had developed mild symptoms about 5 days earlier, beginning with a discharge from the vagina. She began having pain on urination about 3 days earlier. Urine analysis revealed a pH of 8.2, some white cells and a few red blood cells. There was protein in the urine. A smear of the vaginal secretion showed a number of intracellular kidney bean shaped Gram-negative cocci in pairs. Directions: Answer the following questions in your own words.

1. What is your diagnosis here?
2. What clinical features are critical to your diagnosis?
3. What further actions must be taken?

Answer 1

The 22-year-old woman is diagnosed with a urinary tract infection (UTI) based on her symptoms. Further actions include obtaining a urine culture and prescribing antibiotics.

Step-by-step explanation:

The diagnosis for the 22-year-old woman in the question is a urinary tract infection (UTI) caused by a bacterial infection. The critical clinical features that lead to this diagnosis are the slight fever, frequent urination with burning sensation, vaginal discharge, and the small lesion on the labia. Further actions that must be taken include obtaining a urine culture to determine the specific bacteria causing the infection and its antibiotic susceptibility. The physician should also prescribe appropriate antibiotics to treat the UTI.