67 y/o female presents to the office with vaginal burning and pain with urination.

Case Study 67 y/o female presents to the office with vaginal burning and pain with urination. Patient reports frequent urination, strong urge to urinate. Denies discharge. Patient reported that symptoms started a 5 days ago. She denies nausea/vomiting, fever. Patient reports that she has been drinking cranberry juice with no relief. Discussion Question The medical problem/diagnosis/disease. • Typical presenting signs and symptoms including: o Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected o Concomitant disease states associated with the diagnosis • The pathophysiology of the problem. • Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales. • Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential. • The expected outcomes of the intervention. • Algorithms if available. • A typical clinical note in SOAP format.                                                                                                                

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