1.How can I help you today?

1.How can I help you today?Burning when pee, worried of another bladder infection, symptoms are a little different than the symptoms I had with my last UTI 2.Do you have any other symptoms or concerns we should discuss? Vaginal discharge 3.Do you have any allergies? NKDA 4.Are your immunizations up to date?

5.When did your pain discomfort with urination start? Three days ago, 6.How severe is your pain discomfort with urination? It makes me not want to go even though I have to 7.Have you had problems with pain or discomfort with urination like this before? Yes with my bladder infection last year but this seems different.

8.What is the appearance, smell, texture, and quantity of the vagina discharge?Yellow, kind of mucousy, kind of creamy and not really too smelly.

9.Do you have pain with intercourse? Haven’t had sex since this all started. Are you having or have you had unprotected sex? On pill , so guess I am protected that way. For STD’s, not so much.

10.DO you use precautions to prevent the transmission of sexual infections: Nothing other than the pill, taking birth control pills Number of years, 11.Do you have more than one sexual partner? Yes, Heterosexual 12.Have you had any sexually transmitted infections? Not that I know 13.Do you have any vagina discomfort or itching? No 14.Have you had vagina discharge or discomfort like this before? yeast infections but this is different 15.Does anything make your pain or discomfort with urination better or worse?Soaking in a warm bath helps.

16.Is your pain or discomfort worse at the start or end of the urination? Worse when starting but it does not really let up 17.When did your last period begin? About 2 ½ weeks ago 18.Are you sexually active? Yes I am 19.Do you have Neel or multiple sexual partners with similar symptoms? No one has told me he has any problem.

20.ROS All Body System : Ask 1

st question I am a bit worn out from having to get up and pee all the time it’s hard to get a good nights sleep what else was it that you asked.

21.2 nd question-no problems with an itchy scalp, skin changes, moles, thinning hair or brittle nails.

22.5 th question: chest pain- denies chest pain discomfort or pressure, pain pressure dizziness with exertion or getting angry, palpitations, decreased exercise tolerance or blue cold fingers and toes.

23.6 th question SOB, Wheezing: denies shortness of breath, dizzy, difficulty catching breath, chronic cough or sputum production.

24.7 th question N/V/constipation: denies any problem with nausea, vomiting, constipation, diarrhea, coffee ground in Walmart, dark tarry stool, bright red blood in bowel movements, or early satiety or bloating.

25.9 th question: muscle or joint pain denies any problems with muscle or joint pain, redness, swelling, muscle cramps, chain stiffness, joint swelling or redness, back pain, neck or shoulder pain or have pain.

26.11 th question: heat or cold intolerance denies any heat or cold intolerance, increased thirst, increased sweating, frequent urination, or change in appetite.

27.12 th question: denies dizziness, fainting, spinning room, seizures, weakness, numbness, tingling or tremors.

28.ROS Genitourinary : do you have any genital sores or discharge? No sores but we were talking about the other.

29.ROS Genitourinary: do you feel when you need to urinate that you need to urgently?Urgent I know what’s that like I remember when I had that bladder infection when I had to go I literally had to run to the bathroom I haven’t noticed that so much with this.

30.ROS Genitourinary: Is your urine pink or red in color blood in urine? Haven’t seen any

31.Has there been a change in your urination frequency? Seems like I feel like I have to go every 10 to 15 or 20 minutes but I resist due to the pain.

32.Do you have bleeding between your menstrual cycles? No 33.Are you taking any over-the-counter or herbal medication? Yes sometimes I take ibuprofen with My. Do you know like for cramps and headaches.

34.Any new or recent change in medication? No changes 35.Has there been a change in your urination frequency? Seems like I feel like I have to go every 10 to 15 or 20 minutes but I resist due to the pain.

36.Have you been having fevers? No not really Do you drink alcohol if so what do you drink and how many drinks per day?Yep I got a go out maybe once or twice a week when I go out maybe I have four or five drinks.Do you engage in vaginal douching?Have you recently changed, missed or stopped taking your birth control or hormone pills? No Have you ever had a Pap smear? Yes. Last one was a couple years ago I think. I never had any abnormal results.Physical examination Cognitive status AxO 4 blood pressure 118/64