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Health, Medicine, Nursing
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English (U.S.)
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Questions for Patient with Chief Complaint of Painful Frequent Urination
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A 4-year-old female presents to the office with a chief complaint of “painful, frequent urination” and “having frequent accidents although potty trained”.
• Discuss three (3) history of present illness questions the nurse practitioner should ask the parent/care giver regarding the chief complaint
• Determine three (3) review of system questions the nurse practitioner should ask the parent/care giver regarding the chief complaint
• List two (2) pertinent differentials for this child
• Based on the most likely diagnosis for this child, discuss the diagnostic tests and treatment warranted
• Discuss anticipatory guidance and follow up instructions the APRN should give to the parents/care givers. Be specific and concise.
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Case Study
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Case Study
History Questions
1 Has the child experienced the symptoms before?
2 Is there any close relative that has experienced such issues before?
3 Is the child taking any prescription medicines currently?
Review Questions to Care Giver
1 Does the child urinate a large amount of urine during each incident?
2 Has the child experienced any fever with the symptoms?
3 How long has the child experienced frequent and painful urination?
Pertinent Differential
After the analysis of the patients, I was able to come up with two reasons for the illness
* Presence of bacterial infection.
* Presence of yeast infection.
Diagnosis
Several tests help determine the exact condition due to different assumptions on the child's infection. Below are the tests to establish the child's disease
* Urine test- The child being an already potty-trained baby quickly gave us a sample of her urine for lab test. In the lab, the urine sample is placed on the microscope to determine an infection's possibility. The presence of pus and bacteria is a clear indication that the child is positive for a Urinary Tract ...
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