Recurrent UTIs – 30-Year-Old–15521179′.CASE STUDY 2’’’

CC: “I keep getting reoccurrence UTIs.”

S: JS is a 30-year-old Hispanic female, G1P1 with recurrent urinary tract infections (≥3 in the past 6 months). Symptoms include dysuria, frequency, and urgency without fever, flank pain, or hematuria. Sexually active, using spermicide-coated condoms. No history of kidney stones.LMP: 02/15/2025 (regular). Denies ACHES (no abdominal pain, chest pain, headaches, eye problems, or severe leg pain).

O: VS: BP 112/70, HR: 82. weight 150 lbs.General: Well-appearing, no acute distress. Abdomen: No CVA tenderness. Pelvic: No vaginal discharge, no lesions, urethral meatus non-erythematous. Urinalysis pending; urine culture sent for further evaluation.

A: Recurrent Urinary Tract Infections (UTIs)

P: Nitrofurantoin (Macrobid) 100 mg PO BID x 5 days Dispense: 10 capsules. Refills: 0 Take with food to reduce GI upset. Urine culture is pending to assess bacterial resistance. Increase hydration. Urinate after intercourse. Avoid spermicide-coated condoms. Use cranberry supplements. RTC in one week for urine culture results, medication adherence review, and possible adjustment of prophylactic therapy.

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