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Student reply. Comment and give your feed back and support diagnosis with evidence ApA format. 2 replies due in 7 hours Case Scenario 2 Subjective CC: “ I have been experiencing urinary frequency and burning for the past 2 days” HPI: Lisa is a 29-year-old female G3P2 at 28 weeks EGA who is coming to the clinic for her routine checkup. She is Rh negative. Her VS are normal and prenatal routine screenings are WNL. Lisa asks if it is normal to be experiencing frequency and mild burning when she urinates which she says has increased over the last 2 days. She has been drinking more water recently and thinks that maybe this is causing the urinary frequency. HPI Questions: · What brings you today? – As per patient she is experiencing urinary frequency and mild dysuria that it’s been worsening for the past 2 days. · Are you currently sexually active? – Patient states she is currently sexually active. · Are you in a monogamous relationship? – Patient is in a monogamous relationship with her husband for 15 years. · When did the symptoms started? – Patient states urinary frequency and burning started 2 days ago. · Can you describe where do you feel the burning? – Patient states she feels the burning in the urethra when she urinates. · Is it intermittent or constant? – She states the burning is intermittent, whenever she urinates, and the frequency is constant. · Is there any associated symptoms with the burning? – As per patient she has urinary frequency along with the dysuria, but she denies hematuria, flank pain, suprapubic pain, fevers, nausea or vaginal discharge. · Is there anything that makes it better? Is there anything that makes it worse? – Patient believes that her increasing intake of water is leading to increased urination. · Did you have any complications with your previous pregnancies? – Patient denies any complications with her previous pregnancies. · Do you use condoms for STI prevention? – Patient reports the use of condoms for STI prevention. PMH: · Medical Hx: Patient denies history of a previous STDs, kidney or cardiovascular disease, DM, anemia, uterine fibroids, endometriosis, breast or uterine cancer or any other type of cancers. · Medications: Patient takes prenatal vitamins and folic acid. · Allergies: Patient denies any allergies to medications or foods. · Surgical: Patient denies any past surgeries. · OB: Patient is G3P2. Natural vaginal birth without complications in previous pregnancies. Rhogam administration with previous pregnancies. · Immunizations: HPV vaccination at 11 and 12 years old. Patient to receive Tdap vaccine received at 27 weeks of gestation. · Family: Patient denies any family history. · Childhood diseases: Patient denies any childhood diseases. · Social: Patient denies smoking, drinking alcohol, illegal drug use or engaging in risky sexual behavior. Patient eats a balanced diet. ROS · General: patient denies fevers, chills, fatigue or malaise. · Breasts: Patient reports slightly darkened areola. Patient denies lumps on breasts, discharge from nipple or changes in Read More …