Ms. O is a 28-year-old woman married for 3 years who has just returned from an outdoor camping trip with her husband with symptoms of dysuria with a burning sensation urgency to urinate and frequent urination.
She said I have had similar symptoms three times over the last 2 years. Pubic and low back discomfort awoke me two nights ago and that is why I am here. On physical examination her temperature was 98.6 F blood pressure was 114/64 mm Hg pulse was 68 beats per minute and the respiratory rate was 12 breaths per minute. Other than a tender abdominal pelvic area the examination was unremarkable.
Discussion question part one:
What tests might you order?
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