Question

You are a medical assistant working in the office of Dr. Susan Lee, a primary care physician at Fulwood Medical Center. You are communicating with Mrs. Caroline Dobson, a 32-year-old housewife. You have asked her the reason for her visit to the office today.

Mrs. Dobson: “Since yesterday afternoon, I’ve had a lot of pain low down in my belly and in my lower back. I keep having to go to the bathroom every hour or so to pee. It’s often difficult to start, and it burns as it comes out. I’ve had this problem twice before when I was pregnant with my two kids, so I’ve started drinking cranberry juice. I’ve been shivering since I woke up this morning, and the last urine I passed was pink. Was that due to the cranberry juice?”

Discussion Questions:

1. List all of Mrs. Dobson’s symptoms.
2. Has Mrs. Dobson ever had this condition before?
3. Mrs. Dobson was diagnosed with dysuria and hematuria. Explain to Mrs. Dobson, in language she can understand, the difference in the medical terms.

1. Dysuria
2. Hematuria

4. Describe on the body the location of suprapubic pain.

Answer 1

Mrs. Dobson's symptoms

* Pain in lower abdomen and low back pain

* Frequent micturition with burning sensation

* Painful micturition

* fever and chills

* hematuria, ( presence of blood in the urine)

Mrs. C Dobson had the occurrence of urinary tract infections twice precviously, at the time of her pregnancy.  

Urinary tract infections are the infections that affect the parts of the Urinary tract. example: cystitis, urethertis, vaginitis etc.

Difference between Dysuria and Hematuria

Dysuria : Difficult or painful discharge of urine is called Dysuria. The common causes of Dysuria are Urinary tract infections, sexually transmtted diseases, kidney stones..etc.

Hematuria : The presence blood in the urine is called Hematuria . The possible causes are Urinary tract infections, kidney stones, and Vigorous exercises, inflammmation of Urinary tract ,bladder cancer etc. Cystitis may cause inflammation and irritation on the bladder wall , resulting in leakage of blood in varying amount in summ

Both symptoms are indicate the presence of infection that affected the part of urinary tract.

* cranberry juice can't stain urine. Urine colour changes to pink or red due to the presence of the blood.