Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of dysuria, urinary frequency, and urgency. Denies fever, chills, flank pain, or hematuria. No history of recent instrumentation or immunocompromise. Symptoms localized to lower urinary tract.
Clinical Examination Findings
Vitals stable, afebrile. Abdominal exam: soft, non-tender, no suprapubic tenderness. CVA tenderness: negative bilaterally. External genitalia: no discharge or lesions noted.
Treatment Protocol
Initiate empirical antibiotic therapy: Nitrofurantoin 100mg BID for 5 days OR Fosfomycin 3g single dose. Increase fluid intake. Analgesia with Phenazopyridine PRN for dysuria. Follow up if symptoms persist >48 hours or if fever develops.