Differential Diagnosis
Positive Data
Negative Data
Recurrent kidney infection
Lower back pain, fever; pain localized to right lumbar and right CVA area; pain intensity 3-7 on Visual Analog Pain Scale (with 10 on VAS for natural childbirth)
No family history of renal disease; sister with history of kidney stones
day course of Cipro; symptoms returned in second week
Pain from back does not radiate to bladder or pubic area
Consuming cranberry juice and 4-6 glasses of water per day
Denies hematuria
Experiencing mild dysuria ("slightly stinging")
No edema; no lesions of genitalia
Drinking coffee, but not cola or tea
Denies frequency of urination; no history of recurrent UTTs or kidney infections
Mild dysuria; WBC 6-8 per high powered field
Renal calculi
Diagnostic indications
Antibiogram culture & sensitivity; UA; IVP
Therapeutic indications
Begin regimen of probiotic (Florajens 3); Prescribe RX for Septra DS one po bid for 10 days if UA indicates; infection; Prescribe RX for Pyridium 100-200 mg po tid X 2-3 days prn pain
Teaching & counseling indications
Avoid full bladder, continue high fluid intake, wiping front to back, double void, avoid intercourse and tampon use until well
Differential Diagnosis
Positive Data
Negative Data
Lower back strain
Active homemaker; active grandparent / child caregiver (regularly picks up small grandchildren)
Denies joint pain, swelling. Stiffness, or myalgia; exhibits full ROM; no numbness or tingling in extremities; no sciatica; no varicosities
Denies strenuous exercise
Denies abdominal pain; abdomen soft, non-tender; no enlargement or palpable mass
Teaching & counseling indications
Evaluate if muscular strength is adequate to picking up children
Differential Diagnosis
Positive Data
Negative Data
Reproductive tract problems
PPTL after 3rd pregnancy / delivery
Denies abnormal PAPs STDs or female problems
Perimenopausal - Change in menses cycle, with heavier bleeding and cramping; dysmenorrhea 1-2 days before cycles begin
Three unremarkable vaginal live birth deliveries; natural childbirth, episiotomy for 1st and 2nd births
Two older sisters had TAH for female problems
Denies painful intercourse (other than past 2 weeks); no recent change in coitus habits
Denies yeast infection or cervicitis
You’re 81% through this paper. Sign up to read the full paper.
Sign Up Now — Instant Access Already a member? Log inAlways verify citation format against your institution’s current style guide requirements.