[Expert Solution]: Full Patient Case Patient CaseSetting:…

Full Patient Case Patient CaseSetting: Ambulatory Care Clinic Insurance: Harvard Pilgrim Chief complaint: It hurts to pee.History of present illness: Thirty-two-year-old white woman visits herambulatory care clinic because she recently developed pain upon urination within the past 2 days. She noticed this developed after having sex with her husband. She has been taking Azo Urinary Relief over the counter and cranberry supplements for the past day.Past medical history: GERD, hypothyroidismSocial history: Drinks 4 oz of wine about once per week. NonsmokerFamily history: Mother and father still living with no significant comorbidities. No siblings and no childrenReview of systems: Integumentary: No color changes; no itching or rash found. Eyes: No vision changes; no blurriness or dryness. ENT: No sore throat, no canker sores, and no sinusitis. Respiratory: No dyspnea, cough, infection, purulent sputum production, or shortness of breath. Musculoskeletal: No pain or weakness or any cramps or joint pain. Genitourinary: Noted pain with urination, increased frequency, and suprapubic pain. No hematuria or flank pain. Gastrointestinal: No nausea or vomiting. Psychiatric: No depression, anxiety, or hallucinationsMedication history: Levothyroxine 75 mcg once daily, omeprazole 20 mg twice daily Allergies: No known drug allergiesAdverse drug reactions: N/ACurrent prescription medications: Levothyroxine, omeprazoleCurrent nonprescription medications: Phenazopyridine (Azo Urinary Relief), cranberry supplement, multivitamin, calcium carbonate as neededCurrent complementary and alternative medications: N/APast prescription medications: Levothyroxine, omeprazolePast nonprescription medications: Multivitamin, calcium carbonate as needed Past complementary and alternative medications: N/A Adherence: Adherent Immunization history: Up to date Physical exam: Alert and oriented times 3 Vital signs: BP 124/76, HR 60 bpm, RR 18 breaths per minute. Temperature 99.6deg F. Oxygen saturation at 100% on room airHeight: 5 4. Weight: 125 lbHEENT: PERRLA, EOMIChest and lungs: Normal breath soundsCardiovascular: RRR, not significant for murmurs or gallops. Normal S1 and S2 Abdominal: Soft, tender, and no distention and no guarding Neurologic: Reflexes are intact. Extremities: No cyanosis, no clubbing, and no edemaLabs and diagnostic tests: Hcg (-), UA: leukocyte esterase positive,>105bacteria/mL. Local antibiogram shows 77% susceptibility of E coli to Bactrim. Urinary Tract Infections (UTIs) SOAP Note SUbjective Objective Assessment Plan