Question

You are working the night shift on The Answer-Line, a telephone service provided by a health management organization for its enrollees. You receive a call from a 26-year-old woman. She has been experiencing painful urination for the past 24 hours. This is the first time she has had this condition and she describes herself as otherwise healthy.

A. What are some of the first questions you should ask?

B. The patient reports a fever of 101.5°F and a nearly constant urge to urinate, though she often voids little or no urine. What is your preliminary diagnosis?

C. There is a certain symptom that she has not mentioned. What is it and why is it important that you ask her about it?

D. What is the most likely causative organism for this condition?

E. What is the route of transmission of this organism?

F. What are some other causative organisms for this condition?

Answer 1

Question-C. There is a certain symptom that she has not mentioned. What is it and why is it important that you ask her about it?

She has not mentioned abdominal or pelvic pain associated with some times blood when urinating. It is important to know exact diagnosis and treatment for the infection.

Question-D: D. What is the most likely causative organism for this condition?

Chlamydia trichomatis has small G shaped intracellular bacteria with noninfectious reticulate form and infectious elementary body. It is most sexually transmitting disease in world.

All Chlamydia are anaerobically performing their metabolism using fermentation of various body fluids including vaginal fluids and they perform biphasic life cycle.

Chlamydia bacteria are ovoid in shape and they are non-motile. They o not produce spores but possess infectious elementary bodies to release into the host cells.

Question-E: E. What is the route of transmission of this organism?

Sexually transmitted disease via sexual intercourse

Question- F. What are some other causative organisms for this condition?

Candida albicans, fungus often cause painful urination. Othe Neisseria gonorrhea is the bacterium that causes painful urination if she got sexually transmitted disease gonorrhea.