A patient presents with recurrent symptoms of urinary urgency, frequency, and dysuria. She has not been sexually active in 7 years, owing to vaginal dryness and pain. Do you know what's wrong? MedTwitter
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions.
She has been treated with antibiotics four times in the past year but does not recall which medications she took. She reports that her symptoms start over the course of 1-2 days and increase in intensity. They resolve around day 3 when she takes antibiotics as directed.and has a bowel movement every 2-3 days. She does not have fevers, chills, night sweats, weight loss, hair loss, cough, diarrhea, joint pain, or back or flank pain.
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