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**Start of Template**
SUBJECTIVE:
[Patient Age] [Patient Gender (M/F)] in usual health until _ day_ ago when patient developed dysuria, urgency, and frequency.
Pregnant: _
Ongoing urologic evaluation or procedures: _
Catheter: _
Kidney transplant: _
Fever/chills: _
Back/flank pain: _
Recent treatment for UTI: _
PMHx:
Uncontrolled DM: _
Immunosuppression: _
Recent hospitalization: _
ROS: No HA/D/CP/SOB.
OBJECTIVE:
GEN: Alert, pleasant, INAD
Vitals: _
CV: RRR, no M/R/G
PUL: CTAB, no wheeze, rhonchi
ABD: Soft, NT/ND.
BACK: _ CVA tenderness.
LABS: UA: _
Prior urine culture results: _
ASSESSMENT / PLAN:
1. Acute uncomplicated cystitis
Macrobid BID for 5 days
Fosfomycin 3 gm single dose
Bactrim DS BID for 3 days
PRN use of Pyridium 200 mg PO TID
Urine culture not sent.
Discussed symptomatic treatment including tylenol/ibuprofen and the importance of hydration.
RTC if not improved in 3-5 days, sooner if new or worsening symptoms develop.
1. Acute complicated cystitis
Macrobid BID for 7 days
Keflex 500 mg QID for 7 days
Bactrim DS BID for 7 days
PRN use of Pyridium 200 mg PO TID
Urine culture sent
Encouraged f/u with PCP in 48 hours
1. Acute pyelonephritis
Stable for outpatient treatment
Ceftriaxone 1 gm IM given here
Keflex 500 mg QID x10 days
Cipro 500 mg BID x7 days
Urine culture sent
Encouraged f/u with PCP in 48 hours.
To ER if unable to tolerate oral medication or if significantly worsening.
**End of Template**