Burning urine at 16 weeks

Instructions

You are a medical student on placement in a rural general practice in the Wheatbelt. Your next patient is Eleni Nikolaidis, 27, who is 16 weeks pregnant, presenting with two days of burning when she passes urine.

1. 1

   Take a focused history

2. 2

   Examine the patient

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings
• Please verbalise your examination; findings will be provided on request