Case 1 – Dysuria

You are seeing Mrs. Singh, a 72 year old female, in your outpatient clinic today. She tells you that she has discomfort during urination and has difficulty controlling her urine. Take a focused history of his complaint.


  • Clarifies symptom of dysuria
  • Onset of dysuria
  • Urinary frequency
  • Change in urine color (cloudiness, darkening)
  • Presence of hematuria (none)
  • Nocturia
  • Urgency
  • Overflow Incontinence
  • Incomplete voiding
  • Flank/back pain
  • Abdominal discomfort/fullness/pain
  • Nausea and vomiting
  • Fever
  • Gastrointestinal symptoms such as pain, diarrhea, blood in stool
  • Pregnancy history
  • Current medications (particularly anti-cholinergic medication, estrogen creams)
  • Past history of urinary tract infections
  • Past history of urinary incontinence and treatments
  • Exposure to pool/lake/ocean water
  • Recent antibiotic use
  • Effect on daily life
Case 1 – Dysuria