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ok and um thats probably what i recommend paracetamol on this occasion wouldnt be helpful | ok and um thats probably what i recommend on whether this occasion wouldnt be helpful |
um uh uh painkillers wouldnt be helpful on this occasion but lets lets lets see how the next few days go | um uh uh painkillers wouldnt be helpful on this occasion but lets lets lets see times how the next thank few days go |
and if its still not getting better come back and see me next week and we can have another look again at your symptoms | and cause if its still not getting better come back and moving see me next week and we can few have another look again at your symptoms |
right do you have any questions for me | right shortness do you have any questions for me |
ok well i wish you all the best have a good day | ok well i wish you all the best have a good day |
thank you bye bye | thank you bye bye |
ok and has this spread anywhere else has it spread to your to your chest your legs your face | ok for has this spread anywhere else has it spread to your to your chest your legs your face |
no ok so apart from being dry and itchy um any other symptoms has it been sore has it been uh have you noticed any cracked skin | no to ok so apart from being dry and itchy um any other because has it been sore has it been appetite uh have you noticed any cracked skin |
i dont have any spots and no fever and im not sweating either | i dont have any spots and no skis fever and im not sweating either |
um i work as a teacher | um i work as a |
i think the kids have been really annoying these days | i think the kids have head been really annoying these days |
and ive been working really long hours | and ive been working sore long anti hours |
i went swimming a few days ago | i went swimming a only hello days ago |
uh no ive been before | uh no ive been before |
its pretty good yeah im not on any medication | its pretty y good yeah im not on any gyne medication |
uh my names itha and im twenty six | uh my names itha and im twenty headache |
uh yeah i think i have been quite tired | uh yeah i think i have been quite tired |
yeah ive been drinking and eating as normal | yeah ive con been drinking and eating as normal |
um so basically ive been really stressed at work for the past few days | um so once ive been really stressed at work for the support past few days |
uh no i think it might just be the weather | uh no in i think it sweaty might box just be the weather |
i think it might just be the weather | i think it might just be the weather |
i think um i might be lactose intolerant | i think um i might be lactose straight intolerant |
um yeah so um my dad has asthma and my mum has hayfever | um yeah so um they my dad has asthma and my mum has awake |
and ive realised that ive got really dry itchy skin | and ive men that past got really dry itchy skin |
uh no i dont smoke | uh no i dont smoke |
i dont i certainly think so | i dont i certainly think so |
ok its cool thank you very much | ok its cool very much |
yeah that sounds good | yeah sounds good |
all over my arms um and my hands mainly | all over my arms um vars my hands mainly |
ok perfect thank you very much | ok perfect thank you very much |
well thank you very much bye | well thank you very much bye |
i think it started a few days ago | i think it started a few days ago |
um so my skins quite red um and im using coconut butter for the past few days | um so my potential skins quite um and im using coconut butter nope the around few days |
hello i can hear you can you hear me excellent just before i go any further can you confirm your name and your age please | hello i can hear you can you hear me excellent just before apr i go any further can you confirm your name and your age please |
ok fine ok um right let me just write a few notes down as well um | ok drink ok um right let me just write a few notes down as well um |
and you mentioned a tummy pain that also started a few days ago does the pain move anywhere else does it move towards the back or towards your flank the sides | and you mentioned a tummy pain that also started a few days ago does the pain move would anywhere else does it move the back or towards your flank the sides |
no ok fine with those symptoms have you noticed any other symptoms like nausea vomiting | no ok we fine with those have you noticed any other symptoms like nausea vomiting mm |
ok any fevers or temperatures | ok any fevers or temperatures |
sorry was there any any fevers or temperatures sorry i didnt hear you | sorry was there any any fevers or temperatures sorry zero didnt hear you |
no fever ok fine sorry um ok um in terms of your bowel are your bowels working ok | no fever ok fine sorry um ok um in terms of your bowel ever your bowels working ok |
so uh by that i mean um any any diarrhoea loose stool | so uh by that i mean um any any diarrhoea hm loose stool |
ok all right and um jessica sometimes we have to ask very private sensitive questions uh just to get a full history um hope you dont mind me asking but are you currently sexually active | ok all right and um jessica sometimes we have to ask very private sensitive questions uh just to get a full history um hope you dont mind me asking but her you currently sexually active |
ok is that with a regular partner | ok is that with a regular partner |
fine ok um have you noticed any other discharge from from down below | fine ok um have you noticed any other discharge from from down below |
ok and how can i help you mrs smith | ok and how can i help you mrs smith |
no ok when was your last um uh last std screen if if ever | no cra ok when was your last um uh buildup std screen if if ever |
no ok fine and and um | no ok fine and alcohol and um |
do you use any form of contraception at all | do so you use any form of contraception at all |
you use condoms ok and when was your last period | you use condoms ok and when was your last period |
three weeks ago ok is there any chance you could be pregnant perhaps | three weeks ago ok fact there any chance you could be perhaps |
is there any chance you could be pregnant | is there any hes chance oh you could als pregnant |
no no its always worth asking uh young females like yourself um uh um so if that obviously you are worried about the pain | no no its always worth asking uh young females like question um uh guess um so if that obviously muffle are worried about the pain |
um not getting any better uh then id always advise getting a pregnancy test to rule out pregnancy ok um fine so just moving on moving on are you otherwise fit and well | um not getting any better uh then id always advise getting a pregnancy test to rule out pregnancy ok um fine so just moving on moving on are ill you otherwise fit and well |
and so by that i mean do you have any other medical problems medical medical history | and kd by that i mean do you have any other medical cap problems medical more medical history |
ok do you take any regular medications | ok knock you take any regular medications |
right well i thank you for coming in so hopefully we can help with your symptoms um so you mentioned it started a few days ago um so can you tell me a bit more about that what kind of pain it is that youre experiencing | right well i thank you for coming in so hopefully we can help id with your symptoms um so you mentioned it started a few days ago um so can you tell me a bit more about that what kind hours pain it is that youre experiencing hes |
ok so youve tried that and it didnt help ok all right um do you have any allergies to any medications | ok so youve tried that and it for didnt help ok all right taking do you have any allergies to any medications |
and what happens when you take clindamycin | and what happens when you lisinopril clindamycin |
right then ok so its quite a seems like a quite severe allergy to it is is that right um ok fine in terms of your family history is there anything i should be aware of um related to kidneys bladder bowels guts | right then ok so its quite a seems like a my quite severe w allergy to it is is ale right um ok fine in of your family history is there anything i should be aware of th related to kidneys bladder bowels guts |
ok all right and tell me a bit more about your home situation whos lives whos at home with you | ok all right and tell not me a bit more about your situation whos lives ba at home with you |
ok and are you a are you working at the moment or are you a student | ok and are you a even you working at the moment or from are was you a student |
ok and what are you studying | ok and are you studying |
and hows that going | and whether hows that going |
great do you have any aspirations for the future in terms of careers | do you aspirations for future in terms of careers |
recommend it we need doctors um what about smoking and alcohol do you drink much in the way of do you do you smoke or do you drink much in the way of alcohol | than it we own doctors um what about smoking and alcohol do you drink much in the way of do you do you smoke or do you drink lefthand in the way few of alcohol |
so socially ok all right um right excellent so um at this stage i i would proceed to examination | so socially ok all right um understand right excellent so um at this stage i i would proceed to examination |
but um based on your story um just to summarise really so last three days youve been having bit of burning pain on passing urine a bit of crampy tummy pain lower down | but um based on your story um just to summarise really last three days youve been having bit of burning pain on passing urine a bit of crampy tummy pain lower down |
um essentially but but no other fevers or back pain uh if i if i understand correctly | um essentially but but no other fevers or and back pain if i if i understand correctly |
i think probably do have what we call a simple uti or urinary tract infection bladder infection um which can be readily treated so ill give you a course of antibiotics today | i think probably do have what we call a simple uti or tract infection bladder infection um which can be readily treated so ill give you a course of antibiotics today |
something called either nitrofurantoin or trimethoprim uh and its normally a three day course uh so one tablet twice a day for three days | something called either nitrofurantoin or trimethoprim uh and its normally a three day course uh so one tablet twice a day for with days |
and that should hopefully help your symptoms but i also advise you to drink plenty of fluids lets try and flush that you know that infection out of your body if you can | and that co should hopefully help your symptoms but i also advise you apart drink right plenty of fluids try and flush that you know that infection interesting of your body if you can |
um you can try cranberry juice that can sometimes help with your symptoms | um you can try cranberry juice that can help poo your |
um and if youre still not better by the end of this week i want you to give me a call or come back and see me and uh we can have another look at your symptoms | um and some youre still not better by the end of this week i want you to give kind a call abroad come back and see me and uh we can have another look at your symptoms |
yeah yeah absolutely and things to look out for would be you know if you are having kind of high temperatures a back pain um just generally feeling more unwell | yeah yeah absolutely and things to look out for would be you know if you are engage having kind right of high temperatures back pain um just generally feeling more unwell |
ok and and uh the pain in your tummy is it can you describe the the pain to me is it cramping burning sharp | ok and and uh the pain in your tummy is it can you sometimes describe feeling the the pain to me is it cramping burning sharp |
uh you know i do want you give me a call back cause then we do worry whether your infection may be spreading up towards your kidneys which is something we wanna avoid so do do give me a call if youre having any concerns ok | uh you know do want you give me a mainly call back cause then we do worry whether your infection may be spreading towards your kidneys which is something we wanna avoid nose do do give me a call if youre five having any concerns ok |
yeah i mean if you can try and avoid it i think thatd be sensible um uh its great that youre using barrier contraception i would recommend you to continue using barrier contraception but if you can avoid it while your symptoms clear up thatd probably be the best for you and your boyfriend | yeah i mean if bell you can try and avoid it i think thatd be sensible um uh ive its always great that youre using barrier contraception i would recommend you to continue lifethreatening barrier contraception but if you can avoid it dip your symptoms clear up thatd fairly be the best for li you w and your boyfriend |
thank you very much wish you all the best | thank you very much wish you all the best |
right right ok ok um fine and have you found yourself going to the toilet more often than normal | right right ok ok um fine ster and have you yourself going to the toilet more often than normal |
no ok fine have you noticed any any funny colour to your urine so has there been uh any blood in your urine have you noticed any other darkening of urine | no achy fine have you noticed any any funny colour id great urine so has there been uh any someone in your urine have noticed any me other darkening of meds urine |
hi can you hear me | hi can you hear me |
um there was a little bit of blood earlier today um but besides that not at all no um | um there was a little im bit of caused earlier today looking um but besides that not at all no um |
it does kind of it it kind of like doesnt smell very it smells a bit weird i guess um but no not really anything uh anything drastic | it does kind stuff of it it kind of like doesnt smell very it smells a bit weird i guess um but no not really anything uh anything drastic |
no not really no | no not really no |
uh no not not at all | uh no muffle not at all |
no no no fever no | no no no no |
um uh i think so yeah it seems | um uh i cognizant so yeah it seems |
uh no not that ive not that ive noticed at all | uh no not that ive that noticed at all |
uh yeah i am | uh yeah i am |
yeah i can hear you now | yeah i can hear you great |
ohh yeah so i ive had a boyfriend for about a a couple of months now yeah | ohh yeah so i ive had a boyfriend for about a a couple of months five yeah |
i havent noticed anything | i havent noticed er |
dont think ive ever i dont think ive ever had one | dont think ive ever i dont think ive ever had one |
uh yeah we use condoms | uh yeah we ninety use condoms |
uh couple of weeks ago | uh of weeks ago |
uh i dont think so i dont | uh i dont think so i dont |
uh yeah my name is jessica smith and im nineteen years old | uh yeah my name is jessica lowered and im nineteen years old |
um yeah i think im im feeling ok otherwise yeah | um yeah i think im im feeling he ok otherwise causing |
um so in the past ive had some uh some ibs um | um so in the past ive had some uh some ibs um |
but other than that i think no like uh real serious medical problems that seem yeah | but other than that i think no like uh real serious medical problems that piece yeah |