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Case 49 · Carla, 32
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Clinical Mgmt
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Patient
Carla Mendes
Case 49
Age
32
Gender
Female
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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Carla Mendes
Age: 32 years
Gender: Female
Reason for Appointment

Dysuria, frequency and urgency for 3 days. Fourth UTI episode in 6 months; review cultures and prevention plan.

Medical History
Drug History

Microgynon 30. Recent antibiotics: nitrofurantoin x 2 courses and trimethoprim x 2 courses.

Recent Results

Today: dipstick positive for leucocytes and nitrites; MSU sent. Previous cultures grew E. coli. Last culture 3 weeks ago: ESBL-producing E. coli, sensitive to nitrofurantoin and resistant to trimethoprim/amoxicillin.