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Symptoms: frequency, urgency, dysuria, sense of incomplete emptying.

consider complicating factors that may affect treatment choice: nausea, vomiting, fever, flank pain, vaginal discharge, vulvar pain/itching, swollen glands, recent change in sex partner, history of kidney or bladder disease in patient or family, history of problems affecting immunity, current pregnancy. Medication Allergies; recent antibiotic use. Recent changes in sexual activity (e.g. "honeymoon cystitis"). Recent changes in products used in vaginal area such as condoms, lubricant, soap. Use of diaphragm for Birth Control method. If hematuria, then assess smoking history. Current medications. Number of UTIs in the last year. Any previous urology workup.

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