Sterile painful urination with a positive STI screen should rase the suspicion of an sexually transmitted disease.
A 13 year old girl presents to the clinic with painful urination that has persisted for days. She reports she has painful urination multiple times. She does not have any reported abdominal pain but also has itchiness of her genitals.
Family History: none
Physical Examination: she looks well
Head and neck exam: normal
Abdomen: soft
Genitourinary exam: no discharge
MSK exam: flat feet
The remainder of the physical examination is normal. Urine testing shows Negative and STI screen is positive.
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Authors
Dr. Gabriele Weiler
gweiler@cheo.on.ca
Dr. Catherine Hervouet-Zeiber
Reviewer