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Case History

A 20-year old female medical student requested cotrimoxazole for cystitis, but had her last period 6 weeks ago and was sexually active. While she thought pregnancy was unlikely due to irregular periods after stopping birth control pills, the GP should not prescribe cotrimoxazole due to potential risk of harming an early pregnancy from the antibiotics, as confirmed pregnancy was not ruled out without a vaginal exam or pregnancy test.

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36 views1 page

Case History

A 20-year old female medical student requested cotrimoxazole for cystitis, but had her last period 6 weeks ago and was sexually active. While she thought pregnancy was unlikely due to irregular periods after stopping birth control pills, the GP should not prescribe cotrimoxazole due to potential risk of harming an early pregnancy from the antibiotics, as confirmed pregnancy was not ruled out without a vaginal exam or pregnancy test.

Uploaded by

ima
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CASE HISTORY

A 20 year-old female medical student attended her GP requesting a course of Septrin(cotrimozaxole) for cystitis. She tells her GP that her last menstrual bleed was about six weeks
earlier. She did not think she was at risk of pregnancy as her periods had been irregular since
stopping the oral contraceptives one year previously due to fears about thrombosis, and her
boyfriend used a condom. Physical examinations, which did not include a vaginal examination,
was normal. Urinalysis was 1 positive for blood and a trace of protein.
Questions:
1.Why should the GP not prescribe co-trimoxazole for this patient?
2. Causes of UTI during pregnancy? Please provide pathophysiological basis.
3. Manifestations of UTI? ? Please provide pathophysiological basis
4. What is the Midwifery management of UTI? Explain the rationale for each management.

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