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Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

Dysuria with a Negative Urine Culture or When is a UTI not a UTI?

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What can we learn from physical<br />

• Pelvic exam:<br />

– Bladder tenderness<br />

– interstitial cystit<strong>is</strong><br />

– Suburethral mass<br />

– Urethral diverticulum<br />

exam?<br />

– Vaginal atrophy (loss of rugations, vaginal pall<strong>or</strong>)<br />

– Easily treated <strong>with</strong> local estrogen<br />

– If treatment <strong>is</strong> stopped, sx will recur

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