History of present illness

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History of Present Illness (HPI): Vivian is an 88-year-old Caucasian female brought into the office by her caregiver. Complains of dark, cloudy, foul-smelling urine, with new confusion and night-time hallucinations. The caregiver reports a history of disturbed night sleep, with hallucinations of spiders crawling in bed, followed by agitation, lethargy, and poor oral intake the next morning. Other symptoms include increased urinary frequency, dysuria, mild fever, and lower abdominal pain. The caregiver also reports that Vivian had been treated for suspected UTI twice in the last 12 months.

Reference no: EM133689399

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