Document Type

Open Access Capstone

Publication Date

Fall 11-19-2021



This is a case of an older adult Caucasian female with PMH of hypertension, obesity, hyperlipemia, colonic polyps, status bladder sling, and recently diagnosed with type 2 diabetes mellitus who presents to primary care office for an episodic visit with chief complaint of lower abdominal pain for one month that is getting worse especially with movement or urination. A detailed history of present illness plays an important part in the clinical decision. Although the urinalysis result was not conclusive of urinary tract infection, this patient belongs to special population, older adults’ women, who urinary tract infection may present with atypical symptoms such as vague abdominal pain. The patient responded to the antibiotic and the symptoms resolved. The review of guidelines and peer-reviewed articles enable to arrive to correct diagnosis and treatment.